Bronchoscopy with a vented patient
Does anyone know why a bronchoscopy through a trach on a vented patient for removal of mucus, no mucus plugging decreases the MSDRG from vent over 96 hours to a major chest procedure with an MCC? The MD just did a quick bedside note. No biopsy was done. ???
Thank you!
Rosie McKellips, RN, RHIT, CCDS, CCS-P
Supervisor, Clinical Documentation Improvement Specialist
North Memorial Health Care and Maple Grove Hospital
763-581-4531
Thank you!
Rosie McKellips, RN, RHIT, CCDS, CCS-P
Supervisor, Clinical Documentation Improvement Specialist
North Memorial Health Care and Maple Grove Hospital
763-581-4531
Comments
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
procedure.
Here is the decision tree:
Aspiration, other specified aspiration contents, respiratory system, lower lobe bronchus, through natural/artificial opening.
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I am not sure 'drainage' is appropriate, I haven’t seen that root operation used in this format. Mainly to drain a cyst or abscess, things like that?
What was the intent of the procedure? Was it primarily for inspection or did they really do a bronch specifically for suction of mucous? This patient was on a vent so I am assuming they had in-line suction available so it seems somewhat strange to do a bronch just for mucous? I am wondering if this really should be an 'inspection'. Were they looking for something with the scope? Suction (in my mind) is inherent to a bronch for inspection and would not be coded separately.
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404