Surgery Medical Coding Sample Coded Charts For Coders

However, I can provide a general example of how medical coding might be applied to a surgery case.

For instance, let’s consider a hypothetical case where a patient undergoes a laparoscopic cholecystectomy (removal of the gallbladder using minimally invasive techniques). The following codes might be assigned:

  1. CPT Code: 47562 – Laparoscopic cholecystectomy
  2. ICD-10-CM Code: K80.20 – Calculus of gallbladder without cholecystitis

In this case, the CPT code represents the specific procedure performed, while the ICD-10-CM code represents the patient’s diagnosis or reason for the surgery. These codes are important for billing and reimbursement purposes and are typically assigned by trained medical coders based on documentation provided by the physician or surgeon.

It’s important to note that medical coding can be a complex process, and the codes assigned can vary depending on the specific circumstances of the case. It’s essential to have accurate and complete documentation to ensure appropriate coding and billing.