Question

Code 39499 reports unlisted procedures completed on the mediastinum. When using this code, the coder should determine that the record clearly documents the procedure in case the payer requests additional information to justify the selection of this code.

A) True
B) False

Answer 1

The coder should verify that the record clearly documents the procedure when using code 39499 to report unlisted procedures on the mediastinum. Therefore, the statement is True.

Step-by-step explanation:

Code 39499 reports unlisted procedures completed on the mediastinum. When using this code, the coder should determine that the record clearly documents the procedure in case the payer requests additional information to justify the selection of this code.

For example, if a patient undergoes a unique procedure on the mediastinum that is not listed in the standard coding system, the coder can use code 39499 to report it. However, it is important to ensure that the medical record clearly details the procedure to support the use of this code in case the payer requires more information.

Therefore, the statement is True. The coder should confirm that the record provides sufficient documentation of the procedure when using code 39499 to justify its selection.