Denise Posted Wed 11th of January, 2017 11:07:09 AM
My doc did a free flap to the breast after mastectomy. The patient returned with thrombosis of the flap that could not be salvaged. It was removed and the mastectomy flaps were closed until the patient could reassess what type of reconstruction should be done next. I am thinking unlisted but maybe a complex closure?
SuperCoder Answered Thu 12th of January, 2017 01:16:03 AM
Hi Denise, please send some more information of the procedure performed for more clarity, in order to find the most appropriate code for it. Thank you.
Denise Posted Thu 12th of January, 2017 10:25:58 AM
The patient had free flaps from the abdomen following mastectomy procedure. On follow up she was taken back to the OR for exploration of the flap and there was venous thrombosis of the entire flap and the previously placed vein graft.
The flap was not salvageable so it was removed. The mastectomy flaps were then closed in layers and procedure was ended. The patient will return to primary plastic surgeon for discussion of future reconstruction.
SuperCoder Answered Mon 16th of January, 2017 03:08:21 AM
As per documentation, unlisted procedure code should be appropriate in this case. Thank you.