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  1. M

    Patient on oxygen - help

    Could I code it as v46.11?
  2. M

    CAD with hypertension

    should I code it as 414.01 402.90 -> fall into cardiovascular disease category under hypertension. Is it??
  3. M

    Pancreatic cancer or metestatic pancreatic cancer

    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...
  4. M

    what is the appropriate icd 9 code

    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.
  5. M

    hypertension with atrial flutter - icd please

    should I code it as 427.32 401.9 or should it be coded as 427.32 402.90 Please advise
  6. M

    DX for sinoatrial node dysfunction w/pacemaker

    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.
  7. M

    DX for sinoatrial node dysfunction w/pacemaker

    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.
  8. M

    hypertension with atrial flutter

    Need help here!! How do you code it?? Please advise.
  9. M

    Stent vs CABG

    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.
  10. M

    followup or aftercare pls

    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?
  11. M

    Dx self pull intubation

    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.
  12. M

    elective C-section icd

    Please advise. what icd 9 code will use when a patient wants to have c-section without any medical situation? Thanks, Millor
  13. M

    Popliteal nerve catheter

    What code should it be used when the popliteal nerve catheter was placed?
  14. M

    Peripheral nerve catheter

    What is the cpt code for the placement of peripheral nerve catheter? Please advise.
  15. M

    ICD for total intolerance to labor

    what is the best code to use? please advise.
  16. M

    Nerve blocks (64400 - 64450) with fluoroscopic guidance 77002

    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...
  17. M

    Nerve blocks (64400 - 64450) with fluoroscopic guidance 77003

    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...
  18. M

    Pelviscopy for diagnoistic

    Please help. What is the code for pelviscopy???
  19. M

    cpt code for salpingo-palatine block

    please help what cpt code is for salpingo-palatine block.
  20. M

    76000 and 77002/77003

    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!
  21. M

    64421 with fluoroscopy

    Hi, I have received a denial on fluoroscopy (77002) as included service with 64421 (TAP) . Did I code it wrong? Any advise.
  22. M

    piriformis muscle injection

    Hi there, What pain code will you use? Will you use 64614? or 64999? Please advice. thanks, Millor
  23. M

    62311 and 64493 can be charged them together?

    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.
  24. M

    cpt 64530 with fluoroscopy (77002)

    Is the fluoroscopy billable??? The procedure say with or without radiologic monitoring. Does it mean included?
  25. M

    Cpt 95971

    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.
  26. M

    Modifier 23

    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:
  27. M

    E/m - ros

    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?
  28. M

    Epidural or MAC for patient had epidural catheter intact

    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
  29. M

    P1 - P6 (patient status)

    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.
  30. M

    I & D hip

    what code should I use? 0300 or 0400
  31. M

    can we bill for 2 peripheral catheters??

    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
  32. M

    Used book

    Hi there, Is anyone out there has some old, used book for the E/M credential exam? I want to take a look and the 2007 has been sold out.
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