Dec 7th, 2016
There are times when a physician schedules a laparoscopic/arthroscopic/endoscopic, etc. procedure and, due to many various reasons, a physician may elect to convert to an open procedure to ensure the procedure is completed safely for the patient. In these cases, only the open procedure is coded and billed to the insurance company. The National Correct ...
Understand how losing subcategory V64.4x will affect reporting of converted surgical approaches. By Jennifer E. Avery, CPC-H, CPC, CPC-I, CCS The Centers for Medicare & Medicaid Services (CMS) instructs us that when a procedure begins by laparoscopic approach, but must be converted to (and completed by) open approach, only the open approach is coded. In ...
Jun 1st, 2012
 Find out the latest on gastroesophageal reflux diagnosis and treatment coding. By Rebecca M. Hovis, CPC, CPC-P, CGIC Gastroesophageal reflux is the backward flow of the gastric contents into the esophagus due to improper functioning of the lower esophageal sphincter (also called the cardiac sphincter). Gastroesophageal reflux disease (GERD), ICD-9-CM 530.81 Esophageal reflux, is a ...
Sep 1st, 2011
When accurate diagnosis coding pressure builds, look at location and hemorrhaging for each. By Marcella Bucknam, CPC, CPC-H, CPC-P, CPC-I, CCC, COBGC, CCS, CCS-P Diverticula are small “pouches” that poke through the muscle wall of the intestines, generally due to pressure within the intestine. They occur most frequently in the sigmoid colon (where internal pressure ...
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 ...