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Physician wrote notes stating under HPI that patient had metastic pancreatic cancer. Then under the assessment, physician just wrote pancreatic cancer. So which one should I go by?
Under the condition:
1. no way I can ask the physician.
2. physician was the patient's PCP not his...
Atypical squmanous proliferation consistent with invasive well-defferentiated squamous cell carcinoma, associated with scar, present at margin.
Should I code it as 198.2 or 173.60?
Please advise.
Patient had sinoatrial node dysfunction (427.81). Pacemaker was in place. Now, do we still code 427.81 for his disease after the pacemaker was placed? Or should we code it as history?
Please advise.
Patient had sinoatrial node dysfunction (427.81). Pacemaker was in place. Now, do we still code 427.81 for his disease after the pacemaker was placed? Or should we code it as history?
Please advise.
Hello there,
I am not certain which icd code should be used when that patient whom had CAD with angioplasty or stent insert. Should I use 414.00 or 414.01?
Please advise.
A patient who had a coronary bypass two years ago is seeing the physician for a follow-up stress test and subsequent evaluation. The patient has no complaints. This is:
1. aftercare
2. a follow-up visit
3. a routine exam
I can code it as aftercare?
Patient was intubated under emergency. Then patient self pull out the intubation. What DX should we use when we need to re-intubate the patient? For the second intubation, could I use the 31500 again? Please advise.
Default Nerve blocks (64400 - 64450) with fluoroscopic guidance 77002
Please enlighten me here. In the CPT book, it does not indicate fluoroscopic guidance (77003) is included in cpt code 64400 - 64450. Insurance company/Medicare always denies payment on this combination. When we code it with...
Please enlighten me here. In the CPT book, it does not indicate fluoroscopic guidance (77003) is included in cpt code 64400 - 64450. Insurance company/Medicare always denies payment on this combination. When we code it with ultrasound guidance (76942), insurance always pays for it.
I...
Can someone explain to me the different?
If patient place on flouroscopy table for injection on a nerve block, do you charge 76000 or 77002? Or you treat it as bundle.
The bottom line what is the different between those code? Please advice.
Thanks!
Question is when a physician performed procedure 62311 at the same level and same side as the 64494. Can we bill it or it was considered bundle? Please advice.
I received a denial from Ins for the second unit. Doctor documentated that he inserted 2 electrodes implant (T9 and T10) on the patient and performed 2 different sites ( T9 and T10) of spinal cord analysis and testing. Could I charge 95971 for 1 unit or 2 unit? Please advice.
I am currently reading the anesthesia RVG. They are mentioned the use of modifier 23. Can anyone give me an or a few examples of how it is used on procedure. I ask this question is because I never use it. But would like to know and how to use it correctly. Thanks:rolleyes:
Under the ROS section,when the doctor reviewed a 5 body systems (e.g GI, chest, skin, eyes, constitution, cardio and then he starts "ten point review of system is negative". Can I count it as 10 ROS was done? or Just 5 body systems?
Please clear up for me??
patient had a epidural delivery and now she went back to surgery room because she wanted to have PPTL. She still had the epideral catheter on her. Should I code the type of anesthesia as Epidural or MAC
Hi There,
I am planning to take the specialty exam. In my coding, I don't have to do the patient status P1 to P6. Any suggestion how I can learn that. Any question on this part in exam please advice. Very much appreciate.
Hi there,
I have a patient which our doctor placed 2 continous catheters on both pop fossa nerve and saphenoous nerve. My question are:
1. can I code 64449 2 times?
2. do anyone get pay under this scenario?
thanks