ppt课件-pediatric u t i update2001- a a p(小儿t u我update2001 - p).pptVIP

ppt课件-pediatric u t i update2001- a a p(小儿t u我update2001 - p).ppt

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Coding Symposium David H. Ewalt, MD, FAAP Urology Clinics of North Texas North Texas Pediatric Urology Associates Dallas, Texas AAP 10/8/06 Coding Pearls Document explicitly in the operative note the exact procedure performed Use the most accurate ICD-9 codes for the diagnosis and most applicable CPT code(s) for the procedure performed Coding is NOT an exact science Correction of Chordee – 3 codes 54300 - Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra. RVU 10.39 54304 - Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps 12.47 54360 - Plastic operation on penis to correct angulation. 11.91 CPT Code Usage – Case # 1 54324 - One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap). 16.29 54326 - One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra. 15.70 54328 - One stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap. 15.63 15740 - Flap; island pedicle. 10.23 14040 - Adjacent tissue transfer or rearrangement, genitalia; defect 10 sq cm or less. 7.86 55175 - Scrotoplasty; simple. 5.23 55180 - Scrotoplasty; complicated. 10.70 54300 - Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra. 10.39 54360 - Plastic operation on penis to correct angulation. 11.91 54161 - Circumcision, surgical excision other than clamp, device or dorsal slit; except newborn. 3.27 54235 - Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine). 1.19 Case #1 % Response to each CPT Number of CP

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