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Ob-Gyn Coding Alert

Gynecology:
Here's How Lesion Type/Size and Layer Closer Can Validate Your Vulvar Lesion Claims
Here’s How Lesion Type/Size and Layer Closer Can Validate Your Vulvar Lesion Cl... Read more
Coding Quiz:
4 Questions Affirm You're Correctly Reporting Antepartum Care
Here’s why you should be careful about your 1-3 visit situations. When you&rsqu... Read more
Vaccinations:
Ensure Flu Vaccine Coding Success with These 3 Expert Tips
From immunizations to diagnoses, get the lowdown on flu patients. It’s that time... Read more
ICD-10:
Safeguard Your Cervical Dysplasia Claims Using These N87 Codes
Make the distinction between pre- and post Oct. 1 claims. If a patient has cervical dy... Read more
Reader Question:
Patient Requested Labs Mean Z Codes
Question: What diagnosis code would I use if the patient is requesting labs for wor... Read more
Reader Question:
Count Minor Stitch on Uterus As Incidental
Question: A patient presents with a complication from a previous surgery which was a ... Read more
Reader Question:
Careful Which Code You Submit as Primary
Question: We billed CPT® codes 58552 and 49322-59 because of additional documen... Read more
Reader Question:
Break Down Your Glucose Testing Options
Question: I’m trying to figure out how to bill for this Glucose 2 hour test. ... Read more
You Be the Coder:
Routine Antenatal Screening
  Question: We are having trouble with our payers, specifically Medicare, ac... Read more
ICD-10:
So Now You're Using ICD-10 -- Time to Look Forward to 2016 ICD-10 Ob-Gyn Changes
Avoid Z3A codes when patient has postpartum complication. You’ve studied and now... Read more
News You Can Use:
Move Beyond ICD-10 Implementation, But Don't Stop Training
Continue to stress coder/provider cooperation for success. While you can breathe a sig... Read more
Injections:
3 Questions Solve Your IM Injection Challenges
If the ob-gyn isn’t present, revert to a nurse visit, CPT® says. The injecti... Read more
Reader Question:
Check With Your WC Payers Before Using ICD-10
Question: I have heard I won’t use ICD-10 for workers’ compensation rel... Read more
Reader Question:
How to Report an ED Visit During Pregnancy
Question: A pregnant patient presents in the emergency department (ED) during her p... Read more
Reader Question:
You Cannot Solve Coverage Issue With Coding
Question: The patient saw the OB nurse for her first visit for this pregnancy and g... Read more
Reader Question:
Superficial Laceration With DaVinci Hysterectomy? Do This
Question: The provider did a DaVinci total hysterectomy with bilateral salpingectom... Read more
Reader Question:
How to Report Laminaria Plus Suction Curettage
Question: If the patient was given Laminaria on 07/27 in the office and then seen a... Read more
Reader Question:
Tackle This Lysis of Endometriotic Lesions Scenario
Question: The patient is now having a complication from the previous surgery which ... Read more
You Be the Coder:
Removal of Fallopian Tube Only
Question: When billing a laparoscopy removal of fallopian tubes only (without the o... Read more
News You Can Use:
Preview Your CPT® 2016 Changes for Ob-Gyn With These 7 Highlights
Ovarian sclerotherapy and fetal MRs garner attention. While the October change to ICD... Read more
Recognize These Requirements/Near Requirements For Fetal MRs
Gestational age: The American College of Radiology (ACR) recommends that fetal MR be def... Read more
E/M:
Don't Make This Crucial Observation Coding Mistake
Timing is everything when choosing a code. When your ob-gyn admits a patient to observ... Read more
Obstetrics:
Bust These 5 Delivery Coding Myths
Here are the ICD-10 codes you need to report next month. Focusing solely on global cod... Read more
ICD-10:
CMS Reps: All Systems Go for Next Month's ICD-10 Launch
You can continue to participate in acknowledgement testing until Oct. 1. You’ve ... Read more
Reader Question:
Check Out This ICD-10-PCS Subtlety
Question: I’m looking at ICD-10-PCS, and I was wondering, are all procedures ... Read more
Reader Question:
Mark FBR by Method
Question: My physician removed a foreign body from the vagina of a 4-year-old using... Read more
Reader Question:
Some Bundles You Cannot Separate
Question: We have a physician who performed a 44180 (Laparoscopy, surgical, enterol... Read more
You Be the Coder:
Validate Your Vaginal Mesh Excision Codes
Question: My doctor did excision of vaginal mesh on two different patients. What co... Read more
Present Perfect Pessary Coding Claims To Your Payers -- Here's How
Find out where you should look for your prolapse diagnosis codes in ICD-10. If you thi... Read more
E/M:
Clear Up MDM vs. Medical Necessity Confusion or Face Denials
Make sure your ob-gyn knows what he is signing when submitting claims. Justifying high-le... Read more
ICD-10:
Update Your MMK-Related Diagnoses This Fall
You’ll have an easy transition with these codes. During the Marshall-Marchetti-K... Read more
Reader Questions:
Here's How to Report Hand Held Ultrasound Device
Question: Can you tell me if it is possible to bill this procedure? A physician use... Read more
Reader Questions:
Don't Stop ICD-10 Prep Based on CMS News
Question: I heard that CMS issued a statement saying we’ll have a one-year re... Read more
Reader Questions:
Check Your Dx for Short Interval Between Pregnancies
Question: Is there a diagnosis code to use for short interval between pregnancies? ... Read more
Reader Questions:
Solve This Rectocele and Cystocele Scenario
Question: I need help to make sure these are the correct diagnosis codes to use. My... Read more
Reader Questions:
Decide Whether To Use Modifier 50 on 58661
Question: We have found some conflicting information on 58661 and being able to use... Read more
Reader Questions:
All O Codes Demand Gestational Age
Question: If a patient says she has a complete AB, do we need to list the week&rsqu... Read more
You Be the Coder:
Incarcerated Uterus
Question: Patient is 17 weeks and has an incarcerated uterus. Physician was unable to ma... Read more
Obstetrics:
Pregnant Diabetic Patients? Justify Extra Reimbursement With This Advice
Hint: Diabetes before pregnancy is different from gestational diabetes. If you’v... Read more
Gynecology:
Advance Your Extensive Adhesiolysis Claims Towards Approval
Follow these 4 tips, and your claim will pass with flying colors. If you’re ofte... Read more
ICD-10:
Process How Your Polyp Codes Will Shift After October 1, 2015
For “mucous polyp of cervix,” report this ICD-10 code. Polyps are small gr... Read more
Reader Questions:
Heart Murmurs Can Be Functional
Question: We have an ob patient who was just diagnosed with a heart murmur. The doc... Read more
Reader Questions:
Seize These Two Skene's Gland Cyst Options
Question: Patient has a cyst on Skene’s gland, and I’m trying to find a... Read more
You Be the Coder:
Trichorionic Triamniotic Triplet Gestation
Question: I have a triplet pregnancy that says it is “Trichorionic Triamnioti... Read more
Urogynecology Case Study:
Discover What Modifier You Need to Maximize Your Hysterectomy, MMK Pay
Warning: Modifier missteps could cost you nearly $800. If your gynecologist documented... Read more
Preventive Medicine:
Puzzled by Preventive Medicine Counseling Codes? Follow This Advice
Tip: Don’t use 99401-99404 if the patient is ill. Suppose your ob-gyn performs a... Read more
ICD-10:
Prepare For Numerous More Preterm Labor O60 Options
Tip: Indicate the fetus with your seventh character. Preterm labor is the presence of ... Read more
Reader Questions:
You Shouldn't Report Modifier 78 - Here's Why
Question: Patient is two weeks status post anterior colporrhaphy with repair of ent... Read more
Reader Questions:
Ovarian Drilling? Avoid 58661
Question:  If the doctor had made multiple punctures, and this was an ovarian drill... Read more
Reader Questions:
Add-On Codes Can't Be Reported Alone
Question: Patient had C-section by ob-gyn doctor from an OB practice, and we (GYN/O... Read more
You Be the Coder:
Here's Why Payers Won't Cover 58700
Question: Wondering if anyone is seeing docs doing salpingectomies at time of c-sec... Read more
ICD-10:
Post Term Pregnancy? Look To These 2 ICD-10 Options
Tip: Over 42 weeks means you should opt for “prolonged” code. Patients who... Read more
CCI 21.1:
CMS Rescinds Some A&P Repair Edits and Changes Modifier Indicators for Others
Here’s what to do if you have a retroactive claim these changes affect. Remember... Read more
News You Can Use:
Coverage for HPV Testing May Be Expanding to Once Every 5 Years
Here’s when the coverage decision will be made. Medicare is proposing to begin c... Read more
Modifiers:
You Can Stick with 59 For Now, CMS Says
CMS is giving software entities time to update their systems. If you are still waiting... Read more
Reader Questions:
Intermediate Repair Means You Can Add 12042
Question:  Our ob-gyn performed excision vulvar hidradenitis. A navicular incision ... Read more
Reader Questions:
Check Out This New ICD-10 Guideline
Question:  We are working on our crosswalk. A scenario that has us stumped:  P... Read more
Reader Questions:
Don't Rely on ICD-10 GEMS for V64.41 and 648.83
Question:  I’m looking for the ICD-10 equivalents for V64.41 and 648.73, whic... Read more
Reader Questions:
Start Getting More Specific for Apical Prolapse
Question: Need help in coding the following Dx: Apical Prolapse. Would that be 618.00 (V... Read more
You Be the Coder:
If No Intrauterine Contents, Use This D&C Code
Question:  I am having an issue with this procedure. The name of the procedure is &... Read more
News You Can Use:
UnitedHealthcare Announces Changes That Limit Your Hysterectomy Choices
If you’re reporting anything other than 58260-58294, prepare for a denial. If yo... Read more
Gynecology:
Disease Process Could Be Key When Choosing Labiaplasty Code
Should you use 56620 or 15839 for labiaplasty? Experts explain. Just because you won&rsqu... Read more
Obstetrics:
Coding Late-Term OB Care? Check for Prior Antepartum Care
Pregnant patient transfer may still mean reporting a global code. You know that you sh... Read more
ICD-10:
Verify How You'll Report V72.4x After October 1, 2015
Hint: You must code what you know at the end of the visit. If a patient suspects she i... Read more
Training:
Step Up Your ICD-10 Preparation with Testing Dates
Choose acknowledgement or end-to-end testing. Whether your ob-gyn practice has been pr... Read more
Reader Questions:
Identify the Fetus Receiving Care With Your ICD-10 Code
Question: I’m a little confused as to which twin I am identifying with this s... Read more
Reader Questions:
Do Not Confuse Vulvectomy With Cystectomy
Question: I need a CPT® code for perineal cystectomy. The doctor’s note states... Read more
Reader Question:
What to Do for Non-covered Service
Question: I know that the code for the treatment of ectopic pregnancy is 59150 when done... Read more
Reader Question:
Check With Your Payer For This Cesarean, Hernia Scenario
Question: Our doctor did a cesarean on a patient and noticed a hernia that he repai... Read more
Reader Question:
Weigh This Potential Modifier 22 or Modifier 52 Situation
Question: My ob-gyn is performing 58200, but in addition, he is removing the pelvic l... Read more
Reader Question:
Determine if This Was an Intrauterine Fetal Death or Abortion
Question: Sorry to bring this up again but our hospital coders are saying we cannot... Read more
You Be the Coder:
Lower Level Ob Ultrasounds Despite Gestational Age
Question: I have recently read on Codify that it is appropriate to use CPT® cod... Read more
Obstetrics:
Consider How to Add Complication Visits To the Global Ob Package
Hint: You can report complications before or after delivery. You can receive increased... Read more
Hysterectomy, Part 4:
Give Your Hysterectomy Coding A Clean Bill of Health
Can you separately report a hysterectomy and a biopsy? Find out. Avoid inaccuracy flar... Read more
News You Can Use:
Decipher What Global Period Eliminations May Mean to Your Ob-Gyn Practice
Be aware of the negative side effects for patients. CMS has released a proposal to do ... Read more
Coding Quiz Answers:
See How Your Hysterectomy Responses Measure Up
Did you report combo code 58152 rather than 51840? Got your answers handy? Check them ... Read more
ICD-10:
Discover How Your Normal Delivery Diagnosis Will Transform After Oct. 1
Find out what the only appropriate outcome code to use with O80 is. If all goes accord... Read more
Reader Question:
If Your Ob-Gyn Merely Reviews Ultrasound, Find Out If You Can Use Mod 26
Question: Patient had 76815(Ultrasound, pregnant uterus, real time with image docum... Read more
Reader Question:
Apply This Code for Laparoscopic Peritoneal Resection
Question: I am new to ob-gyn billing, and I am trying to find a CPT® code for a... Read more
Reader Question:
Count Hemostasis As Part of Procedure
Question: Patient is one day post-op for 58548 (Laparoscopy, surgical, with radical... Read more
Reader Question:
Find Help for This Hysteroscopy Scenario
Question: The ob-gyn performs a hysteroscopic resection of a submucosal myoma withâ... Read more
You Be the Coder:
Reporting Postpartum Visit(s) Only
Question: We encountered a situation where an established patient delivered elsewhe... Read more
Hysterectomy, Part 3:
Learn What Makes Good and Bad Documentation With 2 Hysterectomy Op Notes
Save these on-the-go documentation tips to ward against big mistakes. Last month, you ... Read more
On-the-Go Documentation Tips
You’ve read about what makes a good and bad Ob report, but here’s what you c... Read more
Compliance:
Get These 7 Compliance Plan Tips Straight From the OIG's Medical Director
The Affordable Care Act requires a firm compliance plan, so use these tips as a guidelin... Read more
Follow This Compliance Director's Advice
As you use Dr. Taitsman’s advice to create a compliance plan, keep the following q... Read more
ICD-10:
Streamline Your 670.22, 670.24 Codes Into a Single Diagnosis in ICD-10
Tip: Remember to include an additional code for the infectious agent. Puerperal sepsis... Read more
Reader Question:
Package Your Pre-Op Visit in Surgical Codes
Question: Can we bill pre-op visits regardless of how many days away from surgery? ... Read more
Reader Question:
Compare Laparoscopic Removal of Peritoneal Clips With This Code
Question: My doctor did a laparoscopic removal of peritoneal clips. Is there a code... Read more
Reader Question:
Define These Doppler Echocardiographies
Question: Fetal cardiac evaluation was performed using 2D ultrasound, color Doppler... Read more
Reader Question:
Refer to State Reqs for Spontaneous Abortion Versus Early Delivery
Question: Patient is 22.6 weeks, seen by the maternal fetal medicine (MFM) speciali... Read more
You Be the Coder:
Laparoscopic Ovarian Vein Cauterization
Question: I am in need of some assistance with choosing a CPT® code for what th... Read more
Hysterectomy Coding, Part 2:
Cut the Errors Out of Your Hysterectomy Combination Coding With This Expert Advice
Go in-depth with enterocele combos, and get the payment you deserve. Last month, you l... Read more
Obstetrics:
Attain Perfection With Your Amnio Claims
Hint: 1 word will help you choose ICD-9, CPT® codes. If coding amnio procedures &m... Read more
News You Can Use:
CMS Proposes Cut Down On Global Periods
CMS Proposes Cut Down On Global Periods CMS’s proposed rule for the Medicare Phy... Read more
ICD-10:
Diversify How You Will Report Decreased Fetal Movements in 2015
Your 655.7x diagnoses will expand to encompass specific fetuses. Pregnant patients may... Read more
Reader Question:
Check These Dx For Pregnant Patient With Appendicitis
Question: A pregnant patient came in through the emergency department ED for right ... Read more
You Be the Coder:
Avoid 88142 When Not Doing Pap Interpretation
Question: Patient came for her well woman check up. She also had amenorrhea and int... Read more
Hysterectomy Coding, Part 1:
3 Common Sense Steps Help You Solidify Your Hysterectomy Claims
Here’s why knowing the weight of the uterus is so important. Don’t just co... Read more
Coding Quiz:
Circumvent These Ob Confirmatory Visit Claim Mishaps With 3 Q&As;
Don’t miss out on E/M fees by initiating the Ob record too soon. When your ob-gy... Read more
E/M:
Avoid the Auditor's Crosshairs With These E/M Tips
Securing the correct history level is easy with this element-by-element study. You don... Read more
ICD-10:
Verify How You Report Vaginitis and Vulvovaginitis in 2015
You’ll have more options than 616.10 in ICD-10. Vaginitis and vulvovaginitis is ... Read more
Reader Question:
Process This Prescription Scenario
Question: If a woman is seen for her annual exam and is given Valtrex for herpes bu... Read more
Reader Question:
Salvage This Cyst Op Note by Forgoing Removal Code
Question: I need some assistance with choosing correct codes. I’m starting wi... Read more
Reader Question:
Nurse Performing Blood Pressure Check? Do This
Question: Doctor orders blood pressure (BP) check at our nurse’s station. The... Read more
Reader Question:
Choose The Correct Lesion Code Based on Size
Question: I need some assistance with the following op note. Diagnosis: Vulvar Co... Read more
Reader Question:
Examine These Ultrasound Elements to Choose Correct US Code
Question: Patient with an unknown last menstrual period (LMP) came in for confirmat... Read more
You Be the Coder:
Carve Out the Tubal Counseling In This Scenario
Question: Patient had a suction dilation and curettage (D&C) on 11/04/14. She c... Read more
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