Search results

  1. C

    Need Modifier for Physical Therapy Codes

    My question is what modifier to use?
  2. C

    Need Modifier for Physical Therapy Codes

    Hello to all, I'm new at coding outpt physical therapy (ORF) and need to know what modifier to use 59 or GP? We recvd a denial from Humana Gold for missing modifier the codes we billed: 97001, G0283, 97110, & 97140 And also on a seperate claim the same thing denied but we only billed out one...
  3. C

    Decadron

    Does anybody know what J code to use for IV decadron 40mg? Any help is greatly appreciated. :)
  4. C

    Orif c1-2

    Thank you!!!!:)
  5. C

    Orif c1-2

    Please help can anyone tell me if 22595 is bundled into 22326? Procedure: Open reduction and internal wire fixation of C1 and C2 and posterior fusion C1-C2. Any help is greatly appreciated. :)
  6. C

    Modifier 53 on 1st aborted proc, what modifer on 2nd-diff approach??

    I still think you would use modifier -78 because the dr didn't intend/planned to abort the procedure. The pt had an unexpected drop in blood pressure. To me the dr would never begin the procedure if he knew pt's blood pressure was very low. Pt blood pressure was probably stable at the time...
  7. C

    Modifier 53 on 1st aborted proc, what modifer on 2nd-diff approach??

    I would think you would use modifier -78
  8. C

    Tlif

    Here is a really good website to look at about the new changes for 2012 it mentions the new PLIF/TLIF codes. http://www.beckersorthopedicandspine.com/orthopedic-spine-practices-billing-coding/item/10003-important-2012-cpt-coding-changes-to-asc-spine--pain-management-procedures
  9. C

    Tlif

    Yes the new codes 22633/ 22634 does replace 22612/ 22630. In other words you can not bill out 22612 and the 22630 together UNLESS done on separate levels of the spine. If perform on the same level use 22633/22634. So you would code 22633 22634 x 2 22842 22851 20936 20930 If the your doctor...
  10. C

    Need Help Finding a Code

    I have found the answer to my question with the help of other neurosurgery coders from a diff coding discussion website. The answer is 61323. I wanted to post it incase someone one day might have the same question. :)
  11. C

    Help with back surgery

    codes 63047 is single vertebral segment and 63048 is for each additional vertebra segment; segment being the key word in the description so you would count each segment not levels. Levels would include 2 segmts but it states a single vert. seg. so you would count each segment. So it would be...
  12. C

    Help with back surgery

    Me personally I would code 63047 with 63048x3 but that is just my opinion because 63042 is more for removal of herniated disk according to the dx pt has spinal stenosis. There is not really a code for reexploration of recurring stenosis so thats why I would go with 63047. If the doctor performed...
  13. C

    Need Help Finding a Code

    Need help finding a cpt code for: Exploration of left frontotemportal craniotomy, debridement and partial frontal lobectomy. Dx: Subarachnoid hemorrhage. Any help is greatly appreciated. :)
  14. C

    Skin Puncture Biopsy

    Thank you!!!!!!
  15. C

    Skin Puncture Biopsy

    My neurologist did a skin puncture biopsy to assess for small fiber neuropathy. Does anyone know what cpt code to use? There is one in the cpt book 11100 but don't know if this is the corrt one to use. Any help is greatly appreciated.
  16. C

    Laminectomy/Foraminotomy

    My doctor did a C3-C7 laminectomy with foraminotomies with spinal cord and nerve root decompressin. Dx: Cervical spondylotic myelopathy. There is not a code that only states decompressive laminectomy with foramintomies. The only code I see that best fits is the 63045 but he didn't perform a...
  17. C

    Spinal Surgery stuck in Zirmed...HELP!!!!!!!!!!

    I have found this article and hopefully it will be helpful to you. http://www.supercoder.com/articles/articles-alerts/nec/you-be-the-coder-billing-laminotomies-and-laminectomies/ But billing both 63047 and 63030 I'm surprise you have recvd paymt because more than likely it will get denied by...
  18. C

    Laminectomy/Foraminotomy

    My doctor did a C3-C7 laminectomy with foraminotomies with spinal cord and nerve root decompressin. Dx: Cervical spondylotic myelopathy. There is not a code that only states decompressive laminectomy with foramintomies. The only code I see that best fits is the 63045 but he didn't perform a...
  19. C

    Nerve Conduction Study

    We recvd a denial frm BC that 95900 was inclusive to 95903 can I use modifier -59 on the 95900 if it was done on the SAME nerve???? Or does it have to be a diff nerve in order to use modifier -59. My dr said it was done on the same nerve but it is two complete diff studies that was performed...
  20. C

    Neurosurgery

    How would I bill this surgery I'm kind of confused with how many segments to bill. Here's the procedure: 1. Deompressive cervical laminectomy C4, C5, C6 complete, partial C3 and C7 2. Facetectomy/foramintomy C4-C5, C5-C6, and C6-C7 bilateral. Looking at the first one he performed a...
  21. C

    Neurosurgery - I'm a little confused

    Thank you sooooo very much for your help. :)
  22. C

    Neurosurgery - I'm a little confused

    I'm a little confused if an anterior cervial discectomy and an interbody fusion at the same level was done during the same session I should ONLY report 22551 or should I bill the 63075 and 22551 together. Any help is greatly appreciated.
  23. C

    Neurosurgery-Onlay Fusion

    Can someone please help me with coding this procedure. The only code I know to use is the 22612 but I need help with the others. Any help is greatly appreciated. PROCEDURES PERFORMED: 1. L3-4 interspinous decompression and fusion arthrodesis using Life Spine 14-mm interspinous...
  24. C

    Neurosurgery - Can someone please help

    Can someone please help me I need a CPT code for an Exploration of frontotemporal craniotomy, debridement and partial frontal lobectomy. On the CT scan it showed a large area of cerebral edema-encephalomalacia involving the basal frontal lobe. Diganosis was cerebral edema. I've tried looking for...
  25. C

    Neurosurgery

    Is there a code for the anterior cervical osteophyte removal, C6-C7, without discectomy. I know there is the 63075 code but in his op notes it clearly states no discectomy. I also looked at the 22110 but he didn't do a partial excision of vertebral body. Should I use a modifier 52 on the 63075...
  26. C

    Ventriculostomy using a Twist Drill

    Can I bill the 61107 twice with a modifier on the second one?The reason I'm asking is the doctor put in a ventriculostomy catheter and a Licox oxygen monitoring catheter. The way the code description words it; its either one or the other. Any help is appreciated. :)
  27. C

    Neurosurgery - I have another coding question

    So do you think I should use the 64999 (unlisted procedure, nervous system)? I'm going to use code 62223 for the creation of the shunt and I guess to use the unlisted one as well. Have any idea? Do I have to send in notes to the insurance in the instance?
  28. C

    Codman programmable shunt

    Is there a CPT code for a Codman programmable shunt? The operation performed: Rt ventriculoperitoneal shunt, using Codman programmable shunt at 90 mm of water. I was going to use 62223 but should there be another code to use as well? Any help is greatly appreciated!!!!!!:)
  29. C

    Neurosurgery - help me on finding a cpt code

    Thank you soooo much for your help.
  30. C

    Neurosurgery - help me on finding a cpt code

    Can someone please help me on finding a cpt code for: L5-S1, S2, S3, and partial S4 laminectomies and nerve root decompression bilateral with resection of lumbosacral epidural lipomatosis. Any help is greatly appreciated. :)
  31. C

    Neurosurgery - I have another coding question

    I have another coding question is there a code for a Codman programmable VP shunt?
  32. C

    Neurosurgery - Can someone

    Can someone please help me. I need a code for an intraoperative monitoring with SSEPs, MEPs and EMG. Thanks for anyone's help on this.:)
  33. C

    looking for code

    Have you looked at code 43800? I don't know if that's correct but that is the only one I see for pyloroplasty.
  34. C

    Laminectomy

    I didn't know which code to go with 63030-50 or 63047 (or something else) so I decided to have someone else's imput. The diagnosis is an L2 burst fracture involving all 3 columns of Denis. The procedure is L1-L3 bilateral laminectomy. Pt was laid prone with a midline incision to the lumbar...
  35. C

    Stereotactic Radiosurgery

    Can someone please help me with this; it is a little confusing. On the charge sheet we use for Cyberknife. It has for the code description for 61798 Cranial Lesion Complex (>3.5) 1st Fraction only then for 61799 Cranial Lesion Complex (>3.5) 2nd-5th Fraction According to the CPT book 61799 is an...
  36. C

    Two E/M Codes On The Same Day

    Thank you!!!!:)
  37. C

    Two E/M Codes On The Same Day

    One of the hospitalist saw a patient early that day and charged a 99233 later the pt's condition became critical and the doctor later came back this time charging a 99291. Can I bill two e/m codes on the same date of service by the same physician in a situation like this?
  38. C

    Neurosurgery

    Thank you Rebecca for your help. I appreciated it very much.:)
  39. C

    Neurosurgery

    My doctor did a laminotomy and medial facetectomy with foraminotomies and nerve root decompression of the L5-S1. The patient has a herniated disk and radiculopathy. Can I use 63048 for the S1? Thanks for anyones help.:)
  40. C

    Neurosurgery

    Thank You:)
  41. C

    Neurosurgery

    Can I bill for a placement of a ventriculostomy if my doctor did a resection of a brain tumor or is it included in the procedure. If its not included in the procedure and I can bill for it what code should I use for the ventriculostomy? Any help is appreciated. :)
  42. C

    Neurosurgery - My doctor did a laminotomy

    Thank you!!!!!!:)
  43. C

    Neurosurgery - My doctor did a laminotomy

    My doctor did a laminotomy and foraminotomies re-exploration of lumbar wound because the pt has stenosis and radiculopathy of the lumbar area. During the procedure he found 2 small pinpoint spots of CSF fistula through the dura in which he repaired using sutures. Can I bill the repair of the CSF...
  44. C

    Neurosurgery - Can someone please help me

    Thank you so much for your help. I appreciate your help with this and also the other ones you have helped me with. You're awesome!!!!:)
  45. C

    Neurosurgery - Can someone please help me

    Here's the OP Note. Thanks for your help!!!!! PREOPERATIVE DIAGNOSES: 1. T11-T12 epidural and left foraminal mass. 2. Castleman disease. POSTOPERATIVE DIAGNOSES: 1. T11-T12 epidural and left foraminal mass. 2. Castleman disease. PROCEDURES: 1. T11-T12...
  46. C

    Neurosurgery - Can someone please help me

    Can someone please help me on what code to use. Here's the procedure. 1. T11-T12 extrapedicular left-sided biopsy of epidural & foraminal mass with partial resection of the T11 & T12 rib heads, as well as partial resection of T12 pedicle. 2. Use of intraoperative microscope with extradural...
  47. C

    Overview of Patient Exam

    Is there a code I can use for an overview of pt med exam. Pt was in auto accd; insurance request that attending dr do a physical exam then the ins requested my doctor who is a specialist to look over the medical exam done by the attending dr. Is there a code for that? Any help is appreciated:)
  48. C

    Neurosurgery

    Is there a code for a biopsy of a pituitary tumor? I was wondering if I could use 88305 but I'm not for sure. Any help is appreciated! Thanks:)
  49. C

    Post-OP

    Can a doctor charge a discharge after a major sx? My doctor did a major sx then discharged the pt 4 days later. Can I bill a 99238? Or is it considered global and can't be billed. Any help is appreciated. Thanks!:)
  50. C

    Wiki Neurosurgery - Can I code for both a craniotomy

    The bone flap was returned to its normal position. Thanks for the help. I know I couldn't use the 61304 only because more work was involved then just exploratory. I just didn't know if I can use the 61304 with the 61510 becaue he did a biospy along with the evacuation of the tumor cyst. He...
Top