help!!

  1. C

    Wiki Obesity Preventative Counseling

    We are billing G0447 to medicare in place of the standard 99202 code. Medicare is stating we need a modifier but we can't figure out which one. We have tried 33 and got denied already. We use modifier 25 for the 99212 code already. What modifier can we use to get reimbursement?
  2. M

    Wiki Urgent Care E/M

    Hello, I work at a family practice and we have just aquired an urgent care facility. When coding E/M visits can I just use outpatient codes 99211-99215 or is there an urgent care (not part of hospital emergency department) E/M code set or modifiers I should be using? Please Help!!!!
  3. E

    Wiki spinal fusion HELP PLEASE

    So my Ortho doc performed a L5-S1 spinal fusion, my problem is that he was also a Co Surgeon in the approach, Anterior Retroperitoneal Exposure, and then went on to do the fusion, CPT code 22558. Normaly I would just code this as 22558-62, but that is when the one surgeon does his part, and my...
  4. J

    Wiki Surgery Coding Help

    Can someone help me code for this procedure please thank you! PROCEDURE PERFORMED: 1. Re-exploration of lumbar wound. 2. Utilization of intraoperative fluoroscopic imaging. 3. Removal of L4-5 transforaminal lumbar interbody fusion spacer. 4. L4-S1 posterolateral autologous lumbar fusion...
  5. C

    Wiki How would you code screen colon done in asc and hemorrhoid banding done in office

    Our MD did a screening colon on a patient in our ASC and found hemorrhoids so brought the patient back to our office to do a hemorrhoid banding on the same day. I HAVE NO IDEA WHY HE DIDN'T BAND THEM AT THE ASC (we have done that many times)!!!! They are different POS (24 and 11). The banding...
  6. A

    Wiki Ramus Fx

    Hi guys! I think I might just be overthinking this for some reason. What is the correct code for superior inferior pubic ramus fracture? Would it just be the unspecified code or would it be both the superior and the other specified? Thanks!
  7. A

    Wiki Ambulatory Dysfunction?

    We are currently having a discussion at my office about whether or not we can use "acute ambulatory dysfunction" as a dx. My supervisor states that it is not a dx and that we need to return the chart for more documentation. I am just wondering what other facilities/practices use? I work for a...
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