Coding complex procedures involves understanding the specific details of each procedure and selecting the most appropriate code. Here are steps to follow:
Review the Procedure: Understand the full scope of the procedure performed, including any secondary procedures or complications. Use Detailed Documentation: Ensure the medical records provide detailed descriptions of the procedure. Select Primary and Secondary Codes: Choose the primary code that best describes the main procedure and add secondary codes for additional procedures performed. Check for Bundling: Confirm whether the codes can be billed together or if they are subject to bundling regulations.
