Wiki I could use some help coding this procedure.

[lindam@caricures.com]

I was "promoted" to billing/coding by the provider so I don't really have any formal training.

I have this issue quite a bit - I work for a colon/rectal surgeon - when I read the op report I am never sure which things I can bill for, what order to bill them in. Any assistance would be appreciated.

 

[TThivierge]

Hi
Dx code are anal ulcer K62.6 as first dx and anal pain dx K62.89. Use CPT 46700 and 45108.All this is listed in the current CPT manual .Also on operative report doc listed the dx code for you to use. Z codes are usually last unless marked in ICD10 manual as first. I think you need to make cheat sheet get you started or Goggle for one under digestive codes and procedure.But always read the report from attending provider
I hope helped you.
Lady T

 

[lindam@caricures.com]

Hi
Dx code are anal ulcer K62.6 as first dx and anal pain dx K62.89. Use CPT 46700 and 45108.All this is listed in the current CPT manual .Also on operative report doc listed the dx code for you to use. Z codes are usually last unless marked in ICD10 manual as first. I think you need to make cheat sheet get you started or Goggle for one under digestive codes and procedure.But always read the report from attending provider
I hope helped you.
Lady T

Thank you

 

[lindam@caricures.com]

Hi
Dx code are anal ulcer K62.6 as first dx and anal pain dx K62.89. Use CPT 46700 and 45108.All this is listed in the current CPT manual .Also on operative report doc listed the dx code for you to use. Z codes are usually last unless marked in ICD10 manual as first. I think you need to make cheat sheet get you started or Goggle for one under digestive codes and procedure.But always read the report from attending provider
I hope helped you.
Lady T

my biggest issue with these is that he always seems to dictate a bit different. When he actually says "house flap", I use 14040. But then he added the small biopsy. Also I didn't think I could use the anoplasty code without a dx of stricture. Never used 45108 before I will have to check that out. Thanks again for your reply

 

[TThivierge]

Lindham
You would NOT use CPT 14040 because per the CPT manual that is for the facial area not RECTUM or Anal area. The CPT manual treatment codes are broken down in each first number which defines area of the human body. Get a CPT manual then look in back of manual in list of clinical procedures.
Hope this data has helped you
Lady T

 

[lindam@caricures.com]

Ac

Lindham
You would NOT use CPT 14040 because per the CPT manual that is for the facial area not RECTUM or Anal area. The CPT manual treatment codes are broken down in each first number which defines area of the human body. Get a CPT manual then look in back of manual in list of clinical procedures.
Hope this data has helped you
Lady T

I am looking in the CPT Manual = it reads Adjacent tissue transfer or rearrangement, trunk, defect 10sq cm or less. 14040 Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitaalia, hands and/or feet. Defect 10 sq cm or less. Reading the description of Codes 14000-14302 this is what was performed.

 

[TThivierge]

Lindam
The body area is RECTUM id use the CPT 46700 but you can add that other CPT if like and add modifier 51 be beware of bundling & redundancy. I hope this info helps
Lady T