Complications occurring years after procedure
I am just looking for some coding guidelines regarding complications of procedures that occur years after the procedure.
Example 2022 patient had mastectomy. January 2024 patient presents with abscess at site. I had an educational opportunity to send a query for complication of procedure. Query sent and complication code obtained.
is there a timeframe for complication codes?
If there is an infection and/or abscess at any surgical site years after procedure, do we automatically send a query to clarify if this was a complication to prior procedure?
Thank you for any guidance,
Beth Vorachek RN, MSN, CCDS