In Billing
Oct 15th, 2015
Depending on the time and effort involved, lysis of adhesions might be billed separately. CPT® includes a number of codes dedicated to lysis of adhesions (categorized by location). For example: Tubes and ovaries, 58660 Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) or 58740 Lysis of adhesions (salpingolysis, ovariolysis) Urethral 53500 Urethrolysis,...
Feb 1st, 2013
Although it’s usually coding taboo, at times, it’s proper for legitimate recoupment. By G.J. Verhovshek, MA, CPC In the coding world, the term “double dip” has two meanings (neither of which has anything to do with dining etiquette). You might think it’s never OK to double dip, but in some circumstances, you definitely should—or risk ...
Jul 1st, 2010
By Sarah Sebikari, MHA, CPC CPT® codes designated as “separate procedures” are generally incidental and bundled into a comprehensive/major procedure when performed during the same session, through the same incision, and/or on same anatomic site. The Centers for Medicare & Medicaid Services (CMS) does not allow separate reporting of a procedure designated as a separate ...
Jun 1st, 2010
By G. John Verhovshek, MA, CPC Used appropriately, modifier 59 Distinct procedural service is a powerful reimbursement tool allowing for separate payment of distinct services that, under usual circumstances, would not be billed together. For this same reason, the modifier also allows ample opportunity for misuse and abuse. The competent coder will apply modifier 59 ...
Apr 1st, 2010
By Peggy Stilley, CPC, CPC-I, COBGC, ACS-OB Are you new to obstetrics and gynecology (OB/GYN) coding? Do you wish you knew some helpful tidbits to ease daunting coding tasks? The following are scenarios most-commonly asked about by attendees during question-and-answer sessions while teaching OB/GYN. These “real world” examples can help you tackle day-to-day coding challenges ...