The correct code to assign, therefore, is Y35.2 (with an appropriate place of Legal intervention involving gas occurrence code.) (Coding Matters June 2007 Volume 14, Number 1) Ref No: TN208 | Published On: 15-Jun-2007 | Status: Current Timeframe for Meniscal/Ligament Tears of Knee Q: Could the NCCH please consider the institution of a timeframe for meniscal/ligament tears of knee, which defines 'old' and 'current'? A: The NCCH has researched this issue, including how injury timeframes are dealt with in other classifications. Unfortunately it is impossible to be definitive in this regard. Each case should be reviewed on its merits and coders should ultimately be guided by documentation and seek clarification from the clinician. To publish timeframes for old and current is extremely difficult due to differences in treatment protocols for these injuries. Some patients with meniscal tears are treated conservatively while others are treated with surgical repair. Some may initially be treated conservatively but then require surgical repair at a later date. Coders should be guided by the definitions in ACS 1906 If it still cannot be Current and Old Injuries. determined whether the injury is acute or not, then follow ACS 1319 Meniscus/Ligament Tear of Knee, NOS and assume the injury is old. (Coding Matters June 2007 Volume 14, Number 1) Ref No: | Published On: 15-Dec-2006 | Status: Current Dog ears of breast A dog ear of breast is an excessive redundant roll of skin which can be found at the corner of an incision in the axilla or underarm when too much skin is gathered at an angle. It can occur after mastectomy or reduction mammoplasty and is not a complication of the procedure. The condition may improve with time, or it can be surgically corrected by excision. Classification For episodes of care involving excision of dog ears of breast assign: Z42.1 Follow-up care involving plastic surgery of breast 90676-00 [1660] Other procedures on skin and subcutaneous tissue (Coding Matters December 2006 Volume 13, Number 3) Ref No: TN210 | Published On: 15-Dec-2006 | Status: Current
The correct code to assign, therefore, is Y35.2 Legal intervention involving gas (with an appropriate place of occurrence code.) (Coding Matters June 2007 Volume 14, Number 1) Ref No: TN208 | Published On: 15-Jun-2007 | Status: Current Timeframe for Meniscal/Ligament Tears of Knee Q: Could the NCCH please consider the institution of a timeframe for meniscal/ligament tears of knee, which defines 'old' and 'current'? A: The NCCH has researched this issue, including how injury timeframes are dealt with in other classifications. Unfortunately it is impossible to be definitive in this regard. Each case should be reviewed on its merits and coders should ultimately be guided by documentation and seek clarification from the clinician. To publish timeframes for old and current is extremely difficult due to differences in treatment protocols for these injuries. Some patients with meniscal tears are treated conservatively while others are treated with surgical repair. Some may initially be treated conservatively but then require surgical repair at a later date. Coders should be guided by the definitions in ACS 1906 Current and Old Injuries. If it still cannot be determined whether the injury is acute or not, then follow ACS 1319 Meniscus/Ligament Tear of Knee, NOS and assume the injury is old. (Coding Matters June 2007 Volume 14, Number 1) Ref No: | Published On: 15-Dec-2006 | Status: Current Dog ears of breast A dog ear of breast is an excessive redundant roll of skin which can be found at the corner of an incision in the axilla or underarm when too much skin is gathered at an angle. It can occur after mastectomy or reduction mammoplasty and is not a complication of the procedure. The condition may improve with time, or it can be surgically corrected by excision. Classification For episodes of care involving excision of dog ears of breast assign: Z42.1 Follow-up care involving plastic surgery of breast 90676-00 [1660] Other procedures on skin and subcutaneous tissue (Coding Matters December 2006 Volume 13, Number 3) Ref No: TN210 | Published On: 15-Dec-2006 | Status: Current
coding_rules_2012_and_older_final_updated_july_2016.docx