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    Telemedicine CPT 93228 93229

    Thank you!! We had confusion here because these codes are listed under the telemedicine section of the CPT book:confused:
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    Clinical Trial ID# 33340

    Does anyone have Clinical Trial ID# for CPT 33340? We were given NCT02699957 and this is being denied. ANy help would be appreciated . Thank YOu
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    Telemedicine CPT 93228 93229

    CPT lists 93228, 93229, (MCOT) 93298, 93299 (remote loop) as Telemedicine with POS 02. I am receiving denials stating these CPT's are not Telehealth services. Has anyone had this issue ? Do you bill these CPT's as ) Telemedicine?:confused: Thank YOu
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    Device checks using X modifier

    Hello we are doing office visit, ekg and device check in office . We have been billing Office visit with 25 modifier , EKG on one encounter. On a separate encounter we bill the device check with a 59 modifier. I am receiving denials for bundling. Has anyone tried the XP, XU, XE modifiers...
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    Cardiopulmonary stress test

    Hello All Our cardiologist have recently been reading the Cardiopulmonary V02 part of a cardiopulmonary stress test. Pulmonary is billing 94621. This looks like it includes interpretation . Anyone know if we can interpret this portion seperatly and what CPT we can use. TY
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    Jcode

    Hello, Anyone out there know of HCPC code for Flecainide and Sotalol. I am only finding J3490 Thank you
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    E&m 2013

    Sorry I was referring to Incident 2 guidelines. Can we now use a NPP or PA as rendering for a new patient ?
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    E&m 2013

    Hello, Had a question since the wording of the 2013 E&M has changed to "physicians and other qualified health care professionals " Would we still have to bill I2 if a NP see's patient?
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    EKG for Clearance???

    My cardiologists are doing sports clearances and want to bill just the EKG to the ins company. Has anyone come across this issue. How do you reccomend coding. My doc's do not perform an E&M..should they? Thank you
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    CATH/EKG..payment denials??

    Thanks Cyndi..That is a good idea.. I am glad that we are not the only ones having these crazy issues
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    CATH/EKG..payment denials??

    Hello, I am sure there has to be others out there. Problem is we have so many different systems that claims are being denied for modifiers. For example we do a cath or EP procedure and ekg same day. 1 system sends over EKG..another sends over Cath or EP..The EKG is paid and procedure is...
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    Extensive lysis of adhesions, pericardial cavity with CABG

    I would go with the 22 modifier.. Esp since he documents the 1 hour .. I have do it before and they ask for notes but it gets paid 90% of time
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    Mitral Valve debridement

    Looking for CPT to use for Mitral valve debridement... Operative report says. Atrium was opened . There was fibrinous exudate seen on mitral valve that was sent for culture. There was eroded area at base of mitral valve that could not be taken but for the most part everything was debrided...
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    COnfused well visit w problem

    Hello, I am very confused on coding a well visit w/ a problem. For example: pt comes in for 7 year physical doc hits all preventative issues, exam,counseling etc. On same note in exam says head itch. Assesment and plan says WELL but also doc gave script for lice. Do I do 99393 & E&M...
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    Help coding CABG? 33533/33518

    Dr states CABG X3.. I am only seeing 33533 & 33517 b/c of same vein.. Can anyone dissect this Op note for me an point out where the 3is coming from-- much thanks ALso when a vein is in sequential fashion it only counts as 1 correct? Right saphenous vain was harvested endoscopically...
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    Sternal wound post CABG

    dx CODE??? TRY 998.59 & 998.31
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    35820 vs. 32120

    35820 This code is used to report exploration for postoperative hemorrhage, thrombosis, or infection complications of veins and arteries of the chest only.. More specific to the heart 32120 is used for post op Chest surgery
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    Size--hpi

    DOC WANTS TO USE SIZE AS SEVERITY.. EX: 1.6x 1.4 NODULE OR MASS Not sitting right w me what do u think Thank you
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    Hpi??

    CAN the word S'ignificant' discomfort be used for any HPI Elements? I was thinking severity or quality?
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    Overwhelmed.. Advice new auditor

    Hello All. I am looking for any advice, tips, books, classes. I have worked 13 years in a sepcialty practice I used 97 guidelines only and our Doc's were well trained on E/M. major part of my job was coding surgery. NOW I have taken a job in a compliance dept and have just been handed 100 E/m...
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    REDO Lap take down Dor fundoplication

    Not sure if I should go for the Unlisted code 43289 Patient had Laparoscopic Heller myotomy w Dor fundoplication--- 3 days later had REDO w takedown.. See Op note below The Olympus flexible esophagoscope was inserted into the oropharynx and through the cricopharyngeus muscle which was at 15...
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    39400/38746

    Thank you so much Everyone Yes Lisi you are correct the physician is only making one incision and took biopsies with the scope. I will stick to just 39400.
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    39400/38746

    Would i be able to bill 38746- with 39400 ( mediastinoscopy). Dr. takes biopsy of R2, R4, 7, L4... I am confused b/c 39400 says with biopsy. Thank you
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    DETAILED HPI ? WHere

    Thank you so much that def clears it up for me. :D
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    DETAILED HPI ? WHere

    SO much going on here Is this detailed? thanks This is a 20-year-old female patient with history of depression, diabetes mellitus, who was brought in for weakness. History was obtained from the patient's husband, patient, as well as the sister. The sister found her lying on the floor this...
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    Removal chest wall nodule- ribs not incl

    PERFECT.. wonderful. Thank you so much Melissa :)
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    Removal chest wall nodule- ribs not incl

    SO I was in the 19271 area and they all include ribs.. ANy coding help PREOPERATIVE DIAGNOSIS: Left chest wall subcutaneous nodules, nodular pleural thickening of left chest, rule out mesothelioma versus other carcinoma. POSTOPERATIVE DIAGNOSES: Poorly differentiated carcinoma. PROCEDURE...
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    Repair enterotomy colon code??

    Dr. was performing Esophagectomy and poked whole thru bowel. Looking for code repair enterotomy bowel. A Finder needle was placed through the anterior abdominal wall and into the bowel. Air was used to insufflate through the finder needle to ensure proper placement into the lumen. A wire was...
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    Help with code 33256 (MAZE)

    Hi.. Check out codes 33257-33259 these are maze codes w/ bypass
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    ICD 9 code for complications after esophagogastrectomy

    Looking for any help. Performed a Minimally invasive Esophagectomy--- Few days later she reported Anastomotic Leak---& went in to do a lung decortication Any idea what ICD 9 code would be for complication of the Esophagectomy? THANK YOu
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    Minimally invasive esophagectomy

    I am pulling my hair out any guru's who can help. I put Cpt codes that i came up with.. They may all be bundled.. ANY HELP I would so appreciate it :) PROCEDURES: 1. Minimally invasive esophagectomy. CPT 43289 2. Right thoracoscopy with mobilization of esophagus...
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    Minimally Invasive Lap- help

    I am pulling my hair out any guru's who can help. I put Cpt codes that i came up with.. They may all be bundled.. ANY HELP I would so appreciate it :) PROCEDURES: 1. Minimally invasive esophagectomy. CPT 43289 2. Right thoracoscopy with mobilization of esophagus...
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    33223 revision of pocket

    Yes it BIV-ICD upgrade to previous placed ICD w epicardial electrode So I should use 33224- 33202? & 33240 33241
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    33223 revision of pocket

    Hello All looking for some help with this code 33223. Doctor performed BIV ICD upgrade so I used 33240 &33241. Now he also did pocket revision which I want to use 33223 but all the CCI edits say it is included. The old pocket was in left pectoral and note states that patient was so thin that...
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    Can any get higer level?

    My thoughts exactly with trying to use the part about her siblings is def stretching it. thanks so much .. Looks like a down code to me. :( Dr of course puts 99245 ....
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    Can any get higer level?

    Hello I can only get an Expanded problem focused from this E&m Due to HPI Can anyone see anything I am missing. thx CC: As per your request, I saw your patient, in consultation on September 15, 2009. As you know, she is a 58-year-old female who is asymptomatic. HPI: The patient is a 58 year...
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    ICD-10 Webinar

    Yes I tried that and it puts a box in the left hand of my screen w a play button I hit play and nothing there is 0:00 time on it??
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    ICD-10 Webinar

    I hit the audio part and I get nothing?? Any one else..How to i see this thing?
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    Physical Exam?

    Wonderful wonderful... Thank you so much for the info and reference info:)
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    Physical Exam?

    Our Dr. uses a Template for his PE... it has each system on it and certain bullets. problem is that he does not check off a bullet point on some of the systems he writes NO ABNORMAL FINDINGS...So does this count as a bullet?? IS this compliant ?? does anyone else use a template like this ...
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    V-code After MAZE procedure

    Thank You for your help V15.1 Looks perfect. yes I was using V67.09 also. thanks AGAIN :)
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    V-code After MAZE procedure

    Hello Wondering if anyone has any input on using a V- code for follow up office visits after a MAZE procedure. Our Doc see's pt's at 6-9months. I was looking at V58.73. Any help would be appreciated thank you
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    Subsequent vis after Consult

    One of our dr's are meeting high level consults in the hospital but then doing 3-5 subsequent visits before surgery. It's just not sitting right with me. IS a sub vist allowed to be billed after a 99255?
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    Post Op pt surgery out of state-E/M

    Tessa I sent you the "consult". Billing the surgical prcodeure seems impossible to me. This is an out of state Dr. and our dr has no license for that state. Provider numbers etc... Hospital info . ???
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    Post Op pt surgery out of state-E/M

    Patients cardiologist referred him to us. I'm just hoping the surgeon put a 54 on his services. thanks
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    Post Op pt surgery out of state-E/M

    Hello, We had a patient come to our office that is in the Post op period for open heart surgery procedure that was done OUT of State. Patient came to us for post op care- Dr. wants to bill for new pt consult. is this allowed??? Pt has never been to our group. But again is Post op. Could I...
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    VATS - help

    Thank you so much I'm sure u will be hearing from me :) - Angelique
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    VATS - help

    AHHH I see what you are saying.. Thank you. Thoracic coding is so sticky for me and we just got 2 doc's on board. Do u have any sites or info that would be helpful to me i would greatly appreciate it :)
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    VATS - help

    Hello. I am stumped on this one. I was looking at code 32656- ant then 38746 just not sitting right. Any help would be greatly appreciated - thank you . Here is the Op Note: Left video-assisted thoracoscopic surgery procedure, mediastinal lymph node biopsy. General...
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    bypass graft

    OOOO Yes... caught it now.. thanks.. Disregard my response.. :rolleyes:
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