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Q&A A case of Ectopic Pregnancy.In the operation theatre she was given intrthecal ( spinal ) morphine

Thomas Koshy

Active Member
Blitzer
A case of Ectopic Pregnancy ; In the operation theater she was given intrathecal ( spinal ) morphine for post op pain relief. Then the patient was given General anesthesia for Laparotomy . Can some one tell me how to code this scenario ( ICD-9- CM , CPT Code including Anesthesia Code . Thank you.
 

Laureen

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Hi Thomas - we don't like to code cases unless you tell us what YOU think the coding should be. That is the instructors in us ;) We can then help you improve your coding by telling you where you went wrong (if you did).
 

Thomas Koshy

Active Member
Blitzer
Thank you for replying my e mail . I will come back with the correct description soon ....... .. as I don't have the coding books with me right now .
 

Alicia Scott

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Look forward to hearing more about it. This would make a great slide for a future Q&A webinar because we get a lot of questions regarding what is and is not bundled.
 

Thomas Koshy

Active Member
Blitzer
A case of ectopic pregnancy ( tubal pregnancy without intrauterine pregnancy ) admitted in our hospital. In the operation theater , anesthesiologist gave her intrathecal ( spinal ) morphine for postoperative pain relief .Then the patient was given General anesthesia for Laparotomy .During the surgery salpingectomy was done. The patient was shifted to Recovery room and later to the post anesthesia care unit . ........
I coded the above situation as follows :-
ICD-9-code : 633.10
CPT 58700 ( Salpingectomy, complete or partial, unilateral or bilateral )
CPT 62311 ( Injection( s )of diagnostic or therapeutic substance ( s ) including anesthetic , anti spasmodic ,opioid, steroid ,other solution)not including neurolytic substances , including needle or catheter placement , includes contrast for localization when performed,epidural or subarachnoid ,lumbar or sacral .
CPT 00840 ( Anesthesia for intraperitoneal procedures in lower abdomen , including laparoscopy , not otherwise specified.

Please let me know whether I coded correct or not . Thank you.
 
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