Check V58.42 which indicates coverage if coded also in 140-239.  Then I
located 174.8 and 174.9, whichever is most applicable.  V codes are
aftercare codes and can-sometimes-be the main/first ICD-9 code used for
billing for Medicare A coverage.  Looking at V58.49, "Other specified
aftercare following surgery", I'm wondering if these codes would work:
174.8 (or 174.9, whichever is best); V58.42; and, V58.49.  I am not a coding
expert, but I offer this to you.

Jane Craven, RN, C.
Sr. Consultant, Nursing Services
Tendercare (Michigan) Inc.

                -----Original Message-----
                From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
Behalf Of Holly Sox, RN, RAC-C
                Sent: Friday, December 19, 2003 12:18 PM
                To: [EMAIL PROTECTED]
                Subject: Re: ICD-9 code

                Libby,
                ICD 9 Codes are for medical diagnoses, not procedure codes.
You are describing a medical procedure.  You could code for seroma (or
whatever, the MD called the fluid collection that necessitated the
aspiration)  but there is no need (that I am aware of) to code the actual
procedure anywhere.
                 
                 
                Holly F. Sox, RN, RAC-C
                Clinical Editor
                 
                www.careplans.com   [EMAIL PROTECTED] 
                ----- Original Message ----- 
                From: Libby Cawthorn <mailto:[EMAIL PROTECTED]>  
                To: [EMAIL PROTECTED] 
                Sent: Friday, December 19, 2003 12:14 PM
                Subject: ICD-9 code

                How would you code needle aspiration of fluid from post-op
mastectomy site performed by physician in room. My software will not allow
me to enter any code (the one I chose is 85.91) with less than 3 digits to
left of decimal point?
                Libby
                 
                 
                 
                Libby Cawthorn, RN
                Director/MDS Coordinator SNF
                TJ Samson Community Hospital
                1301 N. Race Street
                Glasgow, Ky. 42141-3483
                Fax# 270-651-4786
                Phone# 270-651-4783
                 

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