Drain care code

danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
in Home Care Coding General
Can the drain care code Z48.03 be coded with z48.01 for dressing changes of the drains or is this integral to the Z48.03?

Thanks :)!!

Danie Stevens
Home Health Coder, RHIT
Essentia Health St. Mary's
1027 Washington Ave, Detroit Lakes, MN 56501
218-847-0857
Danielle.Stevens@essentiahealth.org

Comments

  • SusanWinokurSusanWinokur
    edited April 2017
    I was at a Decision Health coding workshop that instructed not to use Z46.82 for drains. Drain care is integral to routine surgical aftercare. When surgery is not done, and there is only drain care - such as a biliary tube, code as attention to artificial opening.

    Susan Winokur, HCS-D, BCHH-C | Family Healthcare Services
    Part of OptumCare
    Senior Medical Coder, Home Health and Hospice
    8655 South Eastern Avenue, Las Vegas, NV 89123 USA
    T +1 702-838-0644
    Susan.Winokur@optum.com
    smalv.com
  • danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
    edited April 2017
    I should've been more clear on what was going on with my patient I apologize.

    Pt had Necrotizing Pancreatitis will gall stones, portal vein SMV, and splenic vein thrombosis.

    S/P Gastrostomy, necrosectomy, peritoneal lavage and laparotomy. Also had percutaneous drain placement

    This is where I came up with my drain code Z48.03.
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited April 2017
    It is a PleurX Drainage System.
    Not Pleurix.

    Nancy Wolverton RN,CCM
    QR Specialist, Central Office
    5800 West 10th St., Suite 300
    Little Rock, AR. 72205
    Ph# 501-280-4913
    Fax# 501-280-4385
    Nancy.Wolverton@arkansas.gov
  • SusanWinokurSusanWinokur
    edited April 2017
    Z43.8 Attention to other (specified) artificial opening

    Susan Winokur, HCS-D, BCHH-C | Family Healthcare Services
    Part of OptumCare
    Senior Medical Coder, Home Health and Hospice
    8655 South Eastern Avenue, Las Vegas, NV 89123 USA
    T +1 702-838-0644
    Susan.Winokur@optum.com
    smalv.com
  • SusanWinokurSusanWinokur
    edited April 2017
    It is confusing that the Index points to Z48.03 when referencing main term Aftercare, but according to the study material we went over at the coding workshop, this code is to be used only for changing or removing drains. Routine monitoring of a drain site and/or drain output is part of routine postop care, it is covered by the Z48.8x codes.

    Susan Winokur, HCS-D, BCHH-C | Family Healthcare Services
    Part of OptumCare
    Senior Medical Coder, Home Health and Hospice
    8655 South Eastern Avenue, Las Vegas, NV 89123 USA
    T +1 702-838-0644
    Susan.Winokur@optum.com
    smalv.com
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited April 2017
    Not all AC GI systems involve a drain. So it is not an integral part of the AC code

    Nancy Wolverton RN,CCM
    QR Specialist, Central Office
    5800 West 10th St., Suite 300
    Little Rock, AR. 72205
    Ph# 501-280-4913
    Fax# 501-280-4385
    Nancy.Wolverton@arkansas.gov
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