Q: CT scan abdomen/pelvis – spleen normal; kidneys and adrenal glands normal; liver laceration gr IV injury – multiple deep lacerations. The patient is taken to OR where the operative note states liver laceration gr V injury. What would you code?

Apr 1, 2010 | External | 0 comments

A: 541828.5; The surgeon is visually observing the liver and thus the operative grading is more accurate than the CT scan. An autopsy would also over-ride the reading of the CT if the grade is different.

Q: CT scan abdomen/pelvis – spleen normal; kidneys and adrenal glands normal; liver laceration gr IV injury – multiple deep lacerations. The patient is taken to OR where the operative note states liver laceration gr V injury. What would you code?

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