|November 2006 · Vol. 18, No. 11
Use of “complication” triggers Medicare denialMelanie
RN, CPC-OGS, MA
Independent coding and documentation consultant; former program manager, Department of Coding and Nomenclature, American College of Obstetricians and Gynecologists
Q During a sling procedure for stress urinary incontinence, the surgeon accidentally knicked the bladder, which was then repaired, and a cystoscopy was also performed. These procedures were denied as included in the sling procedure. This was a Medicare patient.
A Unfortunately, your coding ran afoul of established National Correct Coding Initiative (NCCI) bundling and general guidelines.