graft

  1. L

    Wiki Type of service codes for HCPCS

    I am trying to find information on what TOS code to put on my claim form for Q4159. I was only able to find the BETOS. Does each HCPCS code have a specific TOS assigned or I'm thinking that it could be the same TOS as the parent CPT. Would that be correct? Can anyone point me to some resources.
  2. J

    Wiki Questions on coding procedures

    Thank you in advance! I have a couple of questions related to procedure coding for dermatology. If anyone is able to answer these, it would be greatly appreciated! 1. For scar revision after an excision of malignant lesion due to the scar not healing properly, is a benign excision also billed...
  3. C

    Wiki Complex repair plus graft on same site

    If a wound requires a complex repair for one piece of it, plus a graft for the remaining little piece that couldn't be closed with the complex repair, can you bill both?
  4. D

    Wiki CARDIAC CATH REPORT... help!!

    My office manager codes all of the procedures and she's on vacation... She also took our coding books with her so I can't look anything up. My first time coding procedures and I need help with one! I'm having trouble choosing the correct codes by the EMR program descriptions. Does anyone have a...
  5. E

    shoulder replacement with glenoid grafting

    Hi friends, I work with some shoulder specialists who are disagreeing about if the glenoid grafting can be separately reported with their shoulders. When doing a shoulder replacement they sometimes will do some grafting to the glenoid in order for the prosthesis to sit better. I was thinking...
  6. R

    Wiki thoracic aortic aneurysm

    I think this should be coded as 33864 but I don't see the coronary artery buttons being reimplanted into the graft. I greatly appreciate your input!! Here is the op note: A median sternotomy performed without complication. The patient was heparinized. The patient was cannulated with a 29 fr...
  7. L

    Wiki Grafts and tympanoplasty

    I am confused on the graft codes during tympanoplasty. I know the graft is included in the code but what if the surgeon takes 2 grafts? He used a temporalis fascia graft and a tragal cartilage graft. Are both included in the tympanoplasty code or can I code for one of them? Would appreciate...
  8. Y

    Wiki How would you code this?- after tourniquet

    A posterolateral incision was made after tourniquet was elevated. The tendon was exposed laterally and the large Haglund's deformity was exposed. It was noted that the chronic tendonitis at the insertion had caused attenuation of the attachment of the tendon and there were great thinning of...
  9. J

    Wiki Chelation of Calcuim Band Keratopathy w/ Gunderson pedicle conjunctival graft

    Hi all, I am looking for more information in coding a procedure the physician is calling "chelation of C++ Band keratopathy" and the use of a "Gunderson pedicle conjunctival graft" both procedures (graft placement and harvest as well) same eye. Abbreviated Op note below- Pt has a history or...
  10. C

    Wiki Mechanical thrombectomy with a Spider Filter Wire?

    I have a question regarding Mechanical Thrombectomy. This is a scenario I have not seen before and would entertain some recommendations. This patient had an EKOS catheter placed on Day 1. On Day 2 Subsequent day EKOS catheter was pulled out and angio revis performed. Clot burden still...
  11. S

    Wiki PuraPly

    One of my docs recently applied PuraPly following a debridement and he documented it as "PuraPly skin graft". The only information I can find on PuraPly says it is a "collagen wound matrix", which sounds more like a dressing than a graft to me. Does anyone else have experience with this product?
  12. O

    Wiki HELP!!! Axillofemoral bypass angioplasty of mid graft stenosis

    Unsure of coding of this surgery. Please help!!! OPERATIVE PROCEDURE: 1. Open exposure of left axillofemoral bypass graft via infraclavicular approach. 2. Angiogram of left axillofemoral bypass graft. 3. Rotational atherectomy of mid graft and distal graft stenosis. 4. Percutaneous...
  13. C

    Wiki Aneurysm Coding

    Hello again, I think I am looking too much into this report. Any input would be appreciated. PREOPERATIVE DIAGNOSES: Aortic dissection with a descending thoracic aortic pseudoclaudication, malperfusion to the mesenteric vessels and lower extremities. POSTOPERATIVE DIAGNOSES: Aortic...
  14. O

    Wiki HELP! axillofemoral bypass w angioplasty of mid graft

    Unsure of coding of this surgery. Please help!!! OPERATIVE PROCEDURE: 1. Open exposure of left axillofemoral bypass graft via infraclavicular approach. 2. Angiogram of left axillofemoral bypass graft. 3. Rotational atherectomy of mid graft and distal graft stenosis. 4. Percutaneous...
  15. P

    Wiki How do you bill/code for a C7-T1 fusion with anterior approah.

    I know there is a simple answer but wanted to double check the coding for this procedure especially when you're crossing over regions. The surgeon plans to perform a C7-T1 fusion using anterior approach. Also, it involves preparing the disc space, discectomy, decompression, instrumentation and...
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