Search results

  1. M

    Wiki icd 9

    447.8 is for fibromuscular hyperplasia of arteries, except renal. Since the code is not referring to fibromuscular hyperplasia. The better code 447.9 should be chosen as no specific description is present.
  2. M

    Patient on oxygen - help

    Patient was in outpatient. I believe she just wears the oxygen mask - patient is very mobile.
  3. M

    Patient on oxygen - help

    Patient had aspiration pneumonia and now on oxygen. That is all the information I got from the chart.
  4. M

    Patient on oxygen - help

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

    CAD with hypertension

    should I code it as 414.01 402.90 -> fall into cardiovascular disease category under hypertension. Is it??
  6. 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...
  7. M

    hypertension with atrial flutter

    Yes, I agree! Thanks
  8. M

    hypertension with atrial flutter

    Thanks! I agree!
  9. 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.
  10. M

    hypertension with atrial flutter - icd please

    Therefore, when physician just stated hypertension with atrial flutter did not qualify for the casual relationship as word "due to" or "associates to" not use.
  11. 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
  12. 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.
  13. 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.
  14. M

    hypertension with atrial flutter

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

    Stent vs CABG

    Does it mean that CAD with angioplasty I use ICD 414.00?? CAD with Stent insertion I used 414.01?
  16. 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.
  17. 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?
  18. 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.
  19. 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
  20. M

    Popliteal nerve catheter

    David, thanks!
  21. M

    Popliteal nerve catheter

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

    Peripheral nerve catheter

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

    ICD for total intolerance to labor

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

    Nerve blocks (64400 - 64450) with fluoroscopic guidance 77002

    I have looked through the NCCI edit online as follow as Jan 1 to today : col 1 col 2 effective deletion Modifier date date 64400 77002 20100101 * 1 64400 90760 20060101 20081231 1 64400 90765...
  25. M

    bilateral-When billing 64450

    when 64450 is bilateral procedure (e.g. injection on the Lt and RT of the legs), you will bill 64450 - 50 with 1 unit. Remember to increase the price as insurance co e.g. Medicare will pay 150% of their fee schedule.
  26. 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...
  27. 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...
  28. M

    Pelviscopy for diagnoistic

    The doctor is going to submit for pre-authorization and they are not sure what they are going to do yet. so should I use 58660 or 49320?
  29. M

    Pelviscopy for diagnoistic

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

    cpt code for salpingo-palatine block

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

    fasciotomy

    Clinicians divide axillary lymph nodes into three levels. Level II and III lymph nodes are always deep (38525). Level I nodes may be either deep or easily palpable (38500), depending on the individual patient. Deep dissection always includes superficial dissection through the same incision.
  32. 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!
  33. M

    Multiple intercostal nerve blocks

    64421 which is for multiple
  34. M

    Code 01967

    Yes, it is a time base. But not in 15 minutes increment.
  35. 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.
  36. M

    piriformis muscle injection

    thanks!
  37. M

    piriformis muscle injection

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

    Flouroscopy

    I do ASA coding on this service. We don't bill for any flouroscopy as it already include in the payment on the procedure.
  39. 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.
  40. M

    cpt 64530 with fluoroscopy (77002)

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

    93503 & 76937

    In the payment prospective, no insurance so far will pay for 93503 with 76937.
  42. M

    when no anesthesia is given

    I would code it as monitoring - MAC.
  43. M

    Cpt 95971

    Thanks!!!
  44. 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.
  45. M

    Sufficient OLV documentation

    No, it does not. If the notes said that a double lumen with the size above 35. It is a better indication that the patient had undergone OLV.
  46. M

    Modifier 23

    I don't think they should do it that way as 00740 or 00810 included moderate sedation because these type of procedure usually under MAC. However, if the type of anesthesia is General, it fits into the description of modifier 23 - " occasionally a procedure which usually requires either no...
  47. M

    Modifier 23

    So can I assume that any procedure with the assignment of ASA code we usually does not assign modifier 23? However, if ASA code is not assigned to a procedure and patient has under go type of anesthesia, we will assign the modifier 23? So we need to use an unlisted code 01999 with modifier...
Top