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    Prescription drug management

    Does an active decision not to prescribe medication, constitute “prescription drug management” Clinical scenario: Patient presents with a tick bite. Tick has been on for 12 hours. Tick is removed. Physician documents “I do not believe that the patient needs diagnostic testing or antibiotic...
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    Prescription Drug Management

    Does an active decision not to prescribe medication, constitute “prescription drug management” Clinical scenario: Patient presents with a tick bite. Tick has been on for 12 hours. Tick is removed. Physician documents “I do not believe that the patient needs diagnostic testing or antibiotic...
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    New audit hire testing

    I'm looking to see if anyone has a new hire audit test that they give to applicants to do prior to being hired. TIA Tracey
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    RXHCC coding

    Does anyone have a CMS link on Rxhcc coding using medications?
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    PQRS with Critical Care

    Can PQRS codes G8600/G8601/G8602 be coded with 99291 and 99292? Thanks Tracey
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    Rebuttal Statistics

    Does anyone know the normal percentage on audit rebuttal overturns? Looking for the normal industry percentage. Example audit charts, audit comes back with 500 errors. Coders send in 200 rebuttals. What is the percentage that usually get overturned? Thanks Tracey:confused:
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    Risk Adjustment coder needed

    Upmc Health Plan is looking for Risk Adjustment coding specialist. You must have 5 years experience. "Are you an experienced medical coder looking to further your skills at a company that offers excellent compensation and flexible work from home options? Then come join the coding team at the...
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    Specialty Coder needed(Physician Services) Kittanning, PA

    Specialty Coder (Physician Services) - Daylight 7:00am ? 3:30pm/8:00am ? 4:30pm - Must be a certified coder - Surgical coding experience required - Must be able to participate in creating appeals to payers - Must be able to communicate well with various audience groups - Provide training...
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    skyla iud

    Has anyone else had problems getting skyla iud paid? Office billed 58300 J7301 and 81025 but they are saying J7301 is mutally exclusive. any help please
  10. C

    cauterization of round ligament postop

    Patient is 24 days post op LAVH now with vaginal bleeding. Procedure is laparoscopy with cauterization of left round ligament. Need help with cpt code
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    external rotation stress ankle

    Please help with cpt code for the ortho dr "after identifying the patient...under fluoroscopic visualization and after applying a normal sterile prep and drape using sterile aseptic no-touch technique we injected the patients fracture and gave her hematoma block using 8 ml of 2% lidocaine into...
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    lesion excision

    I have a question on how everyone codes lesion excision. Do you use the path report for diagnosis coding only or do you also use it to determine if your cpt code should be a benign or malignant code? Tracey
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    Edg with cck injection

    I need help in coding an EGD with cck injection. Doctor did egd then patient received cck by iv, doctor then collected bile over the next 10 mins. When talking to the provider the bile was suctioned through the scope. I was thinking of 43235-22 but not sure if there was a code out there for this...
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    Compliance courses

    Does anyone know of any compliance courses out there. I know of a few people wanting to get into compliance. So any info would be greatly appreciated Tracey
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    Auditing courses

    Does anyone know of any auditing courses out there. I know of a few people wanting to get into auditing. So any info would be greatly appreciated Tracey
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    Raleigh, NC area

    Looking for information on jobs, hospitals and salaries in Raleigh area, NC Any info is greatly appreciated TIA
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    Gen Surgery Conference

    Does anyone know of a good general surgery coding conference coming up this year?
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    Personal care home visits

    We have a physician who is going to a personal care home and we are having problems with the codes. It's not a nursing home or rest home. I thought we should use codes 99324-99337 or someone had thought maybe we should be using 99341-99350..Anyone bill for personal care homes now and what codes...
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    neuro sx

    I didn't see a forum for neuro sx so asking on here. I have a pt who had a laminectomy bilateral on levels L2-3, L3-4, and L4-5. Medicare denied for units. Codes used were 63042 and 63044 can someone please help with how to bill out all the levels and bilaterally? TIA Tracey
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    laminaria placement

    Pt comes in to the office who is being seen for missed abortion. dr places laminaria then the pt is scheduled for treatment of missed abortion at the hospital for the next day. What cpt code do I use for the laminaria placement? TIA Tracey
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    preop visit

    I have a discussion going on in the billing office. Patient goes to general surgeon for problem surgeon decides to do surgery and tells the patient to go to their primary dr to get cleared for surgery. Patient goes to PCP for this. What e/m code do you use for the PCP visit?
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    pt delivered at home

    I have a pt who delivered at home then came to the hospital. Dr admitted her examed her then discharged her home the next day. Do I code admit and discharge or postpartum care? Thanks Tracey
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    c-section with paraovarian cyst removal

    I have a pt who had a c-section and at the same time had left paraovarian cystectomy and fulguration of bilateral paraovarian cysts. How do I code the cystectomy and fulguration? Thanks Tracey
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    2 ventral hernia repairs

    I have a pt who had laparoscopic hernia repair. Once the upper ab hernia was repaired the dr then decided to also do lysis of adhesions in the lower ab/pelvis once there they noticed another ventral hernia. Can I code for 2 lap ventral hernia repairs since they were in separate areas? thanks tracey
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    pregnancy coding change of insurance

    We have a pt who switched insurances part way thru her pregnancy. With her new insurance she had 6 prenatal visits prior to giving birth. Do I bill for these visits then the delivery only code or do I bill delivery code with antepartum and postparum care?
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    admits

    I have a group of general surgeons who take turn with taking call. Say I have Dr A on call on Monday night, pt comes in to er, er dr calls Dr A and Dr A says to go ahead and admit the pt. Dr A never sees the pt but Dr B comes in on Tuesday morning and sees the pt and dictates an H&P. Dr A and Dr...
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    repair of pej tube

    I need help with what cpt code to use Description of procedure: The catheter was inspected. The split was identified. This was wrapped with tape to close the split and hopefully this will prevent further leakage temporarily. The patient has been scheduled for replacement of his pej feeding tube...
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    help!

    I have a dr who was pre-admitting a pt for a c-section because of being breech. When the pt came in that day she was no longer breech so her c-section was cancelled. Over a week later she came in and was having a different problem and had to have a c-section. My dr wants to charge something for...
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    help with sx code

    I have a sx that the dr did a total abdomial hysterectomy and they also excised part of the tube for a bisopy. Need help with a cpt code. Thanks Tracey
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    need help with this one

    I need help coding the following op report exploratory lap and drainage with vacuum pack open abdominal draina dn jp drains in the lesser sac root of the mesentery and left gutter. "incision was made from xiphoid down to the umbilicus and just below. The bovie cautery was then used to dissect...
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    discharge or ?

    I'm reading a discharge summary from one of my drs and I get to the end and it says the pt signed himself out against medical advice. I don't know if I can really bill for a 99238 since the pt signed himself out. Help with this one please. Thanks Tracey
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    Wiki skin lesion removal HELP!

    I have always coded removal of skin lesions from the path report as my doctors don't give measurements. I read the article in may's coding edge and from that I see this is ok to do. If I have a malignant dx from the path report I use the cpt code based on this. I have been told today that's...
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    mod 22

    I need help with modifier 22. When adding this to my code I read that we should also increase our fee. I was wondering if anyone does this and if so how much do you increase your fee? Thanks Tracey
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    Liver biopsy

    I have a dr who does a liver biopsy when preforming a laparscopic cholecystectomy. Not sure what cpt code to use for the liver biopsy. Thanks Tracey
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    removal of dialysis cath

    I would like to see what cpt code others use for removal of a dialysis catheter and removals of port-a-cath. Thanks Tracey
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    hernia repair with excision of scar tissue

    One of my drs did a incarcerated ventral hernia report and excision of scar tissue mass in the subcutaneous tissue. Is there a code for the scar tissue removal? Thanks Tracey
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    Help! bypass

    I have a dr who wants to do a carotid-contralateral carotid using a synthetic graft. what code would you use? I can only find 35509 but that is using a vein graft. Help please we need to get an auth but can't find a code. tracey
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    help w/placement of adhesion barrier

    I have an ob dr who did a lap supracervical hysterectomy w/bso and placement of adhesion barrier. is there a code for the placement of the barrier? this is the dictation: at this time the interceed was placed down, the surgical barrier was then placed over top of the cervical stump and this...
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    foley catheter removal

    I thought removal of a foley catheter would be part of the e/m or is there a separate code for removal? thanks tracey
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    admit discharge then admit to snu

    Hi, I have a pt who was admitted then discharged a few days later but the dr was discharging the pt from inpt hospital but admitting the pt to the skilled nursing unit then a few days later he discharges the pt from the skilled nursing unit to home. What codes would you use? thanks tracey
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    help - lysis of adhesions

    I have a doc who did an exploratory lap not knowing what was wrong with the patient. Once in there he did lysis of adhesions a very small amount. He continued with the exp lap. There were no findings to explain what was going on with the patient. I can code for both the exp lap and lysis of...
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    Hyperal

    I need help with this one. Some of my doctors get called for consults then order hyperal for the pt. They document this in the charts. They stop in to see the pt long enough to make sure the hyperal is being done and is working properly. They want to charge something for that time. Is there a...
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    observation after surgery

    I have a doc who likes to do a 23 hr obseravtion after some of his surgeries. Can he bill an observation code? If so can he also bill the discharge? Tracey
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    post op or follow up

    Looking at the rvu schedule it shows that egd and colonscopy has 0 global days. I have a surgeon who allows has the pt come back to his office for a follow up. So far they have not been billing anything for the follow up but since there are 0 global days can't they bill 99212-99215? Tracey
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    help with codes 99238-99239

    I've not coded discharges before. I need help knowing what all needs documented for a discharge. I know the times need documented in order to code 99239 but what else needs to be done? Thanks in advance Tracey
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    supraumbilical hernia

    I would like to know how others code for supraumbilical hernias. ICD-9 directs you to use epigastric hernia but do you use the epigastric hernia cpt code? My docs want to use ventral hernia cpt code and the placement of the mesh. The hernia was 3 cm above the umbilicus. Help please! Tracey
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    ob/gyn conference

    There's an ob/gyn conference coming up in July in Orlando Fl and I was wondering if anyone has been to it and is it worth going? tracey
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    help with the noninvasive vascular studies

    I have a endovascular doctor who reads the noninvasive vascular studies examples are 93880, 93923,93925, 93970 ect. We have been billing these codes with a 26 modifier but we are getting denied saying he's not a radiologist. A tech does the procedure and he reads the studies. Can someone help me...
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    help with coding this

    I have a partial colectomy(sigmoid and proximal rectum) with anastomosis and an ileostomy. I need help with this one. Thanks Tracey
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    hystersalpingogram

    I code hystersalpingogram as 58340 and depending on if they used ultrasound or fluoro I code 76831-26 or 74740-26. We are getting denials, they are saying they are not qualified to do this 76831-26 and the 74740-26. I'm wondering how others code this and if they get denials. Tracey
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