Search results

  1. 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
  2. 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...
  3. 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.
  4. 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...
  5. 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...
  6. 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...
  7. 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
  8. 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
  9. 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
  10. 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...
  11. 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...
  12. 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
  13. 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
  14. K

    Intrabursal Injections??

    Hello, Is there a drug administration code that would apply to intrabursal injections? Thanks in advance for your help!
  15. 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...
  16. 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...
  17. 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...
  18. 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
  19. 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...
  20. 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...
  21. 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!
  22. 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!
  23. K

    Bevacizumab Injection??

    Hello, When Bevacizumab 2.5mg is given Intraocular route, is HCPC code C9257 appropriate for this? Any help would be appreciated!
  24. 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!
  25. 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.
  26. 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?
  27. 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.
  28. K

    Kareo Web-based Billing software

    Hello, does anyone have any experience with Kareo Billing software?
  29. 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...
  30. 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.
  31. K

    Wiki Inevitable Spontaneous Abortion????

    Hello everyone. I need help with the dx code for Inevitable Spontaneous Abortion. Would 634.90 be appropriate or 640.03? Any input would be appreciated.
  32. K

    Aerotek???

    Has anyone ever worked for Aerotek, if so what was your experience with them?
  33. K

    Wiki Diabetic foot infection???

    Hello all. I need help on which dx would be best for the following scenario. Pt has cut to foot & now has diabetic foot infection. Nothing specific as to what type of infection such as Cellulitis, gangrene, Osteomyelitis, etc. Would dx 250.80 & 686.9 be sufficient for this scenario or any input...
  34. K

    Direct Admits

    Hello all, I have a question about Direct Admits. I've been getting different responses. Here's 1 scenario, if its a direct admit, no other tests done in the ER, what level would you bill or would you bill it at all?
  35. K

    Codebusters or Docucoders?

    Hello everyone. Has anyone ever worked for Codebusters or Docucoders?
  36. K

    Wiki Intrauterine pregnancy???

    What ICD-9 code should be used for a intrauterine pregnancy. I have asked my co-workers this question before & I was told to use 646.83, but I'm still not sure about using this code. I don't think 633.91 is correct either if there's no documentation of an ectopic pregnancy or intrauterine death...
  37. K

    Kidney Fracture dx???????

    Does anyone have any idea what ICD-9 code would be used for a kidney fx?
  38. K

    Shared visit?

    When you have an NP and MD signature in an ER setting and the MD writes seen and agree, is that acceptable in an ER setting? I remember reading somewhere where that was only acceptable in an Inpatient setting, does anyone have any insight on this? I would really appreciate it.
  39. K

    Bilateral Procedures - will be appreciated!!

    On Bilateral procedures that require an add on code, do you add modifier 50 to both codes? On the primary procedure in the Cpt it states if the procedure is bilateral add modifier 50 & it states the same on the add on code. Any help will be appreciated!!
  40. K

    Surgeon & Assistant surgeon Modifiers????

    Hello, I am new to Surgery Coding, and I need some clarification. Ok, here's 3 scenarios: Surgeon performs a knee replacement. Do I just list the procedure w/out a modifier? Next scenario: Surgeon performs a procedure w/Assist from PA, do I list the procedure twice with the AS modifier on the...
  41. K

    Has anyone ever worked for MRSI Inc.?

    Just wanted to know if anyone has ever worked for MRSI inc. or know of anyone who has, and if so what was your experience with them? Are they a good company to work for?
  42. K

    Sample contract coder contract/All specialties

    Does anyone by chance have a sample contract for those interested in contract coding, and how do you determine fees based on specialties? Any information or resources anyone could provide in helping with this matter would be great!!! Thanks
Top