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  1. Misty Dawn

    reporting drug wastage to Medicaid

    Many of the Medicaid health plans do not have a specific policy regarding reporting drug wastage on claims. Would it then default to CMS policy if they do not have one in place? Is it ok to report both the amount given and drug wastage on one line to Medicaid health plans? CMS states that it...
  2. Misty Dawn

    Cardiology/Cardiothoracic/Vascular surgery coder

    Misty Dawn Sebert CPC, CCC, CCVTC 509-435-6585 sebertconsulting@gmail.com https://www.linkedin.com/in/mistysebertcardiologycoder/ Open to FT, PT or Contract PositionCertified Cardiology and Cardio-thoracic coder with 8+ years of experience specialized in Cardiology coding...
  3. Misty Dawn

    Multiple, dual, co-, and counter signatures.

    Multiple, dual, co-, and counter signatures feature in the EHRs.. Is anyone else struggling with trying to figure out who did what when the rounding notes are signed multiple providers? Especially struggling with this for multi-dis-plenary groups. If you have what steps are implementing...
  4. Misty Dawn

    EVAR performed in Rt aortofemoral graft

    I am so lost on what to code for this report. I am thinking 37236? Please help! Selective right aorto-femoral graft angiogram Endovascular graft placement within the right aortofemoral CryoVein graft - Viabahn 13.0 mm x 10 cm self-expanding covered graft Operators: Dr. A Dr. B...
  5. Misty Dawn

    EVAR for pseudoaneurysm in aortofemoral vein graft

    I am so lost on what to code for this report. I am thinking 37236? Please help! Selective right aorto-femoral graft angiogram Endovascular graft placement within the right aortofemoral CryoVein graft - Viabahn 13.0 mm x 10 cm self-expanding covered graft Operators: Dr. A Dr. B...
  6. Misty Dawn

    Certified Cardiology and Cardio-thoracic coder with 8 years of experience.

    Certified Cardiology and Cardio-thoracic coder with 8 years of experience. Specialized and knowledgeable in coding:• ICD-10-CM •Diagnostic Cardiology •Interventional Cardiology •Electrophysiology Cardiology •Pediatric Cardiology •Vascular and Thoracic Cardiology procedure coding. Pro-fee...
  7. Misty Dawn

    Cardiology/Cardiothracic certified coder looking for remote assignments

    Certified Cardiology and Cardiothoracic coder with 8 years of experience. Specialized and knowledgeable in coding:• ICD-10-CM •Diagnostic Cardiology •Interventional Cardiology •Electrophysiology Cardiology •Pediatric Cardiology •Vascular and Thoracic Cardiology procedure coding. Pro-fee &...
  8. Misty Dawn

    Tighting pulm band during bi directional glenn

    Can CPT 33690 be used for tightening of existing pulm band? or unlisted? Either as only procedure performed and/or with a bi directional glenn? Thanks for you help, I can't find any references on this!
  9. Misty Dawn

    Cardiology/Cardiothracic certified coder looking for remote assignments

    I am a certified Physician, Cardiology and Cardiothoracic coder with 8+ years of experience in coding and consulting for cardiology practices throughout the United States. I am available for new remote assignments. Please find attached my resume or view my information on Link in at...
  10. Misty Dawn

    bilateral Nephrostogram and bilateral nephrostomy tube exchange

    Need a second opinion on my codes for this procedure please! I am not sure if I am coding this correctly. Thank you, Thank you for any feedback! A bilateral Nephrostogram and bilateral nephrostomy tube exchange was performed. Medical necessity supports coding the diagnostic procedure...
  11. Misty Dawn

    Please help with lwr extrem report

    This is my weak area so I am hoping someone can look at these lower extrem study and let me know if I am on the right track or what I am misisng. Thank you very much for your help!! DESCRIPTION OF PROCEDURE: Informed consent was obtained from the patient, the risks, benefit, alternatives...
  12. Misty Dawn

    Mitral Valve Clip

    Does anyone know if CPT 0343T thru 0345T can be used for MitraClip Percutaneous Mitral Valve Repair for 2014? or is it still the unlisted code? Thanks :)
  13. Misty Dawn

    billing for physcian when seeing pts at hospital

    First I was told that if a doctor admits a patient at 2pm in the afternoon and then later that day signs inpatient order lets say at 4pm that same day, then I should be billing the admit as an Outpatient since the order for inpatient was signed 2 hours after the dictation. Is that right, I...
  14. Misty Dawn

    ROS and History for INPT admit codes 99221-99223

    Pt is re-admitted to the Hospital (99221 thru 99223) the doctor does not dictate the ROS or History instead says "no changes to previous ROS and History please see previous admit." A coder I work with is saying that this is acceptable and that the admit codes should be billed because he reffered...
  15. Misty Dawn

    Doctor seeing patients for Office consult at surgeons office

    Please help, I have been searching aimlessly but cannot seem to find an answer! My cardiologist is doing office consults with a surgeon at the surgeon's office. Can I bill for the office consults that my doctor is doing at the surgeon's office? I do not think I can because he is using their...
  16. Misty Dawn

    VATS and lobectomy

    Indication: biopsy-proven non-small cell lung cancer and CLL, SLL Syndrom. Referred for upper lobectomy with a growing nodule in the lung. Pet scan shows no hilar node involvement. Operative findings: ...with no adhesions and tumor centrally located in the upper lobe. Lymph nodes appeared...
  17. Misty Dawn

    Assist with afib abalation

    How do you decided or where do you look to see which cpt codes you can append an 80 modifier to? I have an ablation procedure with assist and need to know how/where to search to find out which codes can be billed with an 80 and which can not. Thanks for your help.
  18. Misty Dawn

    mitral valve occluder device

    Please help!! CPT codes for MV paravalvular leak closure occluder device for severe anemia-Would you use 93580? Pt is scheduled for MV perivalvular leak closure with VSD amplatzer, devicewill need anesthesia, intubated, TEE, transseptal puncture,
  19. Misty Dawn

    2011 ACC crosswalk 2011 cath codes

    The ACC posted 2011 update document that has a really nice crosswalk for 2011 cath codes (table 2 in the doc.) Go to the link below to get a copy. http://www.cardiosource.org/~/media/Files/Practice%20Management/Coding%20and%20Billing/FINAL_ACC%20Coding%20Changes%20for%202011pdf.ashx
  20. Misty Dawn

    Concerning the Peri and Post procedural:

    Concerning the Peri and Post procedural: Pt has PM implant and then has f/u one week later to have settings adjusted to more appropriate settings. Is this when you would use the Post procedural code? Can you give an example of when you would use Peri/post procedural codes before and after a...
  21. Misty Dawn

    ICD-9 code for abnormal device check/abnormal threshold test

    Upon routine device check (epicedial lead placement), it was found that patients LV thresholds are higher than when implanted. Dr. wants device checks changed to monthly until corrected. Because of the per 90 days a separate sign or symptom is needed to bill separately within the 90 day period...
  22. Misty Dawn

    Endovascular revascularization codes need -26 modifier still?

    2011 Endovascular revascularization codes need -26 modifier still? For example 37226/performed in hospital...-26 modifier or no? Thanks for the help :)
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