tci General Surgery Coding Alert - 2019 Issue Q3

Case Study: Skip 38531 for Laparoscopic Lymph Node with Hernia Repair

Focus on rules for ‘unlisted’ procedures. Take a peek at the following case to garner tips for coding unlisted procedures, multiple scopes, and more. The case: The surgeon performs a laparoscopic hernia repair for a patient with a newly-identified bulging inguinal hernia. During the procedure, the surgeon recognizes and removes an enlarged lymph node from the groin region. Identify Primary Procedure Code The surgeon’s primary objective for this surgery was to repair an initial inguinal hernia bulging through the posterior wall of the inguinal canal. The op report documents making two small incisions in the abdominal wall...

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