Coding Rules Current as at 18-Oct-2016 08: 31



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Published 15 June 2015,
for implementation 01 July 2015.

Ref No: Q2929 | Published On: 15-Jun-2015 | Status: Current

SUBJECT:  Closure of nasal septal perforation with cartilage graft

Q:

How do you code a cartilage graft when coding closure of perforation of nasal septum?



A:

For repair of nasal septal perforation with cartilage graft assign:

 41671-01 [379] Closure of perforation of nasal septum

alone, following the index pathway:



Closure

- perforation

- - nasal septum 41671-01[379]

A locally harvested cartilage graft is inherent in the above code and therefore does not require a separate code to be assigned for the graft component.

Amendments to ACHI will be considered for a future edition.

Published 15 June 2015,
for implementation 01 July 2015.

Ref No: Q2923 | Published On: 15-Jun-2015 | Status: Current

SUBJECT: Radial scar of breast

Q:

What is the correct code assignment for radial scar of the breast?



A:

Radial scar also called complex sclerosing lesion is a benign breast lesion with a stellate architecture that may simulate invasive carcinoma mammographically, clinically, grossly and microscopically (Kempson, R, 2006). Despite being considered benign lesions, radial scars of the breast often demonstrate suspicious imaging features that prompt imaging-guided core needle biopsy as a significant percentage of these lesions are known to be associated with malignancy.

 Assign N64.8 Other specified disorders of breast for radial scar of the breast following the index pathway:


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