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  1. H

    Need Help with Coding Debridement

    Hi! Need help coding the following: Sharp Debridement of Stage 4 Sacral Decub.Ulcer Pt was in the Lt Lateral decubitus position. Given IV General. Sacra area steriley prepped and draped. 100 sq cm sacral decub.ulcer was sharply debrided of necrotic eschar. There was also necrotic muscle and...
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    Help With Coding Exc of Skin lesion with Full Thickness skin graft & Layered closure

    Help With Coding Exc of Skin lesion with Full Thickness skin graft & Layered closure Hi everyone! Just wondering if its appropriate to use the following codes: Excision of 3 Cm Leison Squamous cell ca of lt hand CPT 11623 with 8 cm layered closure CPT 12044 with 59 and Full...
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    Advancement Flap

    Does CPT 14040 include Excision of lesion? Thank You Hopp
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    Exc Malig Lesion with AT and T advancement flap

    Hi just needed some help with coding and Excison of malignant lesion and AT and T Advancement Flap CPt Manual states that the Flap does not include exc. of the lesion; however when I enter the codes it says disallow for the excision so I did add the 59 modifier and came up with clean claim...
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    Need CPT for RIH Lymph node bx with BB localization US guidance

    Hi Wondering if anyone can help? Trying to get precert for following Rt inguinal Lymph Node Bx with Preop BB Localization with Ultrasound guidance Thanks Deb, CPC
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    Please help with CPT code for Preop BB Localization

    Hi everyone! Trying to get precert for upcoming procedure and wondering if anyone can help me out. Right inguinal Lymph node Biopsy with preop B B localization with ultrasound guidance Thanks Deb, CPC
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    Please Help with Coding of Fulgeration of lesions

    Hi everyone! Wondering if I could help coding the following as Medicare has been denying. How do I code for Destruction of 4 lesions Actinic Keratosis? Thought that it was 17000 then 17003-59 17003-59 17003-59 and 17003-59 They are all different anatomical locations. Any...
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    ICD10 Assessment test

    Preparing for ICD 10 assessment test - Have Faye Brown Book but just wondering if I will need ICD 10 Code book I don't even think they have been released yet Does anyone know?? Deb, CPC
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    ICD10 Proficiency Help?

    So getting really nervous about exam - Just recently purchased Faye Browns ICD10 Wkbook with answers and wondering how this relates to the AAPC's training and if this would be enough to prepare me for exam! Thanks for any input. Deborah, CPC
  10. H

    Help coding Evacuation of thrombosed hemorrhoid

    Just wondering if CPT 46083 is correct code for evacuation of thrombosed hemorrhoid Thanks Deb,CPC
  11. H

    Need Help with Coding Laparotomy

    Hi - PLEASE! Need help coding Surgery on the following: Exploratory Laparotomy was done along with Lysis of extensive adhesions and then through a separate incision an incarcerated LIH was performend. Thinking 49507 -LT and appending 22 modifier for the adhesions Not able to code for...
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    Help Coding Punch Biopsies

    Just wondering if I could get help coding the following: Physician performed Punch Bx X 3 in office: 1) Punch Biopsy Left Leg Prior surgical site 2) Punch Biopsy Left Leg Prior surgical site 3) Punch Biopsy Left Leg Prior surgical site (All were of the same lesion) Dx: Scan and changes...
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    Methylene Blue Injection

    HI Just need some help coding the following: Intradermal injection of Methylene Blue for Sentinel Lymph Node Identification Was thinking of CPT 38792 Thanks for any help Deb CPC
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    CPT for Evacuation of Ext Thromb.Hemo

    HI Everyone! Just looking for Help with a CPT code for Evacuation of an external Thrombosed Hemorrhoid office Procedure Have 2 in mind just not sure which is correct 46083 or 46320 Thanks in advance for any help CPC Deb
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    Need Help With Exc lesion With A to T Flap

    Hi! Wondering if I anyone can help coding the following: Exc forehead lesion with FS (Clear Margins)- Triangular portion of skin was exc. superiorly and a horiz.incision was made at base of the circle of the initial incision and extended outward on each side to create 8 sq cm A to T...
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    Help Coding SmBowelresect/Clsoure enterostomy

    Hi Wondering if someone would be able to help code small bowel resect. Closure of enterostomy with enterostomy and cholecystectomy. The enterostomy occured when using sharp dissection in mobilizing the the distal bowel Any help would be appreciated! Cholecystectomy was done due to...
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    Wound Care/Dressing change Help with CPT

    HI Everyone! Just wondering if anyone knows if there is a CPt code for wound care/dressing change Example: Pt comes into office has open wound Physician cleans the wound and dresses wound with 4x4 then pt comes back following week has wound cleaned and dr places new dressing (Wound...
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    Help With CPT Code 97602

    Hi There! Does anyone know if this code has been replaced? It is in my 2013 CPT book; however I noticed that it does not appear on the Medicare Fee Sched. Wound cleansing/Tx by nurse TIA Hopp,CPC
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    Help Coding: Colonoscopy then RemFB Rectum

    Hi Just wondering if anyone would be able to help code following: 1) Colonoscopy to mid sigmoid Dx FB Rectum thought that it would be 45378-53 2) Laparotomy - and removal of FB of the rectum (All was done same day) I know that I prob. cant bill for lap and only rem. Just cant find a...
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    Please help with coding 17000 and 17110

    Hi Just wondering if someone could help clarify coding of 17000 and 17110 regarding units On CPT 17000 - If mult.lesions are fulgurated (Premalig) 702.0 Ex: 14 then I would use units; however if mult lesions are fulgurated (702.11 Inf. Seb Keratosis) Ex:14 then I have to code JUST the 17110...
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    Need Help Coding Colonoscopy mult polyps

    Hi Just wondering if I could get help with the following: Colonoscopy to cecum 1) Snare polyp distal Ascending colon 2) Snare 3 polyps of midsigmoid colon 3) Snare 2 polyps of distal sigmoid colon 4) Snare 3 polyps of rectum Thinking that I could code 45385 for #1 then 45385 -59 stating...
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    Excision cysts neck

    Hi Please help me to code following: Exc of 2 epidermal cysts of the neck - 1 incision the subcutaneous tissue was dissected from the muscle fascia. 8 cm incision which incorporated the 2 cysts along with 8 cm layered closure. Was thinking CPT:11423 along with 12044 but just wasnt...
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    Help Coding Exc. Inf Cyst back

    Hi! Just wondering if anyone would be able to help coding following: Exc 3 cm inf.cyst of the back that was excised to the muscle fascia and elevated off the muscle fascia using Bovie. Exam.of superior flap revealed approx.1cm residual cyst wall ext.proximally and this was sharply dissected...
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    Please Help Coding Debridement

    Wondering if someone would be kind enough to help with following: Debridement skin and muscle of massive sacral decub ulcer 15 x 15 cm I orig. coded 11043 along with 11046 x 10 and was denied on the 11046 stating this many not allowed so just wondering should I have coded procedure Thanks...
  25. H

    Lipoma Coding??

    Perplexed about coding Lipoma(s) Skin Vs Soft tissue Pre op DX: Massive lipoma lt chest OP Note: Lt chest prepped and drapped. 27 cm elliptical inc made over subcu lipomatous mass etc etc etc. Path: Tissues: Tissue - Lipoma lt chest. Diag Imp: Left chest lesion: Atrophic skin with...
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    Please help coding flap procedure

    Good morning! Wondering if I could possibly get some help coding following op note: 5mm squamous cell carcinoma lt cheek excissed using triangular exc. incorp. 5mm margins all sides. Apex of specimen was maked with suture. Bovie cautery used for hemostasis and was used to elevate lesion off...
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    Please Help with CPT code:Triple Lumen Cath and Also Femoral Arterial line

    Hi! Wondering if someone would be kind enough to help with CPT code for following Triple Lumen Catheter - I think that it is 36556 and also for insertion of a Right femoral arterial line 36245 Thanks in advance Deb, CPC
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    Admit during Post Op Please help with Coding

    Hi! Just wondering about coding an admit during a post op global - Example: Pt had exceison of basal Cell Carcinoma leg and then approx 3 days later developed cellulits and had to be admitted to hospital. Can I bill for the admit with the 24 modifier or would this be considered related to...
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    New Pt Office Visit&Punch Bx

    Hi there everyone - Just wanted to know if someone would be able to help me coding following: New Pt comes to office with a Susp.lesion and my doc happens to do punch bx at that time: Documentation: Lesion back suspicious OP: Punch bx Would I code a new pt visit(25 modifier) along with the...
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    Need Help coding Closure of complex laceration

    Looking for help coding following: There was a proximally based broad-based flap laceration left knee. Base of flap measured 12cm. Length of flap was 7cm. There was a secondary flap measuring 4cm in length and 2 cm in width. Leg prepped and draped. Flaps were mobilized. Wound irrigated and...
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    Need Help Coding Colonoscopy

    Please help coding following Colonoscopy: 6 polyps extending from the cecum to mid transverse colon cold biopsied and rem. by cold biopsy bites. CPT: 45380 - 59 6 polyps from transverse colon to rectum removed via snare. CPT: 45385 also 4 polyps in the rectum were also fulgerated. (I dont...
  32. H

    Coding Destruction - Please Help

    Wondering which is the correct CPT for Dest. of a Seb.Keratosis - Thought that it was 17110 just not sure Any help would be appreciated. Thanks Deb,CPC
  33. H

    Help Coding Excision of Lipoma

    Hi just wondereing if someone would be able to help me code the following: Excision of 5 x 3 cm mass lower back. Transverse incision made through the skin and Subcu. tissue overlying palpable mass. Drain placed. Subcu closed with 2-O and skin closed with skin staples. Path: Portions of...
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    Please help with Coding Low Ant.Resection

    Hi Wondering if anyone would be able to help code for the following: Low Anterior Resection with rectoplexy and Colostomy (skin) Thought that the correct code would be 44141? Just not sure Parts of the descrip. read: The Sigmoid was divided at it midportion with GIA then messentary of...
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    Please Help with DX code

    Looking for Correct DX Code for the following: Acanthosis & Hyperkeratosis of the back Pt had an E&M 99213 and for the Dx Code I billed out 701.1 Medicare will not pay saying that the DX code is a foot code (Screening) and is not covered. So would I use the 702.8 other dermatoses Any...
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    ?ICD9 Code for Hyperkeratosis back

    Hi Just wondering if someone would be able to help me coding a Lesion from the back Path:Acanthosis and focal hyperkeratosis I thought it was 701.1; however medicare will not pay an E&M(99213) with that Dx as they say that it is a screening and that is a foot code Dx - So would I use the...
  37. H

    Lap Chole Conv.to Open with Inc.umb hernia

    Hi Wondering if anyone would be able to help! Can I bill for umb.hernia that was incarcerated along with Lap Chole conv.to open I put the following through encoder pro and it came up as a clean claim: CPT 47600 ICD9:574.00 along with CPT:49587 Mod.59 ICD9:553.1 TIA for any help DEB,CPC
  38. H

    Please help with coding Exc.Lipoma Axilla

    Hi Wondering if I could get some help with coding an excision of 2 cm axillary mass(subcu) DX: Lipoma Looking at CPT:24075 but that states elbow/upper arm TIA Deb, CPC
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    Please help With Following:Lap Chole Op Cholang. & Intrep

    Hi! Just wanted to get some feedback on this. My Doc performed a Lap Chole with Op Cholang CPT 47563, he also did the intrepretation of the Cholangiogram and I was wondering can I bill for that and if so what would the proper coding be? (?74300) TIA Deb, CPC
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    Please help coding Unna Boots

    Hi! Please help with correct way to code and get reimbursed for Unna Boot - Am I Allowed to code for an OV 99213, Unna Boot 29580 and Removal of Unna Boot 29700 for Ulcer lower leg. What Modifiers would I use as all relate to same prob. TIA for any input Deb, CPC
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    Help with screening col

    Can someone please define Screening Col. - Est.Pts are calling wanting to be scheduled for Screening Col as per their ins.Co. are allowing screening Col per year (Ded.Not Met). Now they already have an est.dx of diverticulosis but if we do not use the screening code pt will have to pay...
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    Need help coding LapChole & Umb Hernia

    HI! Wondering if you can code a lap chole & umb. hernia. I put it through Encoder Pro and it did not bundle; however ins company is denying as being inclusive. TIA Deb, CPC
  43. H

    Please help with Coding EGD

    Hi -Wondering if someone would help with the following: EGD,BX of duodenum, Cold Bx and polypectomy with cold bx bites. Thinking it would just be the 43239 TIA Deb, CPC
  44. H

    Need Help Coding I&D Abscesses

    Hi - Wondering if anyone could help me with coding of I&D of abscesses.- Not sure when to use the 10060 vs 2000 of the following 25028 Drs office note states that I&D was performed of the Soft tissue abscess left arm (antecubital). I am very confused with all the abscess codes and not sure...
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    Please help coding Exc.Lipoma

    Hi I cant seem to find code for the following: Excision of 7cm Rt posterior arm mass- Path: Lipoma OP Note: 7cm Lipoma excised from subcu.tissue and sharply excised off the triceps fascia. (Doc.also stated he did a 9cm layerd closure) I think layered closure is inclusive. CPT code that I...
  46. H

    Help with Dx Code

    Hello- Wondering if anyone could help with a ICD9 Code Hidradenitis of the groin - Would I use the 705.83 TIA DHOPP CPC
  47. H

    Removal Percutaneous Drain

    Hi Everyone! Having difficulty coding for removal of percutaneous drain. Pt came into the office - Thinking I can only bill and E&M code. Can anyone help me with this? Havent really been having to much luck with this coding forum; but thought I would try again Thank You, Deb CPC
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    Coding for Debridement

    Please help with the following: No operative note. Doc saw a pt in the office and did a debridement of 2x3 ulcer of the lower leg down to the fascia. Wondering if I coded this correctly CPT 11042 with Dx:707.10 Any response would be appreciated TIA, Deb, CPC
  49. H

    Admission during Post Operative global

    If pt is admitted to the hospital during post op global for post op wound infection am I correct in thinking that this hospitalization is not billable Thanks, Deb,CPC
  50. H

    PO Hernia Repair -Infected mesh

    Hi everyone! Just wondering how to go about coding the following: Pt came into office during po hernia repair. Doc found pt had post op infection from hernia repair due to infected mesh. Can I bill Office visit and is there a dx code for infected prosthesis. Also, he took her back...
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