Suprapubic catherter insertion

dma_50dma_50
in CDI Talk Archive
need some clarification when coding spc insertion. code 55.17 is percutaneous. 55.18 open. What does "open" imply. Surgeon has documented "an incision was made..." there is no reference to a needle being used... which I find on some op reports. I have a coder coding the first example as an open wich will code 55.18. The patient PD is a non related dx. which would carry a 983 DRG which the RAC's are looking at. Have looked thru the CPT code book and haven't found clarification. Would appreciate any help.

Comments

  • stacy.vaughnstacy.vaughn
    edited May 2016

    open would entail an incision. Percutaneous is a puncture. I would be
    interested to know where was this procedure was performed. The
    percutaneous would be most likely completed in radiology, whereas the open
    would typically be OR. (not that is a defining code justification)






  • dma_50dma_50
    The patient had the procedure as well as a cysto done under general in the OR.
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