tci ED Coding & Reimbursement Alert - 2010 Issue 7

Reader Questions: Evaluate Services For Gun Shot Wound

Question: I am trying to code a chest exploration following a gun shot wound. Would I use an unlisted procedure code for this?Florida SubscriberAnswer: 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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