http://www.aapc.com/memberarea/forums The American Academy of Professional Coders provides education and certification for the medial coding community. en Sat, 25 May 2013 12:39:05 GMT vBulletin 60 http://www.aapc.com/memberarea/forums/images/misc/rss.jpg http://www.aapc.com/memberarea/forums http://www.aapc.com/memberarea/forums/showthread.php?t=92842&goto=newpost Sat, 25 May 2013 10:29:41 GMT I need help with this code. This is an office visit to the surgeon. A patient comes into the office after an abrasion to his forearm. It will... I need help with this code.

This is an office visit to the surgeon. A patient comes into the office after an abrasion to his forearm. It will not stop bleeding. The surgeon cauterized to control the bleeding and sent him home with some cream. How would I code this visit. Would it be coded with an E/M level with modifier 25 or is there a specific code for cauterization to control bleeding? I would so appreciate help with this. Thanks! ]]> General Discussion dpetty24 http://www.aapc.com/memberarea/forums/showthread.php?t=92842 http://www.aapc.com/memberarea/forums/showthread.php?t=92840&goto=newpost Sat, 25 May 2013 03:13:49 GMT I live in Michigan in the Roseville area,and work in Livonia.I am looking for someone to give me an opportunity in medical coding to remove the... I live in Michigan in the Roseville area,and work in Livonia.I am looking for someone to give me an opportunity in medical coding to remove the Apprentice
from my CP tvC certification. I am not looking for pay, I need an externship. ]]> General Discussion detmargaret@yahoo.com http://www.aapc.com/memberarea/forums/showthread.php?t=92840 http://www.aapc.com/memberarea/forums/showthread.php?t=92838&goto=newpost Fri, 24 May 2013 22:25:59 GMT I just became a student member of AAPC and am trying to sign up for an exam in June. I selected the CPC exam and when I went to check out, it said... I just became a student member of AAPC and am trying to sign up for an exam in June. I selected the CPC exam and when I went to check out, it said the exam was 300 dollars when I'm supposed to get a student discount that makes it 260. Is there something special I have to do to get that discount or something? Can anyone help? ]]> General Discussion semillhouse http://www.aapc.com/memberarea/forums/showthread.php?t=92838 http://www.aapc.com/memberarea/forums/showthread.php?t=92837&goto=newpost Fri, 24 May 2013 22:14:44 GMT When a pt comes in with a complaint of pain in the knee after they had a TKR do you always use 996.77 or 719.46. The reason of the pain could be from... When a pt comes in with a complaint of pain in the knee after they had a TKR do you always use 996.77 or 719.46. The reason of the pain could be from standing too long, bending too much or just has pain. Thanks ]]> E/M grandmacora http://www.aapc.com/memberarea/forums/showthread.php?t=92837 http://www.aapc.com/memberarea/forums/showthread.php?t=92836&goto=newpost Fri, 24 May 2013 22:03:02 GMT Need an experienced OB GYN coder on site in Louisville Ky. Please reply to: amcoder30@gmail.com Need an experienced OB GYN coder on site in Louisville Ky. Please reply to: amcoder30@gmail.com ]]> General Discussion anelson30 http://www.aapc.com/memberarea/forums/showthread.php?t=92836 http://www.aapc.com/memberarea/forums/showthread.php?t=92835&goto=newpost Fri, 24 May 2013 22:00:26 GMT Need an experienced Cardiology coder for a remote position with minimum of 2 yrs experience. Must be able to commit to 20-25 hrs per week. Reply... Need an experienced Cardiology coder for a remote position with minimum of 2 yrs experience. Must be able to commit to 20-25 hrs per week.
Reply to : amcoder30@gmail.com ]]> General Discussion anelson30 http://www.aapc.com/memberarea/forums/showthread.php?t=92835 http://www.aapc.com/memberarea/forums/showthread.php?t=92834&goto=newpost Fri, 24 May 2013 21:59:21 GMT Need an experienced OB GYN coder for a remote position with minimum of 2 yrs experience. Must be able to commit to 20-25 hrs per week. Reply to :... Need an experienced OB GYN coder for a remote position with minimum of 2 yrs experience. Must be able to commit to 20-25 hrs per week.
Reply to : amcoder30@gmail.com ]]> General Discussion anelson30 http://www.aapc.com/memberarea/forums/showthread.php?t=92834 http://www.aapc.com/memberarea/forums/showthread.php?t=92833&goto=newpost Fri, 24 May 2013 21:58:25 GMT Need an experienced Cardio Thoracic coders for a remote positions with minimum of 2 yrs experience. Must be able to commit to 20-25 hrs per week.... Need an experienced Cardio Thoracic coders for a remote positions with minimum of 2 yrs experience. Must be able to commit to 20-25 hrs per week.
Reply to : amcoder30@gmail.com ]]> General Discussion anelson30 http://www.aapc.com/memberarea/forums/showthread.php?t=92833 http://www.aapc.com/memberarea/forums/showthread.php?t=92832&goto=newpost Fri, 24 May 2013 21:57:16 GMT Need an experienced Urology coder for a remote position with minimum of 2 yrs experience. Must be able to commit to 20-25 hrs per week. Reply to :... Need an experienced Urology coder for a remote position with minimum of 2 yrs experience. Must be able to commit to 20-25 hrs per week.
Reply to : amcoder30@gmail.com ]]> General Discussion anelson30 http://www.aapc.com/memberarea/forums/showthread.php?t=92832 http://www.aapc.com/memberarea/forums/showthread.php?t=92831&goto=newpost Fri, 24 May 2013 21:36:05 GMT Does anyone have any information regarding doing transcranial doppler, complete (93880, 93882,93886,93892) for opthamology patients? I have a new doc... Does anyone have any information regarding doing transcranial doppler, complete (93880, 93882,93886,93892) for opthamology patients? I have a new doc who wants to do this but I can only find supporting dx codes for 93886 and 93892, but we can't be the only ones doing this testing.:) ]]> Ophthalmology/Optometry naptime7k@aol.com http://www.aapc.com/memberarea/forums/showthread.php?t=92831 http://www.aapc.com/memberarea/forums/showthread.php?t=92830&goto=newpost Fri, 24 May 2013 21:14:15 GMT I need help with the GP modifier. the neurologist that I am currently working with does many procedures in house. The modifier GP is use with... I need help with the GP modifier.

the neurologist that I am currently working with does many procedures in house. The modifier GP is use with many of the procedure codes for example 97112 and 97032.

this procedures are done by the medical assistant supervised by the doctor, do we still have to include the GP.

Please advise.


Thanks ]]> Neurology/Neurosurgery apena http://www.aapc.com/memberarea/forums/showthread.php?t=92830 http://www.aapc.com/memberarea/forums/showthread.php?t=92829&goto=newpost Fri, 24 May 2013 21:11:34 GMT Hi Everyone, I am new to coding and any help on the information below would be great! Case #1: Aortogram w/runoff (Right) SFA Cutting balloon... Hi Everyone, I am new to coding and any help on the information below would be great!


Case #1: Aortogram w/runoff
(Right) SFA Cutting balloon angioplasty
(Left) SFA Cutting balloon angioplasty

Case #2: (Right) SFA Atherectomy
(Right) SFA balloon angioplasty
(Right) External iliac balloon angioplasty

Case #3: (Right) leg Angio w/runoff
(Left) leg Angio w/runoff
(Right) Common femoral artery stent

Case #4: Abdominal aortogram (Right) leg Angio w/runoff
Balloon angioplasty of (Right) external iliac and common femoral artery ]]> Cardiology conchettah http://www.aapc.com/memberarea/forums/showthread.php?t=92829 http://www.aapc.com/memberarea/forums/showthread.php?t=92828&goto=newpost Fri, 24 May 2013 20:19:41 GMT I'm coding for a imaging center only. So we are providing technical component only.

Radiologist (not ours) does a joint injection under flouroscopy can I code for the injection?

20610, 77002TC

Do you have any reference material to support? ]]> Outpatient Facilities HeatherLaCoss http://www.aapc.com/memberarea/forums/showthread.php?t=92828 http://www.aapc.com/memberarea/forums/showthread.php?t=92826&goto=newpost Fri, 24 May 2013 19:58:48 GMT I am trying to find a code for a reconstruction of the Aortic Root after replacement of a failing bioprosthetic aortic valve. He wrote, in part,... I am trying to find a code for a reconstruction of the Aortic Root after replacement of a failing bioprosthetic aortic valve. He wrote, in part, "The aortic valve was exposed via a hockey=stick type of incision. Initial findings were as described. It was impossible to access the prostehtic valve given the narrowing of the sinotubular junction by the rigid calcium shelf formed by teh existing bovine pericaridal patch. The ostium of the right coronary artery was identified and protected and then the aoric root between the right coronary artery and the midportion of the noncoronary cusp was completely excised. This opened up the access to the bioprosthesis, which was explaned. Annular fibrotic tissue and pledgeted matrial were completely debrided. A 23 mm St. Jude Regent was placed in a supra-annular position with interrupted 2-0 Ethibond stitches, reinforced with Teflon felt pledgets placed on the ventricular side of the annulus. The aortic root was reconstructed with a new, large piece of bovine pericardium, significantly enlarging the area of the sinotubular junction."
I cannot find a code for the reconstruction. It seems to me like this more than described in 33412 and definately not what is described 33864 since there was no "valve sparing".
Can anyone suggest how this should be coded?

Thank you in advance,
Karen ]]> Cardiovascular Thoracic akcpccpma http://www.aapc.com/memberarea/forums/showthread.php?t=92826 http://www.aapc.com/memberarea/forums/showthread.php?t=92825&goto=newpost Fri, 24 May 2013 19:25:35 GMT When CPT designates a code as Add-on with the '+' sign, the code is exempt from the multiple procedure concept. But the add-on codes are specific to one or more base codes.

CPT says that the add-on codes are always performed in addition to the primary service procedure.

What happens when the base code to which the add-on code is attached is not the primary surgical code but the base code is itself a secondary code subject to multiple procedure reduction?

As an example:
22802 - posterior arthodesis is primary
22214 lumbar osteotomy is secondary subject to multiple procedure reduction
BUT 22216 (billed for second and third level osteotomies) is an add-on code and NOT subject to multiple procedure reduction.

Logically, one should reduce the 22216 because the base code to which it is attached 22214 has already been reduced - but it does not work that way.

Thoughts would be greatly appreciated. ]]> General Discussion kenbeckman http://www.aapc.com/memberarea/forums/showthread.php?t=92825