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    Diagnosis order for colonoscopy w/history of polyps

    I know this is the age old question, yet the more research my staff does the more confused it becomes... Since I am in Administration I am looking to our coding community for assistance 1. What is the correct diagnosis order for a Pt who had a polypectomy 5 yrs ago and returning for another...
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    Add On Codes In Pain Management

    I have been asked this question- When an ASC is used for CPT Codes 64475-rt/lt, 64476-rt/lt the carriers are paying 100%, 50%, 50%, 50%. The coder is stating multiple rules do not apply to add on codes. She feels the claim should be paid as follows: 64475 rt 100% 64475 lt 50% 64476 rt 100%...
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    Dialysis graft or shunt

    Hello I have been asked if Medicare covers a dialysis graft or shunt. Any feedback is appreciated.:)
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    Hello, I have been asked to find out if an ACL is an implant or supply. Any feedback is appreciated.:)
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    dialysis graft or shunt

    Hello, I have been asked to find out if Medicare will cover a dialysis graft or shunt. Any feedback would be appreciated.
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    CMS Final Rule

    So, how do all of you feel about the CMS final rule??.... It certainly is not what we all hoped for- especially in pain management and GI areas... This will hurt the single specialty ASC's the most. Let me know your thoughts...
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    Do you code tonsillectomies bilaterally ?
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    Implant billing

    My ASC has always had trouble getting paid for implants.. One problem I am faced with is that it is my understanding Medicare's definition of an implant is a device that replaces a body part. ex- prosthetic hip /knee .... Our payer contracts include the "words" implant reimbursement at a...
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    Screening Colonoscopy Coding

    I have worked at an ASC for 7 years. At a round table the other evening, a hospital coder said that if a patient is booked for a screening colonoscopy, and a polyp is found- code V76.51, followed by 211.3..... I was always taught that in this instance the procedure becomes surgical and to code...