Question

ICD-10-PCS: An applied approach 2019

pacemaker 2. Operative Report Infected Broviac central venous catheter PREOPERATIVE DIAGNOSIS: Infected Broviac central venous catheter POSTOPERATIVE DIAGNOSIS: Removal of infected central venous catheter PROCEDURE PERFORMED: General ANESTHESIA PROCEDURE: The child was brought to the operating room, and general anesthesia induced. A double-lumen Broviac catheter was identified exiting through at the exit site, and the subcutaneous tissue attached to the catheter was sharply until the central venous catheter was free and removed from the superior vena cava, and the tunneled catheter was removed from the subcutaneous layer of the chest. Pressure was an anterior chest wall incision. Local anesthetic was infiltrated spread and percutaneously divided used for hemostasis, and a ster- to the exit site. Sponge, needle and instrument counts were ile dressing applied Conclusion of the procedure. The child was awakened and taken to the recovery room in satisfactory condition. reported to be correct at the artery DA Both ends

Answer 1

1. The term discounting indicates billing prices vary as the billing code accompanied with certain modifiers like 50 and 73 or either patient has multiple procedures done with the status indicator of [T]

2. APC status indicators:

A- Services payment will be done under other schemes other than OPPS

C- Payment done for procedures related to Inpatient cases

G- Payment done for Pass through drugs, biologicals and radio-pharmaceutical agents

H- Payment done for pass through devices categories and brachytheraphy sources

T- Significant procedures which involves multiple procedures and has discounting in billing

3. Pass through items- payments for new drugs, biologicals, radio-pharmaceutical agents, and medical devices.