general surgery coding

  1. M

    Wiki Insurance denial for 24071

    The insurance company denied after pre-pay refer stating code is inaccurate. Preoperative diagnosis: soft tissue NUB left upper arm A 15-blade scalpel was used to make a vertical incision directly over the soft tissue mass. This was carried down through the subcutaneous tissue using bipolar...
  2. M

    Wiki Coding Question - Labial Mass -> Hernia

    Hello, We had a patient with a labial mass that had been explored before by a general surgeon and there were no findings. Upon MRI it looked like a possible lipoma but we were not 100% sure. During surgery it was found to be a hernia, the surgeon dissected the fibrosis overlying the sac and sent...
  3. N

    Wiki Cardiovascular Billing for Spinal Fusion

    We are having an internal debate on what the appropriate codes would be for a cardiovascular surgeon assisting with a spinal fusion. Would the correct code for the procedure below be 37617? The other provider completed the actual instrumentation. PREOPERATIVE DIAGNOSIS: Lumbosacral disk...
  4. L

    Wiki Really need some input on this asap- Please help-lap appe wth open cecotomy

    Looking at 44970 and 44140 or should it just be the 44140? I would appreciate any input. PREOPERATIVE DIAGNOSIS: Cecal polyp. POSTOPERATIVE DIAGNOSIS: 1. Cecal polyp. 2. Intraabdominal adhesions. PROCEDURE PERFORMED: 1. Laparoscopic lysis of adhesions. 2. Laparoscopic...
  5. N

    Wiki fx repair of osteocutaneous graft donor site

    Osteocutaneous graft taken from radius (roughly 4 cm of bone). the provider wants to bill for fx care of radius (we did place a plate to strengthen the area). wound covered with skin grafting from another site. Can we bill for fx care and supporting documentation please. thank you
  6. P

    Wiki Cholelithiasis, cholecystitis, etc

    Hi, just wondering if anybody can refer where I can buy cheatsheets for general surgery dxs...I checked AMA , decision health but there's no sample to their icd10 dx format. I get confused when you add acute and chronic and when I check the icd10 book you have to go to one section to another...
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