Ob-Gyn Coding Alert

Gynecology:
Part 1: Highlighting 4 Factors to Pinpoint Which Hysterectomy Code to Use
Warning: You should not count fibroid weight with the weight of the uterus. Approximatel... Read more
Obstetrics:
Starting the Global Record too Soon? You May Miss Out on $111
Test yourself with these 3 questions. A patient has taken a pregnancy test at home and yo... Read more
Practice Management:
Stop Denials in Their Tracks With These Handy Tips
Make sure team members communicate clearly with one another. Denials can be a major thre... Read more
Reader Questions:
When MD Leaves, Do This for Pregnant Patients
Question: One of our providers recently left our office, so all the patients were tra... Read more
Reader Questions:
Think Twice Before Reporting 99000
Question: We have a lot of patients who self-swab for sexually transmitted infection ... Read more
Reader Questions:
Beware Addition of Urinalysis Code to E/M
Question: For all lab tests performed in the office, our nurse researches the histor... Read more
Reader Questions:
Consider Your ICD-10 Options for Rubella Non-Immune Status
Question: How do you code Rubella non-immune status in a pregnant patient? I can only... Read more
Reader Questions:
Report FBR by How Ob-Gyn Got It Out
Question: My physician removed a foreign body from the vagina of a 4-year-old using a... Read more
You Be the Coder:
Be Wary of the Term “Cystectomy”
Question: I am new to this, and I am hoping someone can give me any input. Physician... Read more
Gynecology:
Do You Know Whether the LEEP Was a Conization or Biopsy? Follow 3 Steps
Solve potential problems by asking, “Did the ob-gyn remove part of the endocervix?” L... Read more
Coding Quiz:
Test Yourself: Pregnant Patient Annual Exams
Be cautious about what you use for your primary diagnosis. To ethically maximize your ob... Read more
Unlisted Procedures:
Here’s How to Ease Your Unlisted Procedure Coding Process
Key: Reports should use simple, straightforward language. If you've ever filed an ob-gy... Read more
You Be the Coder:
Determine Your Dx After Cancer Surgery
Question: When can we bill a visit after a surgery for cancer? My colleague says that... Read more
Reader Questions:
You Need Proof for Modifier 82
Question: Is there a difference in the reimbursement of procedures for modifiers 80 (... Read more
Reader Questions:
Code This Ureterolysis Example
Question: I need help with this ureterolysis note. Our gynecology oncologist is doing... Read more
Reader Questions:
For High-Risk Medications During Pregnancy, Use These Codes
Question: I need help locating the ICD-10 codes for use of high-risk medication durin... Read more
Reader Questions:
Here’s Your Scoop on the 60-Day Overpayment Rule
Question: We've heard that Centers for Medicare & Medicaid Services (CMS) says we... Read more
Obstetrics:
Double Trouble: How to Code NSTs and BPPs for Twin Pregnancies
Learn different options to capture the extra work. When a patient who is carrying twins ... Read more
Case Study:
Navigate This Urogynecology Crossover Procedure
Avoid confusion by focusing on the code descriptors. Navigating the specialty of urogyn... Read more
Myth Busters:
Fibroid Coding Got You Frustrated? 5 Myth Busters Fix Your Claims
Find out what your fibroid diagnosis options are. If you're reporting uterine fibroid rem... Read more
Reader Questions:
Count Oocytes for 89280-89281
Question: Codes 89280 and 89281 don't have a National Correct Coding Initiative (NCCI... Read more
Reader Questions:
Include Hymenectomy As Part of Surgery
Question: One of our providers performed a hysteroscopy dilation and curettage for re... Read more
Reader Questions:
Repeat Pap Plus Urinary Tract Infection
Question: A Medicare patient who is high risk due to sexual behavior came in for her ... Read more
You Be the Coder:
Prophylactical Placement of Ureteral Stents
Question: If the ob-gyn places catheters for identification of the ureters (52005) d... Read more
Gynecology:
+99459: 5 FAQs Clarify How to Use This Expense Only Code
Here's what your physician's documentation needs to include. Since January 1, you can use... Read more
Obstetrics:
Billing Infertility Claims? Focusing on These Types of Codes Can Help
You may want to hold off reporting N97.9. According to the Centers for Disease Control ... Read more
NCCI:
Follow Expert Advice to Conquer Challenges With NCCI Edits
Don't abuse modifier 59. Although most coding software programs incorporate the quarterly... Read more
Reader Questions:
Possible Molar Pregnancy
Question: My ob-gyn treated a patient they suspected had a possible molar pregnancy b... Read more
Reader Questions:
Does Repeat Pap Smear Warrant Well Woman Code? Find Out
Question: Our ob-gyn recently performed a repeat Pap smear for a woman as her Pap sme... Read more
Reader Questions:
You Need More Documentation for Mastitis
Question: My ob-gyn documented “left mastitis,” and someone told me that this is... Read more
You Be the Coder:
Fetal Doppler Echocardiographies
Question: Fetal cardiac evaluation was performed using 2D ultrasound, color Doppler, ... Read more
Gynecology:
2 Tips Clarify How to Code Ovarian Cysts
Bonus: Here's the documentation you need for cyst removals. Are you scratching your head ... Read more
Obstetrics:
Why You Need to Look For “Polyhydramnios” In Your Amnio Claim
Find out if you can report the ultrasound guidance separately. Do you know what to do i... Read more
E/M Coding:
Follow 5 Tips to Solidify Your Inpatient Care Coding
Stay on top of the hospital E/M revisions. For the last year, you have been using a revi... Read more
You Be the Coder:
Control of Bleeding Case
Question: Could you help me code this control of bleeding case? Doctor states: “33... Read more
Reader Questions:
Clarify HIPAA Terminology
Question: What is the difference between “consent” and “authorization” in th... Read more
Reader Questions:
Ask if This Procedure Was for a Bartholin’s Cyst
Question: My ob-gyn listed the procedure as perirectal cystectomy and pre-op diagnosi... Read more
Reader Questions:
You Need More Documentation for Mastitis
Question: My ob-gyn documented “left mastitis,” and someone told me that this isn... Read more
Reader Questions:
Are Inductions Part of Global to Deliveries? Find Out
Question: If a patient is in the hospital for several days being induced for a delive... Read more
Gynecology:
Do You Know How to Report What Ob-Gyn Did in Addition to Colposcope?
Tip: The difference between a biopsy and LEEP biopsy is the instrument used. Your colpos... Read more
Obstetrics:
Untangle Your Trickiest Twin Delivery Claims
Babies born on different calendar dates? Here's what to do. How should you report a twin ... Read more
Modifiers:
3 FAQs Will Guide You Away From Making Modifier 22 Mistakes
Find out how much longer a procedure should take. Appending modifier 22 (Increased proce... Read more
CPT® 2024 Update:
Federal Register Clarifies Pelvic Exam Add-on Code
Here's why there's no guarantee your practice will be paid. CPT® 2024 includes a new add... Read more
You Be the Coder:
Free Samples Means Following These Rules
Question: In the past, ob-gyns in our practice have frequently supplied free samples ... Read more
Reader Question:
Order Your Surveillance Diagnosis Codes Like This
Question: A patient is 2+ years since completion of treatment for endometrial ca... Read more
Reader Question:
Take Advantage of Opportunities to Educate Providers
Question: Our provider tends to use the terms “epigastric pain” and “heartburn... Read more
Reader Question:
Assign Codes — and Responsibility for Code Choices
Question: Who is responsible for the final diagnosis used for an office/ outpatient e... Read more
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