- Hey there,
Some of us do still stay closer to home on some holidays!
Anyhow, about your case, I'm wondering if there's any notation in
there from the MD that "If this doesn't work, we'll do that" or
something along those lines.
If they already had the steps planned out in case of further disease
progression, (or further lung regression), I wonder if a -58
modifier might be appropriate. You'd need to check to see if it was
planned, though. Wait - you're saying prior admissions - different
--- In CRN-L@yahoogroups.com, "Mary R. Callen" <m_rcallen@...> wrote:
> Good morning. Trying this even though I don't know if everyone is
> already gone for the weekend....
> Patient w/respiratory failure from pneumonia/effusion. A chest
> was inserted w/o relief. Pt eventually required intubation w/high
> ventilatory means. Patient was then transferred from an outside
> facility to our facility for management.
> Our surgeon does a VATS decortication for parapneumonic effusion.
> Several days later pt requires a tracheostomy - has been
> dependent since admission and several attemps at weaning the
> ventilator for extubation had been unsuccessful. Trach was
> Normally, bedside tracheostomy after lung procedures are not
> billable. They are only billable upon return to the OR w/78
> modifier. I am wondering if this trach is billable with a -79
> bedside because of the previous history of intubation/ventilator
> dependency prior to admissions.
> Thanks. Have a great weekend.