Recent content by jjhamer1

  1. J

    Trapeziectomy of wrist

    I would also code 25210,LT
  2. J

    29881 or 29877 conundrum

    Code 29877 is a component of Column 1 code 29881 and cannot be billed using any modifier.
  3. J

    Help with Procedure code PLEASE!!!!!!

    Look at 37617 - Ligation, major artery; abdomen Abdominal arteries listed below: abdominal arteries; aorta; appendicular artery; celiac trunk; colic artery; cystic artery; epigastric artery; epiploics artery; femoral artery; femoral circumflex artery; gastric artery; gastroduodenal artery...
  4. J

    Tracheostomy planned procedure with Laryngoscopy

    You have coded one or more CPT codes designated as `separate procedure'. If the procedure was carried out as an integral part of another procedure already coded then the separate procedure CPT code should be deleted. These codes MAY be listed with modifier -59 if the separate procedure is...
  5. J

    Hernia - 49507 or 49525

    49525 The physician repairs a sliding inguinal hernia. The physician makes a groin incision. The hernia sac is identified and dissected from surrounding structures. The hernia sac is opened and the abdominal viscera attached to the sac are dissected away from the sac if possible. The hernia...
  6. J

    Vein to vein transposition

    36819 AV anastomosis by upper arm basilic vein transposition (CPT code 36819) is similar to 36818 but with transposition of the basilic vein.
  7. J

    Need help tackling complicated distal humerus fracture!!

    Definitely complicated...this is my take on the procedure: 24545-LT - Dx: S42422B In 24545, the physician performs open treatment of a supracondylar or transcondylar humeral fracture that does not have an extending fracture line present between the condyles. In 24546, the humeral condylar...
  8. J

    Need help with CPT codes... PLEASE!!!!!

    I am so sorry...slipped past me...all I am coming up with is the unlisted 28899.
  9. J

    bone grafting delayed union humerus fx

    Question bone grafting delayed union humerus fx If I were to code this in our clinic...with regard to the removal of fixation device (screw), which was presumably attached to the plate in which surgeon debrided fibrous union with a curette. This type of debridement would be included in the...
  10. J

    Fracture Care to Surgert

    Fracture Care to Surgery Was surgical intervention planned at the time of applying the cast? If so, you would append Modifier 58 to the surgery. If this was not a "planned" decision for surgery, append modifier 78 to the surgery. Either way, you can still bill for the office visit!
  11. J

    Need help with CPT codes... PLEASE!!!!!

    Default Need help with CPT codes... PLEASE!!!!! 28636-T5 26540-RT 26530-RT Dx: S93121A S93521A
  12. J

    19101 or 19110

    19101 or 19110? Take a look at: 19120 - Excision of cyst, fibroademoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion, open, male or female, 1 or more lesions
  13. J

    Wide Excision of Malignant Neoplasm of skin, soft tissue, and muscle on chest wall

    21552 - Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3cm or greater
  14. J

    Help with bundling issue

    Was surgeon aware of the small bowel perforation, prior to performing surgery? (perforation may have been caused intraoperatively?) If not, this is an incidental finding, and cannot be billed. You still definitely need to code the Dx "perforation of small bowel"...but do not code the...
  15. J

    Am I giving this OP Note too much thought?!?! Help please! :)

    Am I giving this OP Note too much thought?!?! Help please! 29823,59,RT - Debridement +29826,RT - Decompression, acromioplasty 29824,RT - Distal claviculectomy M13811 M75101 S46111A M25811 Note: Report makes no mention of tenodesis of biceps, only debridement