Practice Quiz

Medical Coding

Category - 60,000 Series

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A pediatric neurologist performed a repair of 3.4 cm meningocele on 40-day-old infant with spina bifida weighing 3 kg. Due to the location, size and depth of the meningocele, complex closure of 7 cm wound was required. What are the correct codes for this procedure?
  1. 63700 -63, 13101 -51
  2. 63700, 13120
  3. 63700 -63, 13101
  4. 63700, 13101 -51
Explanation
Answer: D - The correct codes for this procedure are: 63700 (Repair of Meningocele; Less than 5 cm Diameter) and 13101 (Repair, Complex, Trunk; 2.6 cm to 7.5 cm). Code 63700 should not be appended with modifier -63 because the coder is specifically instructed not to append modifier -63 to the code in parenthesis under the code. Modifier -51 should be appended to 13101to indicate that it was multiple procedures.
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