tci ED Coding & Reimbursement Alert - 2019 Issue Q3

Reader Question: Avoid Unlisted With Gunshot Wound Exploration

Question: We are trying to code a chest exploration following a gunshot wound. Should we use an unlisted procedure code for this? Supercoder Subscriber Answer: No, although circumstances would vary depending on the specific case and documentation. The code set 20100-20103 is available to describe surgical exploration and enlargement of the wound, extension of dissection (to determine penetration), debridement, removal of foreign body(s), ligation or coagulation of minor subcutaneous and/or muscular blood vessel(s), of the subcutaneous tissue, muscle fascia, and/or muscle, not requiring thoracotomy or laparotomy. If the treatment progressed to a full and formal thoracotomy, code 32110 (Thoracotomy...

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