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  1. M

    Injection need help with ml vs mg how to calculate

    The providers always document ml and the HCPCS mostly has mg. I need to figure out the caluclation to verify the units are correct. example: 1.) 6ml 0.25% Bupivacaine and 2 ml of 4 mg/ml Dexamethasone. 2.) 2ml 0.25% Bupivacaine and 1 ml of 4 mg/ml Dexamethasone Thank you
  2. M

    Family Medicine Provider billing Pathology/Lab series

    Can a Family Medicine Provider bill a CPT from the Pathology/Lab series? Office note: KOH shin prep was negative CPT 87220 DX: R21 rash
  3. M

    87210 Wet Mount vs 87220 Tissue exam by KOH slide

    Can someone please let me know where I can find a better explanation of these two codes. The way I'm interpreting these codes is: 87210 - Smear, Primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps). This would be used for Vaginal Discharge...
  4. M

    Impella VAD

    Procedure: Insertion of Impella 5.0, Left ventricular support device with Removal of left Femoral Percutaneous 2.5 Impella. How would I bill a 33990 Insertion of VAD - if it was done as, Cut down/open? Would it be 33990 with a modifier 22? I think the removal of Impella 2.5 is Bundled into...
  5. M

    Cardioverter-defibrillator SUBCUTANEOUS LEAD INSERTION

    Need help finding a code for - Revision of AICD , placement of left lateral chest subcutaneous lead insertion. (from op note) An incision was made over the scar of the previous AICD placement on the Rt subclavicular fassa. The skin was divided with the scalpel: the electrocautery was used to...
  6. M

    Open Heart Biopsy

    Does anyone know a code for an OPEN HEART BIOPSY done the day after a Heart Transplant? The chest was packed for coagulopathy. They took the patient back to the OR the next day, removed the packing, did the open heart bx and closed the sternum.
  7. M

    EMCO insertion/management

    1 - Is the ECMO management (33960, 33961) considered global to the insertion 36822 with (90 day global) ? 2 - Physician that inserts 36822 ECMO is in the same group as the physician doing the management ( 33960, 33961)
  8. M

    AVR w/ Debridement & repair of intra annular abscess

    Aortic Valve Replacement - 33405 ? There was large subannular and intraannular abscess starting approximately in the midpoint of the lt coronary cusp and extending two-thirds toward the noncoronary cusp. This area was very friable and was obviously areas of necrosis and infection. This was...
  9. M

    Valve replacements w/ additional reconstruction or repair

    I have two separate patients, both had : Aortic Valve Replacement 33405 & Mirtral Valve Replacement 33430. Each had additional work done. patient #1 had -Patch repair of Aortic Wall and Left Sinus (? cpt code) patient # 2 had -Reconstruction of Mitral and Aortic Valve Annuli (? cpt code) Can...
  10. M

    Repair of great vessels

    When I am billing for more than one vessel repair, would I use Procedure code 33322 Suture repair of aorta or great vessels w/ cardiopulmonary bypass, only once? Procedure Performed: 1. Mediastinal Exploration 2. Repair of Innominate Artery Laceration...
  11. M

    Pqri reporting

    Is anyone reporting PQRI? I am looking for some guidance with reporting PQRI. STS registry reporting - vs - Claim based reporting. Right now I am submitting Claim based PQRI but that is as far as we have gotten. The physician billing group I am with, has not been fully committed to this...
  12. M

    CABG X4 or CABG X 5

    I have a question on a CABG surgery. 33517 - Vein to PDA 33533 - LIMA to LAD RIMA to Ramus RIMA to 1st Diagonal Branch Substantial bleeding was noted from the side to side anastomosis of the right internal mammary artery to the first diagonal and was thought that...
  13. M

    Billing for an Intensivist

    I am looking for information on billing for an Intensivist, who will be working with our group of Cardiothoracic Surgeons. I'm interested in what can be billed in the unit, on post op patients. Actually, any information is welcome. If anyone can point me in the right direction, I would...
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