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diagnostic coding

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    Wiki EGD/ESD

    Hello, As a Utilization Review coordinator, I'm having a hard time with InterQual criteria and getting a post op EGD/ESD approved under an observation admission. Typically the codes for these cases are Outpatient/same day procedures. Many providers are writing overnight monitoring as "risk for"...
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    Wiki Screening or Diagnostic?

    The patient presents for a visit stating that two weeks ago, she experienced vaginal burning and discharge. She treated herself with OTC Monistat, and her symptoms resolved. She would like to have a test run to see if she has a lingering infection. The provider runs a NuSwab, which returns...
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    Wiki Payment For Advance Care Planning - 99497 and 99498

    Has anyone yet received an actual payment for Advance Care Planning - 99497 and 99498? Can you explain what you did if you have received payment. Was a diagnostic code used or does it only require an e/m code? I called Medicare and they said to just document the medical necessity?! I'm not...
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    Wiki Anemia associated with MDS - how do you code?

    Documentation states: "Anemia associated with MDS" How do you code? A) 285.29 and 238.75 B) 285.9 and 238.75 C) 285.22 and 238.75
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