Recent content by carafry

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    Annual exam & cervical polyp

    regarding my last post I was thinking about this and I re-read the code descriptor for the code I originally suggested, 57500. It does not matter if a biopsy was sent. The code states "biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration". There also...
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    Prolonged inpatient stay with delivery

    bill hospital visits I agree with Roxanne. You would bill each separate in-patient visit with the diagnosis of threatened pre-term labor (and whatever else) and then bill the delivery on the delivery date. The day or two spent in the hospital AFTER the delivery would be included in the global.
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    Pap Smear-aspect of coding

    it depends It depends on your contract with the lab and the insurance plan. If you are set up so that the lab bills and is paid by the ins co, you would bill only for the physician's services of collecting the pap. If the plan is set up so that the lab bills you and you pay the lab, you...
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    Global OB Care

    modifiers We use the -24 modifier for post-C-section patients when they are seen for something unrelated but that is about it. For unrelated visits in the prenatal period, we just bill the E/M code and make sure it is not associated with the global OB claim.
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    We've had this come up before at our office. I'm really surprised there's not a separate code. We use 646.83 (other specified complications of pregnancy) followed by 709.8 (other specified disorders of skin).
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    Annual exam & cervical polyp

    a good point A good point by heathergirl. What code would you use if not sent for bx? The only other possibility I was able to come up with would be to use the 11440 series of codes. I couldn't find anything relating to different methods of removal (only found different methods for...
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    Ob Delivery And Care

    another option I would lean toward 59409 (vag delivery only) plus 59425 or 59426 depending on how many antepartum visits she had.
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    modifier help

    Did you review Appendix A of your CPT book? Sorry if I'm stating the obvious but a lot of people forget it's there.;)
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    Billing a 99211 with a 36415

    99213 & 36415 If it is only a blood draw, you cannot bill the 99211 in addition. Professional services provided by the clinical staff are figured into the draw fee. If something medically necessary were done in addition to the blood draw (such as a blood pressure check or weight monitoring)...
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    Foreign Body Removal

    FB removal I believe for simple removals like these, you will have to use E/M codes.
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    Annual exam & cervical polyp

    px w/polyp Use the appropriate preventive visit code with a modifier -25 appended and the V72.31 diagnosis followed by 57500 (local excision of cervical lesion) with 622.7 polyp of cvx.
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    Help - salpingo oophorectomy

    To code correctly, you need to know why they are doing exploration and what the findings were that led to the removal of the ovaries and tubes. 59120 is for treatment of ectopic pregnancy so unless ectopic pregnancy is the diagnosis, it is probably not the code you are looking for. Look at...
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    Medicare Patients

    medicare modifiers We have always used the -GA on both the G and Q codes when an ABN has been obtained. You should also append a -25 to the preventive or E/M if a visit is also being billed.
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    U/A with prenatal care

    global I agree with Pahtrisha - per CPT OB section instructions, it is included in the global. Even if you billed it w/ a diagnosis, ins cos. would deny it.
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    No Coding Jobs for inexperienced Coders

    something will come along I live in the Chicago area and the adds I see also want experience. The way I see it, you've got a few options. You could apply for jobs that are looking for experience and tell the interviewer about your education history and how well you did in school and on your...