tci General Surgery Coding Alert - 2000 Issue 4

Reader Question: Ventilation Management

Question: Is there a way to code for vent management in cases such as 1. ARDS immediately post-op after appendectomy for perforation or 2. for post-operative respiratory insufficiency in an 87-year-old patient immediately following repair of perforated gastric ulcer?Piyush N. ShethAshland, OhioAnswer: Codes 94656 (ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; first day) and 94657 (subsequent days) are those used for ventilation management, says Susan Callaway-Stradley, CPC, CCS-P, an independent coding consultant and educator in North Augusta, S.C. Billing these codes on the same day of a surgery...

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