Insufficient documentation accounted for nearly 82 percent of improper payments for ostomy supplies in 2018 according to the Centers for Medicare 38 Medicaid Services CMS. No documentation and medical... [ Read More ]
Connolly Healthcare recovery audit contractor RAC forregion C recently updatedits list of audit issues approved by the Centers for Medicare 38 Medicaid Services CMS and DCS Healthcare region A RAC pos... [ Read More ]
This always confuses me. When our Dr. does a Lower Anterior Resection sometimes he will do a Ileostomy on the other side, not a colostomy. So is it still the same as 44208 or is it 44207 and 44310 ?
... [ Read More ]
Would this be considered simple (10060) or complex (10061)? Or is there another code that fits better? And would I be able to code the debridement if he mentioned surface area? It seems inherent bu... [ Read More ]
I have a hernia repair op report that includes this statement at the end -- Dr. xx "was first assistant providing exposure and help during the entire operation". Can I use modifier 80 for D... [ Read More ]
I could use some help with the following op note. We've coded it out to 11043 x1 & 11046 x45.
Pt has bilateral necrotizing faciititis on the bilateral neck spaces down to the ... [ Read More ]
Hello: Our surgeon performed an open right colectomy with end ileostomy. Normally for a right colectomy, we would use 44160 and the use 44310 for creation of an ileostomy However, 44160 states that a... [ Read More ]
colostomy and portal hypertension now with bleeding colostomy
CPT help please?
Colostomy bag and waffle removed. No blood on digital exam of colostomy. Stoma cleaned and inspected circumferentiall... [ Read More ]
My APNP replaced a "wound manager pouch." Is there a way to bill for it separately?
I think it's bundled with the procedure as part of the closure, wound management care, but thou... [ Read More ]
A coder has billed CPT 44979 with reference to add-on code 44955 as the appendix was normal and incidental. UHC has denied payment on 44979 as the operative note we sent in is being considered "I... [ Read More ]
Hello, I have a provider wanting to bill 45330 for a colonscopy after a total colectomy. Is that the correct code?
From the report:
Diagnosis: Hx of colon cancer s/p total abdominal colectomy
F... [ Read More ]
The doctor did a flexible fiberoptic laryngoscopy, direct laryngoscopy, bronchosopy, dilation of bilateral pyriform aperture stenosis, tonsillectomy and adenoidectomy, and lateral pharyngoplasty. Is t... [ Read More ]
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