Recent content by annr420

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    Bundled Service

    Thank you, I will look into this as a possible scenario. Have you heard of ins billing ONLY pts with HSA for services denied as "Bundled"?
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    Bundled Service

    Thank you "mitchellde" That is what I have always thought, however I am somewhat surprised that only 1 response has been posted...has this become a grey area? I thought it was clear cut - a patient cannot be billed for a service that the insurance company has already denied as "Bundled". It has...
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    Bundled Service

    If the insurance company has denied a procedure code as a "Bundled Service" can the patient still be billed for the cost of that service?
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    Hand/finger coding

    Try 26160, 26210 and 15240 for starters...
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    injection into second extensor compartment

    What was the purpose of the injection?
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    Tuft fx

    I think 26765 because there is no mention of removing the nail matrix or amputating the tuft - only tuft fragments were removed to give the remaining bone stability.
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    How do you code Aponeurotomy hand

    A needle aponeurotomy is done by repeatedly inserting a needle into the hand to break up Dupuytren's contracture. It is considered a "percutaneous Dupuytren's contracture release". If this is the procedure that was performed, the code is 26040
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    ORIF for distal radius and ulna fx.

    The surgical findings say "severely comminuted distal radius fracture as anticipated" This report reads like a 25608 or 25609, in my opinion, however it still needs to be clarified by the surgeon.
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    Median Nerve Block for CTR - The physician is doing a CTR

    If the physician is doing an injection for CTR, then use 20526. If the anesthesiologist is performing a nerve block, then it is up to the anesthesiologist to code and bill for that procedure. If the same provider that performs the CTR also performs the nerve block, then you would use 20526 plus...
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    Wound Vacs

    I don't know if 97605 is billable during global (try it & see?), however I think it applies to every time the patient comes in and the wound is checked, assessed & the bandage replaced. Since a wound vac is a sort of "non-selective" debridement, 97605 is not billable with 97602, however 97605...
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    Pes Anserine Bursa

    I don't code knees, however if you can't find a code that matches exactly, see if there is one that closely represents the procedure performed and the RVUs involved. Even though Pes Anserine is not truly 'prepatellar' maybe 27340 is the most accurate code to use. Doesn't it drive you crazy when...
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    Radial Artery Biopsy

    The surgeon biopsied the radial artery by harvesting a 1cm length of the radial artery from the forearm and 2cm from the wrist. Is there a code for this?? Thanks in advance :confused:
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    Nerve Testing & Wound Vac Eval

    Never Mind Never mind - answered my own questions. Just having a "coding" moment :o
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    Nerve Testing & Wound Vac Eval

    I have 2 questions for which I could really use some help: 1) Can a surgeon (Hand Surgeon in this case) bill for intraoperative "neurological stem testing" and if yes, what would be the correct CPT? 2) The same surgeon "assessed, evaluated and confirmed" placement of a wound VAC...
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    Conscious Sedation by Surgeon

    The patient is an adult - I am questioning this because of the words "monitored by the surgeon". I would have used 99144 but the CPTdescription says "requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological...