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  1. codegirl0422

    ICD 10 for Shoulder Grooving

    https://www.plasticsurgery.org/Documents/Health-Policy/Reimbursement/insurance-2017-reduction-mammaplasty.pdf
  2. codegirl0422

    infusions/IVPB running more than one day/date

    Hello, When coding an ER visit that changes to observation, if you have an infusion or hydration that exceeds more than one day/date, do you use quantity per the date started or do you break it down per day/date. ex. NS 11/4/17 started 9:00pm - ended 11/5/17 at 3:00pm Would this be 11/4/17...
  3. codegirl0422

    Infusions/ivpb spanning more than one date/day

    Hello, When coding/charging for an observation, if you have an infusion or hydration that exceeds more than one day/date, do you use quantity per the date started or do you break it down per day/date. ex. NS 11/4/17 started 9:00pm - ended 11/5/17 at 3:00pm Would this be 11/4/17 96360 X 1...
  4. codegirl0422

    Patellofemoral arthroplasty - I need advice

    Patellofemoral Joint Replacement Coding Clinic for HCPCS, First Quarter 2016: Page 4 Coding advice contained in this issue is effective with procedures/services provided after April 15, 2016, unless otherwise noted. QUESTION 4 Patient presents to have a left patellofemoral replacement. The...
  5. codegirl0422

    Patellofemoral arthroplasty - I'm hoping someone can help me

    Patellofemoral Joint Replacement Coding Clinic for HCPCS, First Quarter 2016: Page 4 Coding advice contained in this issue is effective with procedures/services provided after April 15, 2016, unless otherwise noted. QUESTION 4 Patient presents to have a left patellofemoral replacement. The...
  6. codegirl0422

    *HELP*Patellofemoral Joint Replacement

    Patellofemoral Joint Replacement Coding Clinic for HCPCS, First Quarter 2016: Page 4 Coding advice contained in this issue is effective with procedures/services provided after April 15, 2016, unless otherwise noted. QUESTION 4 Patient presents to have a left patellofemoral replacement. The...
  7. codegirl0422

    biceps tenotomy

    Thank you
  8. codegirl0422

    biceps tenotomy

    I am having a problem coming up with the right code for a biceps tenotomy. PROCEDURE PERFORMED: 1. Diagnostic and surgical arthroscopy left shoulder with arthroscopic rotator cuff repair. 2. Left shoulder arthroscopic biceps tenotomy. I have seen some say to code as unlisted 29999. also...
  9. codegirl0422

    colon polyp SURVEILLANCE

    Hello, This is in Coding Clinic for ICD-9-CM 4th Quarter 2013 which would be more current than the March 2013 article: Question: A patient status post removal of colon polyps five years ago presents to the GI lab for surveillance colonoscopy. The colonoscopy is completely normal and the...
  10. codegirl0422

    colon polyp SURVEILLANCE

    Thank you. What do you think of the code Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm Medical surveillance following completed treatment Use additional code to identify any applicable history of disease code (Z86.-, Z87.-) We are...
  11. codegirl0422

    colon polyp SURVEILLANCE

    I use Z86010 as a secondary code. In ICD 9 we had to use V76.51 in the first diagnosis. V7651=Z12.11 But now there is a code Z09 too. And didn't know if anyone had come across this yet.
  12. codegirl0422

    colon polyp SURVEILLANCE

    Hello, When it is a colon polyp surveillance, is it still Z12.11 for screening or Z09 Encntr for f/u exam aft trtmt for cond oth than malig neoplm? Thanks
  13. codegirl0422

    Debridement meniscus, d?bridement patella, debridement of suprapatellar veil.

    any help on this would be greatly appreciated.
  14. codegirl0422

    Debridement meniscus, d?bridement patella, debridement of suprapatellar veil.

    Would this be 29877? Right lower extremity was sterilely prepped and draped. Portal sites are infiltrated with about a half mL each 1% lidocaine with epinephrine. Portals are created and survey of the joint is undertaken. Medial meniscus, femoral condyle and tibial plateau are all in good...
  15. codegirl0422

    Admin of meds w/blood transfusion

    Do we charge for administration of meds when pt receive blood transfusion? For example Benadryl? They are not done concurrent but done at the same encounter/outpatient visit. Thanks
  16. codegirl0422

    admin of meds w/blood transfusion

    Do we charge for administration of meds when pt receive blood transfusion? For example Benadryl? They are not done concurrent but done at the same encounter/outpatient visit. Thanks
  17. codegirl0422

    is benadryl reportable at same time as platelet transfusion

    A patient comes in for a platelet transfusion and also gets a Benadryl IVP at the same time, is the IVP reportable or included?
  18. codegirl0422

    Bronchitis w/history of asthma

    Hello, If a patient comes into the ER and diagnosis with bronchitis but has a history of asthma (on medication daily for asthma) what would be the code? 490 says it excludes 493.90 but 493.90 says bronchitis asthmatic and the doctor just stated bronchitis (no mention of acute or chronic) I am...
  19. codegirl0422

    Case #12 Winner, Answer Key, & Rationale

    I was curious why daily aspirin use (V5866) and positive for colon cancer with his father and breast cancer in one sister was not coded.
  20. codegirl0422

    Interstim therapy 64561??

    64561 PNE Test -- Percutaneous implantation of neurostimulator electrodes; sacral nerve (transforaminal placement) 64581 Stage 1 or Direct to Stage (Tined Lead Implantation -- incision for implantation of neurostimulator electrodes; sacral nerve (transforaminal placement)
  21. codegirl0422

    help w/op note

    Would this be 52224?
  22. codegirl0422

    help w/op note

    Can anyone help me with this note? I am new to urology and I am probably over thinking it but need some help. doctor put 52224 52204. PREOPERATIVE DIAGNOSES: 1. Hematuria. 2. Flank pain. 3. History of adrenal adenoma. POSTOPERATIVE DIAGNOSES: Renal mass based on retrograde, and based on CAT...
  23. codegirl0422

    case #9

    I was wondering the same thing. I got 550.90. I show that a 5th digit is needed also.
  24. codegirl0422

    interstim placement

    PROCEDURE PERFORMED: InterStim placement. INDICATIONS: The patient has decided to undergo InterStim implant placement because of failure of extensive conservative approach with excellent testing results with I-Stim. I-Stim therapy for her condition has been well established in English...
  25. codegirl0422

    Case #6 Winner, Answer Key, & Rationale

    20690? Hello, I was curious, is 20690 not included in 27825? CPT Assistant states may be listed in addition to the code for the treatment... and code 27825 includes skeletal traction. CPT Assistant: Code 20690 may be listed in addition to the code for the treatment of a fracture or joint...
  26. codegirl0422

    Hydration (96361) vs IV Start (96365)

    Thank you. So would you guys bill the 96361 even though the patient was not dehydrated or vomiting/diarrhea. I always thought you billed and if it doesn't meet medical necessity then you write it off.
  27. codegirl0422

    Hydration (96361) vs IV Start (96365)

    Hello, 21:51 11/12/2014 Site #1 started via IV in the right antecubital space with an 20g angiocath, with aseptic technique and good blood return; one attempt. Blood drawn: rainbow set. 22:00 11/12/2014 Zofran IVP 4 mg given over 4 minute(s) via site #1. Allergies verified and confirmed 5...
  28. codegirl0422

    51701 or 51702 w/96360 or 96365 or 96374

    Hello, When billing foley or in/out with injection/infusion codes, the injection/infusion codes used to get mod 59, now with the X- modifiers, which one would be the best to use or do we still use mod 59? Thanks
  29. codegirl0422

    Influenza type A

    Hello, How would influenza type A be coded? I am not told Avian or H5N1. Would it be 487.1?
  30. codegirl0422

    bladder stone extraction w/urethrotomy cpt code help needed

    PREOPERATIVE DIAGNOSES: 1. Bladder outlet obstruction. 2. Bladder stones. 3. Voiding dysfunction. Uroflow shows very poor flow. POSTOPERATIVE DIAGNOSES: 1. Urethral stricture. 2. Bladder stone, see photographs. PROCEDURE PERFORMED: 1. Cystoscopy. 2. Urethrotomy. 3. Stone extraction from the...
  31. codegirl0422

    Can 29895 be billed with 29897 & 29891

    Any help on this would be greatly appreciated.
  32. codegirl0422

    Can 29895 be billed with 29897 & 29891

    Hello, Can 29895 be billed with 29897 & 29891? I got a edit saying 29895 was a component of comprehensive code 29897. But I found this on AANA and I am now questioning myself. CPT Code: 29897 Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Intraoperative...
  33. codegirl0422

    Help needed w/skin lesion removal (49 lesions) - Patient was brought

    Would you use modifier 22 since there is so many?
  34. codegirl0422

    lesion removal help needed

    would it be 11420 x 48 11421 x1 or 11057 mod 22 Patient was brought to the operating room and placed on the operating room table in the supine position with IV intact for IV sedation. He was anesthetized utilizing 10 mL of 0.25% Marcaine with epinephrine injected directly below each skin...
  35. codegirl0422

    Help needed w/skin lesion removal (49 lesions) - Patient was brought

    would it be 11420 x 48 11421 x1 or 11057 mod 22 Patient was brought to the operating room and placed on the operating room table in the supine position with IV intact for IV sedation. He was anesthetized utilizing 10 mL of 0.25% Marcaine with epinephrine injected directly below each skin...
  36. codegirl0422

    skin wheal for location of injection?

    Thank you.
  37. codegirl0422

    skin wheal for location of injection?

    is a skin wheal a type of x-ray/fluoroscopy?
  38. codegirl0422

    Help with cpt code debridement ulcer and bone biopsy

    Patient was brought into the operating room and placed on the operating table in the supine position with IV intact for IV sedation. He was anesthetized utilizing a 50-50 mixture of 0.25% Marcaine plain and 1% Xylocaine plain in the form of an ankle block, 10 mL total volume was utilized. The...
  39. codegirl0422

    esophageal dilation cpt code

    The gastroscope is gently and atraumatically advanced to the descending duodenum. There the mucosa is found to be pink in clolration and feathery in texture. There was no indication of any atrophy to suggest celiac disease. The duodenal bulb does not have eschar or ulcer crater. The pylorus...
  40. codegirl0422

    Need help with op note

    Thank you!
  41. codegirl0422

    Need help with op note

    or is it 52310?
  42. codegirl0422

    Need help with op note

    I really hope someone can help me. I am new to urology coding. is it 52320 51102 and is the injection separately reportable (if so what code) or is it included? PROCEDURE PERFORMED: 1. Cystoscopy with abdominal incision for placement of suprapubic tube.51102 2. Removal of small bladder stones...
  43. codegirl0422

    Cpt help! Epl epb tendon repair w/foreign body removal

    Is there anyone that can help on this one? is the foreign body removal and irrigation/debridement included? would I use the 1..... codes for foreign body removal since he doesn't mention joint? and the irr/deb code would I use 11044 since he went to the bone (he doesn't mention he went to tendon...
  44. codegirl0422

    Cpt help! Epl epb tendon repair w/foreign body removal

    Please help with CPT codes. I am new to trauma/ortho coding. Thanks in advance for any help. PROCEDURE PERFORMED: 1. Repair of extensor pollicis longus. 2. Tendon repair of extensor pollicis brevis. 3. Removal of metallic foreign body from right thumb. 4. Irrigation and debridement down to...
  45. codegirl0422

    Removal G-Tube as Outpatient Surgery

    INDICATION: Indication for removal and for the sedation or TIVA is that attempts were made to remove this tube in the office, but they were unsuccessful even with the use of local anesthetic, anesthesia and with enlargement of the opening where the tube is coming out. Because of the inability to...
  46. codegirl0422

    cpt code? paranasal nerve block

    what would the cpt code be? A block was placed around the nose in the form of 1% Xylocaine with epinephrine injections in the paranasal nerve bundles
  47. codegirl0422

    Needed: Coding job Huntsville, AL

    Looking for a coder position in the Huntsville, AL area. I have my CPC and CBCS. I have a total of 6 years experience. I have experience in coding E/M's and surgeries. Also, have experience in auditing E/M's. I have done insurance follow up and research; as well as positing payments...
  48. codegirl0422

    quantity of drug

    Hello We have a doctor that injects 60 mg of depomedrol, would we bill quantity 2 of J1030 (he uses the 40mg/ml vials) and how would this need to be documented? Does the waste have to be documented? Thanks a bunch for any help.
  49. codegirl0422

    office visit after surgery scheduled

    Thanks everyone for your opinions. I agree with FTessaBartels & Treetoad but wanted to see what others thought. We had sent some of our visits out to be audited and one of these came back as billable and I started to question myself.
  50. codegirl0422

    dx for partial rotator cuff tear chronic

    Hello, What would be the correct code for partial rotator cuff tear that is chronic? 727.61 states complete tear. Thanks
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