I hope that I am making my question clear. Second question, is choosing the correct codes. Chuck Buck. Examples of Procedures The physician documents an evacuation of a hematoma by incision from the right breast, post-excisional biopsy. Email Editor to Discuss. Postoperative pain that is not considered routine or expected further is classified by whether the pain is associated with a specific, documented postoperative complication. I did not think I would use the repair code because of the post-operative infection. The entrance wound may have a burn mark or soot on the edges and surrounding tissue, depending on the distance from which the bullet was fired. JavaScript is disabled. Now if you're a coffee junky like me, you can probably tell the difference between a great cup of coffee and one that's just so-so The decision to return to operating room was after dr. The mother states he has been able to walk without any difficulty, is not complaining of any pain; the only exception is whenever you touch the wound area. In this context, annotation back-references refer to codes that contain: Applicable To annotations, or Code Also annotations, or Code First annotations, or Excludes1 annotations, or Excludes2 annotations, or Includes annotations, or Note annotations, or Use Additional annotations. To comment on this article please go to. If the documentation does not specify whether the post-thoracotomy or post-procedural pain is acute or chronic, the default is acute.
