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  1. K

    Iv hydration

    Hello, In this case, you would code the hydration because the hydration ran for 39 minutes alone (10:31-11:10). Hope this helps!
  2. K

    Dx Code for Hypoplastic neural foramen & Congenital hypoplastic vertebral artery??

    Dx Code for Hypoplastic neural foramen & Congenital hypoplastic vertebral artery?? Hello, Need help with the above dx's. I did come up with Q27.8 for Congenital hypoplastic vertebral artery but still unsure. I would really appreciate any other suggestions in this matter. Thanks in advance
  3. K

    Ear laceration repair/Complex or intermediate???

    Hello everyone, I have a question in regards to the below scenario. laceration anesthetized with 2% lidocaine, cartilage was reapproximated with 4-0 vicryl in a simple interrupted fashion. The skin was then closed with 4-0 nylon. I am leaning toward a Complex laceration repair due to...
  4. K

    Radiology/73701 & 72193???

    Hello, Is it appropriate to bill both 73701 & 72193 together? They are both comprehensive codes. There was a CT scan of the pelvis and CT scan of lower extremity from femoral head to just below the knee? Both with contrast. Any help would be appreciated.
  5. K

    Teaching Physician Rules??

    Hello everyone, I have a couple of questions in regards to the teaching physician rules. If a foley catheter is placed by nursing staff as ordered by resident but the teaching physician did not directly supervise the procedure, can you still pick up the procedure? The teaching physician does...
  6. K

    Procedure documentation??

    Hello, I would like to get an opinion on whether or not any of you think the below procedure description or documentation is enough to code the procedure. It is as follows: Distal radius & ulna fx, closed reduction under conscious sedation. Pt neurovascularly intact post reduction. Thanks in...
  7. K

    Need prior year books

    Hello, Try www.amazon.com. Hope this helps!!
  8. K

    Abscess drainage CPT???

    Hello Debra, That is the conclusion I came to as well. I didn't find a procedure code that would have been appropriate for what was described in the procedure note especially since there was no incision done. Thanks to both you and Jamitch for your help!!
  9. K

    Abscess drainage CPT???

    Hello, That was the complete procedure note I described above. No catheter involvement. I didn't think 10060 would apply since the procedure note doesn't state incision, only removal of eschar which allowed drainage of abscess. I'm still kind of on the fence with this one but I really...
  10. K

    Abscess drainage CPT???

    Hello, I have a procedure that I am unsure of what the appropriate CPT would be. The procedure note reads as follows: After cleaning area with alcohol the eschar was removed with forceps. A moderate amount of purulent material was expressed. The encoder is leading me to CPT 15002 but I don't...
  11. K

    Aromatase Inhibitor E code?

    Hello, Aromatose inhibitors are used to treat breast cancer, pre- or post-op. Therefore I would use E933.1 for adverse effect of Anastrozole given therapeutically. Hope his helps!!
  12. K

    DX??/Tracheotomy Comp/Dobb Hobb displacement

    Hello, Pt presents w/CC of Tracheotomy complication. Pt had a Dobb Hobb Tube in tracheal esophageal fistula. Dobb Hobb tube displaced. Dobb Hobb tube replaced via TE site. Would the correct dx be 519.09 or would 536.42 be the correct dx? Any help would be greatly appreciated!! Thanks in advance
  13. K

    Branchial Cleft Cyst I & D????

    Hello, I am trying to find the correct code for an I & D of a Branchial Cleft Cyst. I have viewed 42810 but that's an excision not an I & D. Does anyone else have any insight on the appropriate code for this procedure? Any help would be appreciated. Thanks in advance Edit/Delete Message
  14. K

    Branchial Cleft Cyst I & D????

    Hello, I am trying to find the correct code for an I & D of a Branchial Cleft Cyst. I have viewed 42810 but that's an excision not an I & D. Does anyone else have any insight on the appropriate code for this procedure? Any help would be appreciated. Thanks in advance
  15. K

    96372 w/units

    Hello, If you have multiple injections, you can list 96372 line by line or just simply list 96372 once w/the number of units(injections). For example, if you have 2 injections, you could list 96372 w/2 units. No modifier is required for multiple units. Hope this helps!!
  16. K

    Do NOT stress over the ICD-10 Proficiency Assessment Examination

    Hello, I purchased the practice test and went through that once. Then the following week, I decided to go for it. I took the exam and I passed with a little over an hour to spare! My goal was to take the exam before the New Year and pass it and I achieved my goal! Congratulations to all that...
  17. K

    Axilla abscess/Sebaceous cyst removal??

    Hello, I wanted to be sure that 10060 or 10061 would be appropriate for the below procedure. 11 blade scalpel use to make incision across body of abscess. A forcep & manual pressure used to remove contents of abscess cavity which appeared to be an infectious sebaceous cyst. Abscess cavity...
  18. K

    Axilla abscess/Sebaceous cyst removal????

    Hello, I wanted to be sure that 10060 or 10061 would be appropriate for the below procedure. 11 blade scalpel use to make incision across body of abscess. A forcep & manual pressure used to remove contents of abscess cavity which appeared to be an infectious sebaceous cyst. Abscess cavity...
  19. K

    Debridement/Perineal abscess??

    Hello, Just want to be sure I'm on the right track. Here goes. Perineal abscess Procedure description: debrided & irrigated. Packed with iodoform gauze. Would 11042 be appropriate or do I need to query the physician for more information? Thanks in advance
  20. K

    Debridement/Perineal abscess???

    Hello, Just want to be sure I'm on the right track. Here goes. Perineal abscess Procedure description: debrided & irrigated. Packed with iodoform gauze. Would 11042 be appropriate or do I need to query the physician for more information? Thanks in advance
  21. K

    Intrabursal Injections??

    Hello, Yes, the actual administration is what I needed. I ended up using 20610. Right after I posted the question, it came to mind what I needed to use.:) It's been a while since I've done infusion/injection/hydration coding, so now I have to put those hats back on.:) Thanks so much for your...
  22. K

    Intrabursal Injections??

    Hello, Is there a drug administration code that would apply to intrabursal injections? Thanks in advance for your help!
  23. K

    The use of G0431????

    Hello, I have a question in regards to the use of G0431(drug screen). When multiple drug screens are charged using this HCPC code. If an edit is received to apply the appropriate modifier, I'm aware that modifier 59 can be applied if different specimen type but I have one that specifically...
  24. K

    G0431???

    Hello, I have a question in regards to the use of G0431(drug screen). When multiple drug screens are charged using this HCPC code. If an edit is received to apply the appropriate modifier, I'm aware that modifier 59 can be applied if different specimen type but I have one that specifically...
  25. K

    Debridement???

    Hello, I wanted to get other opinions on coding this procedure. The documentation states necrotic skin was debrided and there was some serous sanguinous drainage at the base. A wound culture was obtained. The patient has cellulitis in this area. Would 11000 be appropriate for this procedure...
  26. K

    CAD w/hx of Cardiac cath & stent??

    Hello, I have been getting a difference of opinion on this. I would like others input on this. The note reads as follows. CAD, Previous cardiac cath with stent placement. Would you code 414.00 with v45.81 or v45.89? Thanks in advance
  27. K

    CPC, CPC-H, CEDC seeking remote position

    Hello, I am currently seeking a Part-time or full-time remote coding position. My most recent experience is using 95 Guidelines to assign proper E/M level, CPT/ICD-9 codes to ED billing Records-Professional component, including a variety of procedures performed by ED physicians and/or Midlevel...
  28. K

    Seeking Remote ED/HCC Coding opportunity

    Hello, I am currently seeking a Part-time remote position. I have 5+ years of ED Pro-fee Coding experience as well as 2+ years of HCC Coding experience. I have a total of 6+ years of Coding experience. My coding credentials include the CPC and CEDC. I have 5+ years of experience working...
  29. K

    help with diagnosis

    Hello, Per the ICD-9 Guidelines you would first code the reaction followed by the appropriate E-code which in this case would be E932.0. Hope that helps!
  30. K

    Cold laser light therapy CPT?

    Hello, what CPT code would be appropriate for Cold laser light therapy? Would you just apply the unlisted procedure code? Any help would be greatly appreciated!
  31. K

    97140 & 97530?

    Hello, 97140 & 97530 may not be billed together due to they are Mutually exclusive, however a modifier is allowed. Would you add a modifier 59 or just bill the 97530(therapy)? Any help would be appreciated!
  32. K

    Bevacizumab Injection??

    Hello, When Bevacizumab 2.5mg is given Intraocular route, is HCPC code C9257 appropriate for this? Any help would be appreciated!
  33. K

    PICC line placement?

    Hello, what ICD-9 code would be appropriate for x-ray done to evaluate position of picc line if reason for picc line placement does not meet medical necessity? I don't think an aftercare code would be appropriate since it wasn't a separate encounter. Any help would be appreciated!
  34. K

    86003/Modifier?

    Hello, I have a question regarding use of a Modifier for lab code 86003. This code is listed for each allergen, so if multiple allergy tests are done, is there a modifier required? Any help would be appreciated.
  35. K

    92012 & 92015

    Hello, is it necessary to add a modifier when 92012 & 92015 are billed together? Also, is there ever a time when 92012 will be billed twice on the same day or visit?
  36. K

    90460?

    Thanks for your response. I think I should have phrased my question better now that I look at it.:) In order to use 90460, the documentation has to clearly state that administration of vaccine or toxoid counseling was done prior to administration of the vaccine/toxoid?
  37. K

    90460?

    Hello, I have a question on the use of 90460 for vaccinations. I know this code includes counseling. Would I apply this code if Dietary Counseling or any other counseling done at same time of vaccination or only if documented vaccination counseling was done? Any clarification would be appreciated.
  38. K

    99291 and 99292

    Hello, 99291 is for the first 30-74 minutes & 99292 is for each additional 30 minutes. Refer to the Critical Care Code section in your CPT book. There is a Critical care table(Total Duration of Critical Care Codes) that lists the number of minutes for 99291 & 99292 and it tells you how many...
  39. K

    Kareo Web-based Billing software

    Hello, does anyone have any experience with Kareo Billing software?
  40. K

    RHIT Certification

    Hello, Ahima has a list of schools on their website that are CAHIM accredited Programs in which after completion your eligible to sit for the exam. You can click on the following link http://www.cahiim.org/accredpgms.asp to search for a program.
  41. K

    Have you taken the CCS Exam?

    Hello, Has anyone used Gatlin education CCS Prep course to prepare for the CCS exam? I have read reviews by some who have taken the course, but I was just wondering has anyone else had any experiences with their CCS prep course. This is the link to the website...
  42. K

    RHIT Certification

    Hello, Yes, you are correct, you have to complete an Ahima accredited HIM Program in order to sit for the RHIT exam. You can go directly to www.ahima.org, click on certifications and it tells you the difference between each Certification they offer.
  43. K

    Marina Billing

    Hello, Did you apply for a position with them? If so, did you ever hear anything from them?
  44. K

    Have you taken the CCS Exam?

    Hello, I plan to start preparing for the CCS exam as well. The updated CCS exam prep.4th edition will be available for purchase 08-30-11 on Ahima's website. I also plan to take some of the e-learning courses Ahima offers like the Hospital Outpatient & Inpatient courses and any other courses I...
  45. K

    CPC, CEDC seeking a Remote Position

    Hello, I have over 18 years of experience in the healthcare industry and I am seeking a remote opportunity that provides Professional growth. I have 5 yrs of ED Professional Coding experience, and Quality Coding with a current 100% accuracy rate and meeting or exceeding Production standards...
  46. K

    Brain mass?

    Hello, Just wanted to know what dx code should be used for brain mass? Would 348.89 or 239.6 be appropriate? Any help woud be appreciated. Thanks.
  47. K

    liability insurance

    Hello, Under Resources on AAPC website, look under Savings & click member perks. Then click Insurance & Services. Then click Marsh Affinity Group services. They provide Professional Liability Insurance. From there just click on the info about the costs, etc. Hope this helps!!
  48. K

    I do not like home health coding

    Oh, and here's something else that may be helpful. Other than the medical specialty coding website I provided, you may also want to try Ingenix website, they have Coding manuals specific to Home Health Coding as well. I hope this helps also!!
  49. K

    I do not like home health coding

    Hello, I don't have any experience as a Home health Coder, but I do know of a website that may be helpful to you and they offer Certification for this particular specialty. Visit http://www.medicalspecialtycoding.com. Hope this helps!!
  50. K

    buttock abscess

    Hello, the documentation should state whether or not its a Pilonidal abscess or buttock abscess. Since the wound was packed with gauze, I would use 10061.
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