ICD-10 Coding for Less Invasive Surfactant Administration(0B7J3CZ)
Complete ICD-10-CM coding and documentation guide for Less Invasive Surfactant Administration. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Less Invasive Surfactant Administration
0B7J3CZPrimary Range
Introduction of surfactant into respiratory tract via natural orifice
This code specifically describes the LISA procedure, which involves the introduction of surfactant into the respiratory tract of preterm infants with RDS.
Key Information: ICD-10 code for LISA procedure
Essential facts and insights about Less Invasive Surfactant Administration
Primary ICD-10-CM Code for procedure lisa
Decision Criteria
clinical Criteria
- Preterm infant with RDS requiring surfactant
documentation Criteria
- Documentation of natural orifice approach and CO2 confirmation
Applicable To
- LISA procedure
- Surfactant administration via catheter
Excludes
- Surfactant administration via endotracheal tube
Clinical Validation Requirements
- FiO2 >30% for >10 mins
- CXR showing RDS
- CO2 detector confirmation of tracheal placement
Code-Specific Risks
- Incorrect approach documentation
- Misidentification of the root operation
Coding Notes
- Ensure documentation specifies the use of a natural orifice approach and the specific surfactant used.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Introduction of surfactant via endotracheal tube
0B7J0CZDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Less Invasive Surfactant Administration to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0B7J3CZ.
Impact
Clinical: Potential for incorrect surfactant delivery., Regulatory: Non-compliance with procedural standards., Financial: Risk of claim denial due to incomplete documentation.
Mitigation Strategy
Always document CO2 detector confirmation., Include detailed procedural steps.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10-PCS guidelines., Data Quality: Inaccurate data on procedure types performed.
Mitigation Strategy
Ensure the root operation 'Introduction' is used for LISA.
Impact
Incomplete documentation can lead to audit findings.
Mitigation Strategy
Ensure all procedural details and confirmations are documented.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Less Invasive Surfactant Administration, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Less Invasive Surfactant Administration
Use these documentation templates to ensure complete and accurate documentation for Less Invasive Surfactant Administration. These templates include all required elements for proper coding and billing.
Neonatology Procedure Note
Specialty: NeonatologyRequired Elements
- Date/Time
- Indication
- Technique
- Response
- Complications
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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