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  1. M

    Therapeutic scuba diving for PTSD

    Thank you !!!
  2. M

    Therapeutic scuba diving for PTSD

    They do have a complete staff of qualified therapist. occupational and phycologist. They are retired Green Berets and Navy Seals on staff that have benefited from scuba diving as therapy. I'm just trying to help out a friend. They have a complete staff of qualified individuals and they have a...
  3. M

    Therapeutic scuba diving for PTSD

    Ok just throwing this out there. I have a friend that is trying to help a scuba shop set up a program for PTSD patient to take scuba lessons. They have several patient lined up with referrals. . They mostly have TriCare and I think one has BCBS . She is looking to see what CPT code would best...
  4. M

    99231 rounding visit.

    When our Dr. round on patient does there need to be a exam everytime. The may be checking to see how the patient is feeling and my go over test results or my order test. I work for general surgery dr. They consult the patient and if they do not need surgery at that time the may order test and...
  5. M

    LAR with Ileostomy

    This always confuses me. When our Dr. does a Lower Anterior Resection sometimes he will do a Ileostomy on the other side, not a colostomy. So is it still the same as 44208 or is it 44207 and 44310 ? Thank you, Marie
  6. M

    Inguinal exploration, no hernia

    Thank you :)
  7. M

    Inguinal exploration, no hernia

    I am just not sure on this on. No hernia was found. He just did exploration. Thanks for any input PREOPERATIVE DIAGNOSIS: Recurrent right inguinal hernia (ICD-9 code 550.9). POSTOPERATIVE DIAGNOSES: 1. No evidence of recurrent hernia. 2. Hydrocele. PROCEDURE PERFORMED: Right inguinal...
  8. M

    liver biopsy with lap chole

    I also coded for general surgery and I agree. That's what we also use. 47379 with "like" code 47100 mg
  9. M

    lap partial cecectomy

    thank you :)
  10. M

    lap partial cecectomy

    Help please, Not sure on this one it not a true rt colectomy 44205 . He only removed a corner of the cecum. Report as follows. INDICATIONS: This pleasant 71-year-old patient of Dr. _____ was referred to my office after undergoing screening colonoscopy which revealed a serrated adenoma of the...
  11. M

    Any info on LexiCode ?

    Thank you for some great advice. Marie
  12. M

    Any info on LexiCode ?

    Hi gang, Does anyone work for or have worked for LexiCode. I have seen several nice looking ads from them. I was looking for a outpt. remote job and this always looks appealing. I would appreciate any input. Thank you, Marie
  13. M

    Exc of Schwannoma with nerve grafting

    I have never seen any thing like this one. The patient was brought to the OR and placed under MAC anesthesia and the right leg which had been marked in holding was prepped and draped in the usual sterile fashion. The lesion was located on the lateral tibia about 20 cm proximal to the ankle and...
  14. M

    Intraabdominal FB (IUD)

    I need help please on this one. Not sure how this could happen, but the patient had a IUD that became disloged and was in the abdominal cavity. The patient was brought to the OR and placed under general anesthesia. The arm was prepped and draped in usual sterile fashion. A 10 mm and 5mm port...
  15. M

    wound exploration - healing granulation tissue

    that code is related to wound(s) resulting from penetration trauma. I have the same problem. I'm just not sure on those type of procedures. The last one I had did have a old suture in the wound so I used the removal of foreign body subq complicated 10121.
  16. M

    Abd all wound exploration

    I see this from time to time and just not sure how to code this. This is a 52 year old male who underwent a sigmoid colectomy for diverticulitis. His midline wound has all healed except for a small opening below the umbilicus. The patient was sterilely prepped and draped . A incision was made...
  17. M

    Intraabdominal foreign body (IDU)

    I need help please on this one. Not sure how this could happen, but the patient had a IUD that became disloged and was in the abdominal cavity. The patient was brought to the OR and placed under general anesthesia. The arm was prepped and draped in usual sterile fashion. A 10 mm and 5mm port...
  18. M

    PEG tube removal in the OR

    Thank you I will check those out and maybe get with the Dr.
  19. M

    PEG tube removal in the OR

    We have a patient that needs his PEG tube removed. Refused to have it done in the office. Our Dr. took him to the OR and under sedation removed the PEG tube. Any thought on how to code this one, Thanks, Marie
  20. M

    Repair pseudoaneurysm of anterior tibial artery

    Sometimes the ones that seem so easy I cant seem to figure out. My Dr. does this procedure alot on the common femoral, but this was in the ankle and he did the tibial artery. Any ideas? PREOPERATIVE DIAGNOSIS: Right foot pseudoaneurysm of the right anterior tibial artery. POSTOPERATIVE...
  21. M

    Lower anterior resection with ileostomy

    Thank you everyone. Yes I love these threads ;)
  22. M

    Eval for port

    bill for ov visit ? Can you bill for the office visit for the consult for the port placement if you did the mastectomy. Thanks Marie
  23. M

    Lower anterior resection with ileostomy

    Help Please, When our Dr does a open lower anterior resection with diverting loop ileostomy do we use the 44145 and 44310 or the 44146. The 44146 is with colostomy would that also be for a ileostomy? Thank you, Marie
  24. M

    Colovaginal fistula repair

    Help please. I have no idea on this one. Patient remained in modified lithotomy position. Her abdomen and perineum were prepped and draped in sterile fashion. After local infiltration, a supraumbilical incision made, pneumoperitoneum achieved with a Veress. A 12 mm bladeless trocar was then...
  25. M

    Diag help please

    The surgery was a scheduled surgery for repair of a hip fracture. So i'm thinking then thats what I used id hip fx.. Just seems wired to do a exp laparoscopy for a hip fx. Thank you
  26. M

    Diag help please

    They didnt wake the paitent up. He was still on the table from the hip repair.
  27. M

    Diag help please

    My Dr. went in to check a screw for bowel penetration after repair of a hip fx. There was nothing found. Not sure what diagnosis code to use. Op-Note to follow PREOPERATIVE DIAGNOSIS: Right hip fracture with question of pelvic penetration of screw. POSTOPERATIVE DIAGNOSIS: Right hip fracture...
  28. M

    Wound care coding resource.

    Thank you Linda. I will check it out. Marie
  29. M

    Wound care coding resource.

    I work with a group of general surgeons. We have one that is now going to a wound care center. Is there a book or a good website for help coding wound care. Thank you, Marie:rolleyes:
  30. M

    Median arcuate ligament syndrome

    Help please. I have no idea on this one. The patient has some kind of celiac artery occulsion. Op note reads : An upper midline incision was made and the abdominal cavity was entered and the lateral attachments of the left lateral segment of the liver were taken down with the cautery and the...
  31. M

    Help !! Divison of median arcuate ligament

    I need help with this one. Cant find anything for this procedure. Division of median arcuate ligament. Our Dr. has not done the procedure yet thay want a code for pre-cert. I dont even know what unlisted to use or what a "like" code would be. mg
  32. M

    Open ing hernia repair excision of cord lipoma

    Still confused. I am reading it as bundled also. The Ingenix Coding Companion I have says. This is a separate procedure by definition is usually a component of a more complex service and is NOT identified separately. But I do NOT see it listed under the CCI edits as being bundled ??? mg
  33. M

    Open ing hernia repair excision of cord lipoma

    Help please. We have a surgeon that that keeps insisting there is a code for removal of a cord lipoma when he does a inguinal hernia repair. Op not will read; Care was taken to identify and protect the ilioinguinal nerve from harm. The cord structures were carefully isolated at the pubic...
  34. M

    Laparotomy sigmoid - I hope someone can assist

    Thank you so much. That was my thought also, but the Dr. thinks we should be able to bill for it. Marie
  35. M

    Laparotomy sigmoid - I hope someone can assist

    Good morning, I hope someone can assist with this one. I was looking at 44320 for the Colostomy, but the Dr. did a mesh reinforcement a Sugar Baker Tech. and he said there is a code for that procedure. Any ideas? PROCEDURE PERFORMED: Laparotomy with diverting end sigmoid colostomy and biologic...
  36. M

    Lap sigmoidectomy, repir of bladder fistula

    Help please. This is a lap sigmodectomy and repair of colovesical fistula. I'm looking at 44204,44213 but having trouble with the fistula repair. The code 45800 for closure of rectovesical fistula is open. Any idea's. Op note to follow. Patient remained in modified lithotomy position. Her...
  37. M

    Central Venous Line Placement

    Me too please. Ok, I would also like to request a copy please. 727 712-1853 Thank you , Marie
  38. M

    lap Paraesophagel repair outpt.

    I need some help on this one please. Our Dr. did a lap paaesophgel hernia repair with mesh and we billed 43282. This was done as a out patient. The hospital face sheet has the patient as a outpatient. The insurance in denying saying this is only a inpatient procedure. Any ideas? Marie
  39. M

    Sigmoid colectomy, sm bowel resection help

    I agree with Heather. That is the codes I would use. Meziesky
  40. M

    Reclosure of hernia mesh

    Thats the one I was looking at but he did this lap not open.
  41. M

    cpt for layered separation of the musculature

    Yes I agree, we use that code also. meziesky
  42. M

    Removal of PICC line - Is there a CPT code for the removal

    Is was told the same. Just use a E/M code.
  43. M

    Reclosure of hernia mesh

    I need help on this one please. Dr. did a lap ventral hernia repair in the am, then patient developed a intra-abdominal bleed. So the same day he went back in. This is how the op note reads. Exploration and reclosure of prior placement of hernia mesh. Trocar sites were reopened, ports were...
  44. M

    Entrapped Bowel

    would it be open or lap ??
  45. M

    Subtotal Colectomy

    I need some help please. One of our Dr. did a "subtotal colectomy". I reading the op note he removed all of the colon except the rectum. He also did a ileostomy. Can I bill 44140 and 44160 ? or is there a code that covers both sides rt and lt. Not a total as he left the rectum. This was a open...
  46. M

    S2900 help please

    I posted this on the General Surgery forum but I know sometimes this code is used in urology. Does anyone have any more/other info on S2900. I have a general surgeon that is using the Robotic assist in some colon resection cases. I know it is not recognized by Medicare and some other payers...
  47. M

    Supraumbilical hernia repair

    Thank you, that's what I meant 49585 not the 49505.
  48. M

    Supraumbilical hernia repair

    For a Supraumbilical hernia repair would it be umbical rpr 49505 or I heard somewhere that it should be ventral repair 49560. Thank you, Marie
  49. M

    need help with multiple lipomas CPT code

    did you look at code 27327
  50. M

    Help with S2900

    My surgeron was speaking with another Dr. and he said he uses S2900 for: Surgical techniques requiring use of robotic surgical system. He sayes he uses the robotic assist with Ventral Hernia repair. Any thoughts on this ? Is there somewhere to look up more of a description of the code? Thank you...
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