tci General Surgery Coding Alert - 1999 Issue 1

Reader Question: Infrequent Nerve Ligation

Question: A patient has a preoperative diagnosis of chronic pain from the left lower quadrant trocar site (789.04) following a previous procedure. The current operation involves the exploration of the LLQ trocar site with ligation of nerves. Two nerves iliohypogastric and ilioinguinal were transsected through a single incision; no neurofibromas were removed. How should we code the procedure?Janice Rose, Office ManagerRose & Thomas, Tazewell, TNAnswer: Without an operative report, it is difficult to definitively answer this question. However, some observations about the coding of such a claim can be made.A previous procedure was performed on the...

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