ESLD &/or Cirrhosis
Sending out this question again:
Does 'ascites 2/2 ESLD 2/2 ETOH + hepatitis C" = cirrhosis? Would a query be necessary to get to cirrhosis? I understand that it most likely is but can we make that jump without asking the provider?
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, January 27, 2016 10:46 AM
To: Salinas, Sharon
Subject: RE: RE:[cdi_talk] Unrelated DRG help
The hepatitis was not the focus of the admission nor the procedure. The ascites should be first unless there is direction to precede. Looks like K70.11 for alcoholic cirrhosis with ascites should be principal followed by the specific viral hepatitis. That would take the DRG to where it deserves to be.
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, January 27, 2016 1:11 PM
To: Dr. Robert Gold
Subject: RE: RE:[cdi_talk] Unrelated DRG help
I've got one!!!
I have a patient that came in with massive ascites (leaking out of an umbilical hernia) 2/2 ESLD 2/2 ETOH + Hepatitis C. She had a paracentesis.
The coder has B19.20 (viral hepatitis C) as Pdx and she has the procedure coded as OW9G3ZZ (drainage of peritoneal cavity, perc approach) as Ppx.
We landed in DRG982 (extensive OT procedure unrelated to principle)
Is that right?
Also, I ran a report for these DRG's. We have seen a 4-fold increase since I-10!!!
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator AHIMA Approved ICD-10CM/PCS Trainer Flagstaff Medical Center Kathryn.Good@nahealth.com
Cell: 928.814.9404
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 1:21 PM
To: Kathryn Good
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Thanks Dr. Gold : )
Kerry Seekircher, RN, BS, CCDS, CDIP
Clinical Documentation Program Manager
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 3:03 PM
To: Seekircher, Kerry
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Having removed some IJ lines, it's not an open or percutaneous procedure. Even if it were tunneled, it's removal of sutures and PUL-L-L-L-L!! (gently!)
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 2:59 PM
To: Dr. Robert Gold
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Thanks Jeff-that is what I am recommending. I hope we are right!
Kerry Seekircher, RN, BS, CCDS, CDIP
Clinical Documentation Program Manager
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 12:01 PM
To: Seekircher, Kerry
Subject: RE:[cdi_talk] Unrelated DRG help
Kerry,
I am pretty sure this would be external approach because percutaneous requires a puncture or minor incision per the definition. Were sutures just cut and cath pulled? My gut says external but interested to hear what persons with more PCS expertise say.
Jeff
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
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Does 'ascites 2/2 ESLD 2/2 ETOH + hepatitis C" = cirrhosis? Would a query be necessary to get to cirrhosis? I understand that it most likely is but can we make that jump without asking the provider?
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, January 27, 2016 10:46 AM
To: Salinas, Sharon
Subject: RE: RE:[cdi_talk] Unrelated DRG help
The hepatitis was not the focus of the admission nor the procedure. The ascites should be first unless there is direction to precede. Looks like K70.11 for alcoholic cirrhosis with ascites should be principal followed by the specific viral hepatitis. That would take the DRG to where it deserves to be.
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, January 27, 2016 1:11 PM
To: Dr. Robert Gold
Subject: RE: RE:[cdi_talk] Unrelated DRG help
I've got one!!!
I have a patient that came in with massive ascites (leaking out of an umbilical hernia) 2/2 ESLD 2/2 ETOH + Hepatitis C. She had a paracentesis.
The coder has B19.20 (viral hepatitis C) as Pdx and she has the procedure coded as OW9G3ZZ (drainage of peritoneal cavity, perc approach) as Ppx.
We landed in DRG982 (extensive OT procedure unrelated to principle)
Is that right?
Also, I ran a report for these DRG's. We have seen a 4-fold increase since I-10!!!
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator AHIMA Approved ICD-10CM/PCS Trainer Flagstaff Medical Center Kathryn.Good@nahealth.com
Cell: 928.814.9404
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 1:21 PM
To: Kathryn Good
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Thanks Dr. Gold : )
Kerry Seekircher, RN, BS, CCDS, CDIP
Clinical Documentation Program Manager
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 3:03 PM
To: Seekircher, Kerry
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Having removed some IJ lines, it's not an open or percutaneous procedure. Even if it were tunneled, it's removal of sutures and PUL-L-L-L-L!! (gently!)
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 2:59 PM
To: Dr. Robert Gold
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Thanks Jeff-that is what I am recommending. I hope we are right!
Kerry Seekircher, RN, BS, CCDS, CDIP
Clinical Documentation Program Manager
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 12:01 PM
To: Seekircher, Kerry
Subject: RE:[cdi_talk] Unrelated DRG help
Kerry,
I am pretty sure this would be external approach because percutaneous requires a puncture or minor incision per the definition. Were sutures just cut and cath pulled? My gut says external but interested to hear what persons with more PCS expertise say.
Jeff
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
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This message is for the named person's use only. It may contain confidential, proprietary or legally privileged information. No confidentiality or privilege is waived or lost by any mistransmission. If you receive this message in error, please immediately delete it and all copies of it from your system, destroy any hard copies of it and notify the sender. You must not, directly or indirectly, use, disclose, distribute, print, or copy any part of this message if you are not the intended recipient. This organization and any of its subsidiaries each reserve the right to monitor all e-mail communications through its networks.
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
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HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
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Comments
Good luck!
----- Original Message -----
From: "CDI Talk"
To: gwojo@wowway.com
Sent: Wednesday, January 27, 2016 2:04:25 PM
Subject: [cdi_talk] ESLD &/or Cirrhosis
Sending out this question again:
Does 'ascites 2/2 ESLD 2/2 ETOH + hepatitis C" = cirrhosis? Would a query be necessary to get to cirrhosis? I understand that it most likely is but can we make that jump without asking the provider?
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, January 27, 2016 10:46 AM
To: Salinas, Sharon
Subject: RE: RE:[cdi_talk] Unrelated DRG help
The hepatitis was not the focus of the admission nor the procedure. The ascites should be first unless there is direction to precede. Looks like K70.11 for alcoholic cirrhosis with ascites should be principal followed by the specific viral hepatitis. That would take the DRG to where it deserves to be.
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, January 27, 2016 1:11 PM
To: Dr. Robert Gold
Subject: RE: RE:[cdi_talk] Unrelated DRG help
I've got one!!!
I have a patient that came in with massive ascites (leaking out of an umbilical hernia) 2/2 ESLD 2/2 ETOH + Hepatitis C. She had a paracentesis.
The coder has B19.20 (viral hepatitis C) as Pdx and she has the procedure coded as OW9G3ZZ (drainage of peritoneal cavity, perc approach) as Ppx.
We landed in DRG982 (extensive OT procedure unrelated to principle)
Is that right?
Also, I ran a report for these DRG's. We have seen a 4-fold increase since I-10!!!
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator AHIMA Approved ICD-10CM/PCS Trainer Flagstaff Medical Center Kathryn.Good@nahealth.com
Cell: 928.814.9404
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 1:21 PM
To: Kathryn Good
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Thanks Dr. Gold : )
Kerry Seekircher, RN, BS, CCDS, CDIP
Clinical Documentation Program Manager
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 3:03 PM
To: Seekircher, Kerry
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Having removed some IJ lines, it's not an open or percutaneous procedure. Even if it were tunneled, it's removal of sutures and PUL-L-L-L-L!! (gently!)
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 2:59 PM
To: Dr. Robert Gold
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Thanks Jeff-that is what I am recommending. I hope we are right!
Kerry Seekircher, RN, BS, CCDS, CDIP
Clinical Documentation Program Manager
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 12:01 PM
To: Seekircher, Kerry
Subject: RE:[cdi_talk] Unrelated DRG help
Kerry,
I am pretty sure this would be external approach because percutaneous requires a puncture or minor incision per the definition. Were sutures just cut and cath pulled? My gut says external but interested to hear what persons with more PCS expertise say.
Jeff
---
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
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From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, January 27, 2016 12:37 PM
To: Salinas, Sharon
Subject: Re: [cdi_talk] ESLD &/or Cirrhosis
You cannot assume the cirrhosis; has to be documented by Physician. But, you have adequate ammunition to do so.
Good luck!
________________________________
From: "CDI Talk"
To: gwojo@wowway.com
Sent: Wednesday, January 27, 2016 2:04:25 PM
Subject: [cdi_talk] ESLD &/or Cirrhosis
Sending out this question again:
Does 'ascites 2/2 ESLD 2/2 ETOH + hepatitis C" = cirrhosis? Would a query be necessary to get to cirrhosis? I understand that it most likely is but can we make that jump without asking the provider?
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, January 27, 2016 10:46 AM
To: Salinas, Sharon
Subject: RE: RE:[cdi_talk] Unrelated DRG help
The hepatitis was not the focus of the admission nor the procedure. The ascites should be first unless there is direction to precede. Looks like K70.11 for alcoholic cirrhosis with ascites should be principal followed by the specific viral hepatitis. That would take the DRG to where it deserves to be.
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, January 27, 2016 1:11 PM
To: Dr. Robert Gold
Subject: RE: RE:[cdi_talk] Unrelated DRG help
I've got one!!!
I have a patient that came in with massive ascites (leaking out of an umbilical hernia) 2/2 ESLD 2/2 ETOH + Hepatitis C. She had a paracentesis.
The coder has B19.20 (viral hepatitis C) as Pdx and she has the procedure coded as OW9G3ZZ (drainage of peritoneal cavity, perc approach) as Ppx.
We landed in DRG982 (extensive OT procedure unrelated to principle)
Is that right?
Also, I ran a report for these DRG's. We have seen a 4-fold increase since I-10!!!
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator AHIMA Approved ICD-10CM/PCS Trainer Flagstaff Medical Center Kathryn.Good@nahealth.com
Cell: 928.814.9404
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 1:21 PM
To: Kathryn Good
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Thanks Dr. Gold : )
Kerry Seekircher, RN, BS, CCDS, CDIP
Clinical Documentation Program Manager
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 3:03 PM
To: Seekircher, Kerry
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Having removed some IJ lines, it's not an open or percutaneous procedure. Even if it were tunneled, it's removal of sutures and PUL-L-L-L-L!! (gently!)
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 2:59 PM
To: Dr. Robert Gold
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Thanks Jeff-that is what I am recommending. I hope we are right!
Kerry Seekircher, RN, BS, CCDS, CDIP
Clinical Documentation Program Manager
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 12:01 PM
To: Seekircher, Kerry
Subject: RE:[cdi_talk] Unrelated DRG help
Kerry,
I am pretty sure this would be external approach because percutaneous requires a puncture or minor incision per the definition. Were sutures just cut and cath pulled? My gut says external but interested to hear what persons with more PCS expertise say.
Jeff
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
Note:
This message is for the named person's use only. It may contain confidential, proprietary or legally privileged information. No confidentiality or privilege is waived or lost by any mistransmission. If you receive this message in error, please immediately delete it and all copies of it from your system, destroy any hard copies of it and notify the sender. You must not, directly or indirectly, use, disclose, distribute, print, or copy any part of this message if you are not the intended recipient. This organization and any of its subsidiaries each reserve the right to monitor all e-mail communications through its networks.
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Copyright 2013
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☺
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, January 27, 2016 2:27 PM
To: Kathryn Good
Subject: RE: [cdi_talk] ESLD &/or Cirrhosis
Agree – I was just wondering in regards to Katy’s question earlier.
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, January 27, 2016 12:37 PM
To: Salinas, Sharon
Subject: Re: [cdi_talk] ESLD &/or Cirrhosis
You cannot assume the cirrhosis; has to be documented by Physician. But, you have adequate ammunition to do so.
Good luck!
________________________________
From: "CDI Talk"
To: gwojo@wowway.com
Sent: Wednesday, January 27, 2016 2:04:25 PM
Subject: [cdi_talk] ESLD &/or Cirrhosis
Sending out this question again:
Does 'ascites 2/2 ESLD 2/2 ETOH + hepatitis C" = cirrhosis? Would a query be necessary to get to cirrhosis? I understand that it most likely is but can we make that jump without asking the provider?
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, January 27, 2016 10:46 AM
To: Salinas, Sharon
Subject: RE: RE:[cdi_talk] Unrelated DRG help
The hepatitis was not the focus of the admission nor the procedure. The ascites should be first unless there is direction to precede. Looks like K70.11 for alcoholic cirrhosis with ascites should be principal followed by the specific viral hepatitis. That would take the DRG to where it deserves to be.
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, January 27, 2016 1:11 PM
To: Dr. Robert Gold
Subject: RE: RE:[cdi_talk] Unrelated DRG help
I've got one!!!
I have a patient that came in with massive ascites (leaking out of an umbilical hernia) 2/2 ESLD 2/2 ETOH + Hepatitis C. She had a paracentesis.
The coder has B19.20 (viral hepatitis C) as Pdx and she has the procedure coded as OW9G3ZZ (drainage of peritoneal cavity, perc approach) as Ppx.
We landed in DRG982 (extensive OT procedure unrelated to principle)
Is that right?
Also, I ran a report for these DRG's. We have seen a 4-fold increase since I-10!!!
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator AHIMA Approved ICD-10CM/PCS Trainer Flagstaff Medical Center Kathryn.Good@nahealth.com
Cell: 928.814.9404
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 1:21 PM
To: Kathryn Good
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Thanks Dr. Gold : )
Kerry Seekircher, RN, BS, CCDS, CDIP
Clinical Documentation Program Manager
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 3:03 PM
To: Seekircher, Kerry
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Having removed some IJ lines, it's not an open or percutaneous procedure. Even if it were tunneled, it's removal of sutures and PUL-L-L-L-L!! (gently!)
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 2:59 PM
To: Dr. Robert Gold
Subject: RE: RE:[cdi_talk] Unrelated DRG help
Thanks Jeff-that is what I am recommending. I hope we are right!
Kerry Seekircher, RN, BS, CCDS, CDIP
Clinical Documentation Program Manager
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, January 26, 2016 12:01 PM
To: Seekircher, Kerry
Subject: RE:[cdi_talk] Unrelated DRG help
Kerry,
I am pretty sure this would be external approach because percutaneous requires a puncture or minor incision per the definition. Were sutures just cut and cath pulled? My gut says external but interested to hear what persons with more PCS expertise say.
Jeff
---
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
Note:
This message is for the named person's use only. It may contain confidential, proprietary or legally privileged information. No confidentiality or privilege is waived or lost by any mistransmission. If you receive this message in error, please immediately delete it and all copies of it from your system, destroy any hard copies of it and notify the sender. You must not, directly or indirectly, use, disclose, distribute, print, or copy any part of this message if you are not the intended recipient. This organization and any of its subsidiaries each reserve the right to monitor all e-mail communications through its networks.
Any views expressed in this message are those of the individual sender, except where the message states otherwise and the sender is authorized to state them to be the views of any such entity.
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
Note:
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Any views expressed in this message are those of the individual sender, except where the message states otherwise and the sender is authorized to state them to be the views of any such entity.
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Copyright 2013
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