tci General Surgery Coding Alert - 2006 Issue 3

Read GI Surgery Op Notes Carefully to Reveal Hidden Cash

Earn an extra $1,000 by coding the correct approach Adding a single -extra- procedure during a variety of gastrointestinal surgeries can make a huge difference in your reimbursement dollars. When examining op notes, here are four examples of gastro surgeries that you should pay special attention to. 1. Watch for Pouch With Rectum Removal If you find yourself reaching for new-for-2006 code 45395 (Laparoscopy,  surgical; proctectomy, complete, combined abdominoperineal, with colostomy), research a bit further to be sure you shouldn't assign 45397 (... proctectomy, combined abdominoperineal pull-through procedure [e.g., colo-anal anastomosis], with creation of colonic reservoir...

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