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Primary Care Coding:

Use the Index to Correctly Code This Ataxia With Stroke Case

Published on Thu Apr 17, 2025

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April 2025

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Otolaryngology Coding:
Take This Advice for Foolproof Rhinoplasty Claims
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General Surgery Coding:
Test Your Knowledge of Colorectal Procedure Coding
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Neurosurgery Coding:
Remember, Laminectomy Removes the Entire Lamina
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Neurosurgery Coding:
Use This Code for Brain Abscess
Question: Encounter notes indicate that a patient suffers from “embolic abscess, parietal lobe.” What is [...]

Neurosurgery Coding:
Stay on Coding Cutting Edge With SRS, Neuroendoscopy Smarts
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ICD-10-CM Coding:
Follow These Principles for Coding the Principal Diagnosis
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Compliance:
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Training seasonal and permanent staff will avoid an audit. As summer approaches, many practices are [...]

Gastroenterology Coding:
Refresh Your Knowledge of Gallstone Codes
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Podiatry Coding:
Examine 5 Common Pediatric Podiatry Conditions
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Cardiology Coding:
Differentiate These New ASCVD Codes
Question: What’s the difference between codes G0537 and G0538? I think they became billable in [...]

Emergency Department Coding:
Pull Correct FBR Claims Each Time With This Advice
Do you know when an ED E/M becomes an FBR? It’s spring again, which means [...]

General Coding:
Look to Status to Determine POS
Question: One of our providers is a surgeon who sometimes gets called to the hospital [...]

Medicare Regulations:
Look for These Forms for Credentialing Adjustments
Question: I need to make an adjustment to the credentialing information for one of my [...]

General Coding:
Navigate New Era of Coding With This Foundation
Hint: Documentation may matter more than ever. While the future of coding may seem scary [...]

Neurology & Pain Management Coding:
Lean on Add-On Code for Multiple RFAs
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Cardiology Coding:
Understand These Differences in Wearable Cardiovascular Devices
Hint: Some devices record continuously, but some need to be activated. Patients who may have [...]

Urology Coding:
Query the Provider to Avoid Uroflowmetry Confusion
Question: A uroflowmetry test was conducted in our clinic and the urologist noted, “lower urinary [...]

Neurology & Pain Management Coding:
Master Brain Anatomy, Symptoms for Simpler Stroke Dx Coding
Do you know how to score a stroke? “A stroke is an interruption of the [...]

Neurology & Pain Management Coding:
Look for Dominant Element When Choosing ADHD Dx
Question: Encounter notes indicate that the patient suffers from attention deficit hyperactivity disorder (ADHD); the [...]

General Coding:
Use PA-Specific Modifier to Report Their Services
Question: A physician assistant (PA) assisted one of our surgeons during a surgery. The provider [...]

Anesthesia Coding:
Don’t Count on Billing Inactive Interval Time
Question: A patient had surgery for cataract extraction and required monitored anesthesia care via a [...]

Medicare Regulations:
Find Clarity on Global Surgery Inclusion
Question: A patient who’s a Medicare beneficiary had surgery. They were in a lot of [...]

Compliance:
Sharing Credentials May Mean Breaking the Law
Question: We recently signed on a new physician at our practice and they’re only contracted [...]

Podiatry Coding:
Evaluate This EDL Tendon Transfer Case
Question: I am new to podiatry coding and need help reporting this procedure. The surgeon [...]

E/M Coding:
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Podiatry Coding:
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Practice Management:
Find Relief for Challenging Patient Situations
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Urology Coding:
Break Through These FAQs of Kidney Stone Coding
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Gastroenterology Coding:
Learn How to Code High-Risk Screening Colonoscopies
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Oncology/Hematology Coding:
Get to the Point With This GIST Coding Guidance
Question: What is a gastrointestinal stromal tumor (GIST), and how is it coded? New Jersey [...]

Oncology/Hematology Coding:
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Cardiology Coding:
Know What to Report for This Pacemaker Procedure
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Gastroenterology Coding:
Pinpoint the Correct Pancolitis Ulcerative Colitis Code
Question: I have a colonoscopy report where the physician describes the findings as: “Pancolitis ulcerative [...]

General Surgery Coding:
Identify Site for Hernia Repair With Gallbladder Removal
Question: The surgeon performed a laparoscopic gallbladder removal for a 42-year-old patient. During the same session, [...]

Orthopedic Coding:
Pick the Right Code for Your Pre-Auth Request
Question: I’m seeking a pre-authorization for a surgical procedure, and I need help finding the [...]

Orthopedic Coding:
Learn When to Report an OR Return Separately
Question: An orthopedic surgeon performed an open fracture treatment of the femoral shaft without placing [...]

Compliance:
Signatures Are Key to Proving Validity
Question: I was told that providers had to sign off on the encounters before creating/submitting [...]

Optometry/Ophthalmology Coding:
Crack the Code on This Damaged IOL Insertion Case
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Path/Lab Coding:
Understand These 2 LCDs Before Coding This Respiratory Pathogen Panel
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Primary Care Coding:
Perfect Your Coding When Physicians See Patients in Nursing Homes, Hospice
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Primary Care Coding:
Some Specificity Needed for Alcohol Use Reporting
Question: My practitioner recently documented “occasional alcohol use” in the social history section of a patient’s [...]

Primary Care Coding:
Use the Index to Correctly Code This Ataxia With Stroke Case
Question: During a patient’s annual wellness exam, my provider documented “ataxia with history of stroke.” [...]

Optometry/Ophthalmology Coding:
Identify the Code for Eyelid Retraction Injections
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E/M Coding:
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Emergency Department Coding:
Check for Guidance Before Reporting Elbow Injection
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Emergency Department Coding:
Constant Worry Could Be Generalized Anxiety Disorder
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Pulmonology Coding:
Build Your Pulmonary Hypertension Coding Knowledge
Learn what separates the pulmonary hypertension codes. Pulmonary hypertension (PH) can be defined as high [...]

Technology & Innovation:
Provide In-Home Pediatric Hospital Care
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Diagnostic Radiology Coding:
Risks Are Too High to Gamble With Radiology Revenue
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Diagnostic Radiology Coding:
Solve This Sinus Tract Coding Question
Question: A patient presented to a radiology practice with complaints of chronic sinusitis. The patient’s [...]

Medicare Regulations :
Attention: Medicare Patient Appeal Changes Are Here!
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Practice Management:
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Pediatric Coding:
Know the Dos and Don’ts of Type 1 Diabetes Coding
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Ob-Gyn Coding:
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Question: We had a patient come in with a knot in the umbilical cord. We [...]

Pulmonology Coding:
Are Patients New or Established When a Provider Changes Practices?
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Oncology Coding:
Find the Key to This Immunotherapy Encounter
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Technology & Innovation:
Use Health Data Statistics to Drive Decisions in Healthcare
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Otolaryngology Coding:
Avoid Integumentary Code for This Ear Lesion Removal
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Technology & Innovation:
Coordinate With Chatbots to Improve Patient Happiness
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Pulmonology Coding:
Report Noninvasive Oxygenation Assessments With a Category III Code
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Diagnostic Radiology Coding:
Can You Report Phone Calls to Discuss Test Results?
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Otolaryngology Coding:
Understand the Difference Between Caloric Vestibular Tests
Question: In a recent note on a patient who came in for vestibular testing following [...]

Path/Lab Coding:
Stay on Top of April Updates for Path/Lab MUEs, Fees, and ICD-10-CM
Plus, see what’s in store for PLA changes in July. The second quarter of 2025 [...]

Urology Coding:
Purpose of the PSA Test Will Determine Proper Coding
Question: An elderly patient was complaining of frequent urination during their annual exam. They also mentioned [...]

Pediatric Coding:
Remember This Nosebleed Treatment Coding Tip
Question: A patient presented bleeding from both nostrils and received treatment. Are nosebleed treatment codes [...]

Practice Management:
Shout About Language Facility
Question: Some of our providers are bilingual or multilingual. How can I let patients and [...]

E/M Coding:
Don’t Count on Reimbursement for Nonphysician EMR Adjustments
Question: If a clinical staff member or scribe makes entries into a patient’s medical record, [...]

ICD-10-CM Coding:
Understand ‘Unspecified Behavior’ Traits for Neoplasm Diagnosis
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Anesthesia Coding:
Bust These Reimbursement Myths
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Ob-Gyn Coding:
How to Code a Lesion Incision and Removal
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General Surgery Coding:
Purpose of Fat Transfer Determines Proper Code Choice
Question: Our general surgeon performed a revision of a reconstructed breast. The surgeon used a [...]

Pediatric Coding:
Follow These Steps for Coding Cellulitis Encounter
Question: An established 8-year-old patient presents with a slight fever and a red, blistered area [...]

Optometry/Ophthalmology Coding:
Thrive Under Pressure While Coding Glaucoma Treatments — Part 2
Find out if traditional or MIGS surgeries are more common. In the first part of [...]

Anesthesia Coding:
Account for ‘Time’ Based on These Moments
Question: How do I know when to start “counting” for time for anesthesia services? Florida [...]

ICD-10-CM Coding:
Take Heed of Patient’s Fancies
Question: A patient arrived at our emergency department (ED) presenting with pain while breathing, a dry [...]

Orthopedic Coding:
Unravel the Complexities of Coding Carpal Tunnel Syndrome — Part 2
Remember the ICD-10-CM 5th character specifies laterality. Carpal tunnel syndrome (CTS) occurs when the tunnel [...]

Ob-Gyn Coding:
True or False: Adhesiolysis Can Be Separately Reimbursed — Find Out
The key term is “extensive.” Some medical coders think lysis of adhesions codes are impossible [...]

Path/Lab Coding:
Go the Distance, Understand Specimen Collection Travel Allowance Codes
Question: We are a primary care practice with a traveling phlebotomist and our own lab, [...]

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