tci Medicare Compliance & Reimbursement - 2010 Issue 24

Reader Questions: Consult Your Doc For Clot Procedure Details

Question: My physician performed an excision due to a painful clotted vein in the lower extremity. I cannot find a code specific to this type of surgery. Is there a code that would be appropriate than 28899? My surgeon thought maybe 27632 might work.Answer: This is a difficult coding challenge without having more information. Depending on the clinical situation, there are a few codes that might be appropriate, as follows: Code 27632 (Excision, tumor, soft tissue of leg orankle area subcutaneous; 3 cm or greater) would be appropriate if the physician thought it was a tumor but found...

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