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  1. J

    Career opportunities I can branch out to with medical coding

    Hello everyone, Out of curiosity, what are other career options I can branch out to with experience in medical coding? I know auditing, compliance, teaching & management are options but are there any other ones I don't know about?
  2. J

    Endoscopic nasal foreign body removal

    Hi all, I'm unsure as to what to code for this report: "After informed consent was obtained, the patient was brought to the operating room and placed supine on the operating table. General anesthesia was administered by the anesthesiologist. After a time out was performed and the patient was...
  3. J

    How to advance career-wise?

    I am currently a physician's medical coder for a large hospital's medical group. I am making good money but I am curious as to how I can advance career-wise. I want a job that is unambiguous (i.e. not a lot of people know what medical coding is but we all know what a manager, director or lawyer...
  4. J

    Salary Survey

    Out of curiosity, I want to find out how much you're all earning, where you're currently located (state or country), years of experience, position you're holding and the facility type.
  5. J

    31528 vs 31529 documentation guidelines.

    Hello, What is the difference between 31528 & 31529? When does a dilation make it initial or subsequent? For instance, is it initial if it's the first time there was a dilation? Is it subsequent dilation for the rest of dilations done?
  6. J

    Myringotomy tube removal and expression of pus from the same ear. HELP!!

    I am very confused about a report I currently have. My doctor performed cerumen removal on the left side. On the right side, he performed ventilating tube removal and then expressed pus from the posterior earlobe. How would the codes look like? I am thinking either 1,2 or 3: 69000, 69424-59...
  7. J

    HELP!! Esophagus foreign body removal using laryngoscope. What to code?

    Hi, I am coming across several reports wherein there is a foreign body in the esophagus. However, instead of using a rigid esophagoscope, the physician is using a laryngoscope and a telescope. What code should be coded? 43194 - Esophagoscopy, rigid, transoral; with removal of foreign body(s)...
  8. J

    Medical Coders who make $100k/year, how did you do it?

    When answering, kindly itemize the following as well: 1. Experience in the field 2. Location 3. Type of facility 4. Credentials Thank you!
  9. J

    Advice on how to reach a $100k/year salary. PLEASE HELP!

    Hello everyone! I am a CPC and I just got a job as an outpatient medical coder for a renowned hospital in an area where I am in. I am currently handling ENT, neurosurgery as well as some radiology (X ray and nuclear medicine). I can say that I am quite adept at it. Right now, I have about 3...
  10. J

    Need help with 31575, 31526 denial

    My doctor performed an intranasal laryngoscopy (31575) then performed a intraoral laryngoscopy with miscroscope shortly after (31526) and MediCAL is denying. I was using modifier XS. Any recommendations?
  11. J

    Need help determining when to use 41520 and 41010! HELP PLEASE!

    Hello everyone and thank you in advance for reading this. I am confused between 41010 & 41520 and I'm not sure if I'm coding them correctly. For instance, I coded 41010 for this report: "We then incised the frenulum down to the floor of mouth, furtherrelease into a diamond shape was created...
  12. J

    When to code 41010 & 41520

    Hello everyone and thank you in advance for reading this. I am confused between 41010 & 41520 and I'm not sure if I'm coding them correctly.
  13. J

    Help with Humana 76881 denials

    My company recently received both refund requests AND denials from Humana stating that they overpaid for bilateral ultrasound guidance services. We have been billing 76881-LT/76881-RT for bilateral ultrasound guidance services. Do any of you know why this is and what the basis is for the denials...
  14. J

    What modifier to use between E/M code & 96101/96102?

    Another coder and I are debating on what modifier to use in order to bypass the NCCI edit between 96101/96102 and an E/M code (e.g. 99202-99205, 99212-99215). I am pushing for modifier -59 based on the fact that the 96101 is considered to be a different encounter and since it was done by someone...
  15. J

    ICD 10 for resolved/healed injuries?

    Hi everyone, Does anyone know what the code is for resolved/healed injuries - i.e. fractures, sprains, strains (basically S- codes). Please let me know. Thank you!
  16. J

    Adding new body parts

    I'm billing/coding for workers' compensation cases, and I have questions regarding Initial vs. Subsequent. 1.) When we add additional body parts in the middle of ongoing treatments, what 7th character will be used? For instance, during a subsequent encounter for a particular body site (i.e...
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