Bronchoscopy
If we are talking about removal of FB, as in aspiration of mucous plug, the sites mentioned are the choices. If the specific location is not documented, then left, right, bilateral NOS are available. You must know laterality to code even the NOS code.
[cid:image002.png@01D11172.D28C2980]
If it is a BAL, there is no NOS choice and location must be documented.
[cid:image003.png@01D11172.D28C2980]
Personally I don't think an account needs to held for more definitive location as long as you have the laterality info.
Sharon Salinas, CCS
Health Information Management
Barlow Respiratory Hospital
2000 Stadium Way, Los Angeles CA 90026
Tel: 213-250-4200 ext 3336
FAX: 213-202-6490
ssalinas@barlow2000.org
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, October 28, 2015 10:57 AM
To: Salinas, Sharon
Subject: [cdi_talk] ICD 10 Bronchscopy with aspiration of secretions
Hi! We are being asked to query for location of areas aspirated during bronchscopy because coding says they needs the specific location such as:
-Carina
-Lingula bronchus
-Lower lobe bronchus R/L
-Lower lung lobe R/L
-Lung lingula
-Main bronchus R/L
-Middle lobe bronchus R
-Middle lung lobe R
-Trachea
-Upper lobe bronchus R/L
-Upper lung lobe R/L
-Lung R/L (not further specified)
-Lung bilateral (not further specified)
-Other (specify)
Anyone else having this issue? We are actually holding a couple of accounts for the specificity even though it does not impact the DRG or SOI/ROM. Thoughts? Thanks!
---
Sharon Salinas, CCS
Health Information Management
Barlow Respiratory Hospital
2000 Stadium Way, Los Angeles CA 90026
Tel: 213-250-4200 ext 3336
FAX: 213-202-6490
ssalinas@barlow2000.org
[cid:image002.png@01D11172.D28C2980]
If it is a BAL, there is no NOS choice and location must be documented.
[cid:image003.png@01D11172.D28C2980]
Personally I don't think an account needs to held for more definitive location as long as you have the laterality info.
Sharon Salinas, CCS
Health Information Management
Barlow Respiratory Hospital
2000 Stadium Way, Los Angeles CA 90026
Tel: 213-250-4200 ext 3336
FAX: 213-202-6490
ssalinas@barlow2000.org
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, October 28, 2015 10:57 AM
To: Salinas, Sharon
Subject: [cdi_talk] ICD 10 Bronchscopy with aspiration of secretions
Hi! We are being asked to query for location of areas aspirated during bronchscopy because coding says they needs the specific location such as:
-Carina
-Lingula bronchus
-Lower lobe bronchus R/L
-Lower lung lobe R/L
-Lung lingula
-Main bronchus R/L
-Middle lobe bronchus R
-Middle lung lobe R
-Trachea
-Upper lobe bronchus R/L
-Upper lung lobe R/L
-Lung R/L (not further specified)
-Lung bilateral (not further specified)
-Other (specify)
Anyone else having this issue? We are actually holding a couple of accounts for the specificity even though it does not impact the DRG or SOI/ROM. Thoughts? Thanks!
---
Sharon Salinas, CCS
Health Information Management
Barlow Respiratory Hospital
2000 Stadium Way, Los Angeles CA 90026
Tel: 213-250-4200 ext 3336
FAX: 213-202-6490
ssalinas@barlow2000.org
Comments
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, October 28, 2015 11:22 AM
To: Salinas, Sharon
Subject: [cdi_talk] Bronchoscopy
If we are talking about removal of FB, as in aspiration of mucous plug, the sites mentioned are the choices. If the specific location is not documented, then left, right, bilateral NOS are available. You must know laterality to code even the NOS code. Personally I don't think an account needs to held for more definitive location as long as you have the laterality info.
Respectfully,
Angela Clayberg, BA, RN
Clinical Documentation Improvement Manager
1201B Sam Perry Blvd., Suite 210
Fredericksburg, Virginia 22401
angela.clayberg@MWHC.com
540-741-4093