Procedures Archives

If a procedure is attempted and then aborted/unsuccessful would we still capture the procedure? Examples: Reduction not able to be successfully completed. Ultrasound not able to visualize what they were looking for.

If a procedure is unable to be completed, code to the furthest step completed. If reposition is not achieved, you could code immobilization, or traction, or inspection, whatever piece was actually achieved. For the ultrasound, in your example, the scan was completed, they did the scan, they just didn’t see what they wanted. But you …

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I just had my second patient receive Liquid Plasma within the last 2 weeks. In my years working here, I have only had patients receive Fresh Frozen Plasma. In my research I found the following ICD PCS code-30233L1. This is the code I captured for my first patient and plan to capture for my second. Liquid Plasma is not listed under our favorite’s procedures list. I just wanted to confirm this prior to sending it out to the registrars.

Yes, the 6th character of “L” is for fresh plasma, so that is what you would use. “K” is frozen plasma. The other characters depend on other things (peripheral vein vs central, etc.).

Should external urinary systems, like condom catheters be captured as foley’s?

If you mean as a procedure code, drainage device is the 6th character, used for foley catheters, and would be appropriate for condom catheter. I would assign different codes for these. Foley catheter would be 0T9B70Z, for drainage, bladder, via natural or artificial opening, drainage device Condom catheter would be 0T9DX0Z, for drainage, urethra, via …

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Is there a procedure code that you would know of for leech therapy?

This is a great question, and PTSF staff can’t find a specific code. We recommend root operation extraction, and then skin, or subcutaneous (whichever appropriate).

I have a patient that had an injury a week prior to coming to the hospital. The patient has a SDH and has a craniotomy 6 hours after arriving to our hospital. Please help me understand how to answer the below questions. Did patient have an abdominal, vascular, intrathoracic, or cranial surgery? Cranial Surgery…..Initial surgery > 24 hrs. My confusion is that I’m not clear if the question is asking if the surgery was performed greater than 24 hours from hospital arrival or greater than 24 hours from time of injury?

You will report “1 Yes” if the procedure was done at either the referring facility or your facility within 24 hours of injury.