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Denise Posted Tue 27th of December, 2016 13:18:11 PM
My plastics surgeons do a lot of free flaps. They often have to go in and inject heparin into the anastomosed vein for venous congestion. Is there a code for this. I was thinking of using 35876-52, but not sure.
SuperCoder Answered Wed 28th of December, 2016 06:26:19 AM

Please provide details of the procedure performed.

 

Denise Posted Wed 28th of December, 2016 14:06:23 PM
Patient had a DIEP flap with microvascular anastomsosis using superficial venous and greater saphenous vein graft. This anastomosis became thrombosed and heparin drip was given. Occasionally they also just go in and exam the anastomosis but most frequently they either us heparin or do a thrombectomy.
SuperCoder Answered Thu 29th of December, 2016 08:04:46 AM

This query is under discussion. We will get back to you soon.

SuperCoder Answered Thu 29th of December, 2016 08:04:47 AM
This query is under discussion. We will get back to you soon.
SuperCoder Answered Fri 30th of December, 2016 07:56:28 AM

CPT code 35876 is not appropriate as this code should not be reported for the treatment of hemorrhage during the initial operative session nor treatment of postoperative hemorrhage not requiring return to the operating room. This code should generally be reported with modifier 78 indicating that the procedure represents a return to the operating room for a related procedure in the postoperative period.

SuperCoder Answered Fri 30th of December, 2016 07:56:28 AM
This query is under discussion. We will get back to you soon.
SuperCoder Answered Mon 02nd of January, 2017 01:03:02 AM

CPT code 35876 is not appropriate as this code should not be reported for the treatment of hemorrhage during the initial operative session nor treatment of postoperative hemorrhage not requiring return to the operating room. This code should generally be reported with modifier 78 indicating that the procedure represents a return to the operating room for a related procedure in the postoperative period.

SuperCoder Answered Mon 02nd of January, 2017 01:03:04 AM
This query is under discussion. We will get back to you soon.
Denise Posted Tue 03rd of January, 2017 16:59:01 PM
Do you have any suggestions?????
Denise Posted Tue 03rd of January, 2017 17:01:42 PM
Sorry I forgot to mention that I did not state a hemorrhage but a venous congestion with heparin injected to vein.
SuperCoder Answered Wed 04th of January, 2017 06:41:46 AM

The appropriate code is 35875.

For heparin IV push CPT code 96374.

For IV infusion PT code 96365.

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