In Audit
Oct 15th, 2014
Coders learn early and are reminded often to avoid unbundling, or separately reporting procedures/services that are meant to be reported together, using a single code. As the introduction of the National Correct Coding Initiative (NCCI) Policy Manual explains, “Procedures should be reported with the most comprehensive CPT® code that describes the services performed.” To make ...
In CMS
Oct 1st, 2012
Surgical modifiers are crucial to telling the story of a claim by identifying procedures that have been altered, without changing the core meaning of the code(s) submitted. Let’s focus on proper application and instructive resources for three surgical modifiers: modifier 50, modifier 51, and modifier 59. Modifier 50 Modifier 50 Bilateral procedure describes procedures/services that ...
Jun 1st, 2012
2012 introduces new codes for both diagnostic and surgical VATS. By Laurette Pitman, RN, CPC-H, CGIC, CCS Due to advances in surgical procedures, video-assisted thoracoscopic surgery (VATS) has an increasing role in the diagnosis and treatment of a wide variety of thoracic disorders that previously required sternotomy or open thoracotomy. Patients who undergo this procedure ...
May 1st, 2010
By G. John Verhovshek, MA, CPC In medicine—and equally so in medical coding—location matters. As such, physician coders must be adept when applying the three modifiers most commonly used to identify more precisely the locations at which a procedure occur: Modifiers 50 Bilateral procedure, LT Left side, and RT Right side. Mirror Image Procedures on ...