drains

Is it appropriate to assign Z48.03 if nurse is teaching patient to empty drain?

Brenda Hoss
Coder

Comments

  • But if Drain was put in after surgery like JP drain we don't have to code additional code for drain care.. It is included in aftercare of surgery isn't it?
  • edited April 2017
    The coding conference I attended instructed not to use Z46.82 for drain care. Could you please elaborate for us so we understand what criteria supports the use of Z46.82 vs Z48.03?
    Thank you,

    Susan Winokur, HCS-D, BCHH-C | Southwest Medical
    Part of OptumCare
    Senior Medical Coder, Home Health

    8655 South Eastern Avenue, Las Vegas, NV 89123 USA
    T +1 702-838-0644
    Susan.Winokur@optum.com
    smalv.com
  • Pam,
    That's what we use for a biliary drain which is what you have described.
    Use the nonvascular catheter code.

    Nancy Wolverton RN, CCM, HCS-D-10
    Utilization Review Specialist
    Kindred at Home
    Little Rock, Arkansas
    501-508-8526 (o)
    501-690-2027 (c)
    Nancy.Wolverton@kindred.com
  • Pam,
    That's what we use for a biliary drain which is what you have described.
    Use the nonvascular catheter code.

    Nancy Wolverton RN, CCM, HCS-D-10
    Utilization Review Specialist
    Kindred at Home
    Little Rock, Arkansas
    501-508-8526 (o)
    501-690-2027 (c)
    Nancy.Wolverton@kindred.com



    -----Original Message-----
    From: Pam Fritz [mailto:pfritz@lakelandhealth.org]
    Sent: Wednesday, March 01, 2017 11:27 AM
    To: HomeCareCoding-L
    Subject: [EXTERNAL] [homecarecoding-l] Drains

    How would you code a drain that was placed for drainage of a for cholecystitis, no surgery was done. Nursing will not remove or change, they will just monitor. They of course are monitoring signs and symptoms of acute cholecystitis, etc. Would you use nonvascular catheter code?
    ---
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