tci General Surgery Coding Alert - 2023 Issue Q2

Case Study: Highlight Tonsillectomy Coding Nuance With This Op Note

Don’t miss the pathogen Dx code. Tonsillectomy may be an everyday occurrence for general surgeons, but that doesn’t make it easy to correctly code the cases. Look at the following brief diagnosis and procedure descriptions and try your hand at pinpointing the correct codes: Procedure indications: Patient is a 10-year-old male with a history of tonsillitis who presented with a recent acute eight-day bout of painful sore throat with inflamed tonsils. Procedure: Bilateral tonsillectomy Procedure description: Following anesthesia induction, a Crowe-Davis mouth gag suspended the oropharynx to visualize the tonsils and palate. Forceps were used to free...

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