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  1. J

    Wiki How to code for this trigger point injection

    One of my providers reported an E/M service with a trigger point injection. Normally I do not have an issue with coding these, but this one is documented a little differently. Normally our providers inject triamcinolone/Kenalog with this type of injection and this is the first time I'm seeing...
  2. J

    Wiki Ultrasound guided breast biopsy with multiple lesions

    Please advise how you would code this for MEDICARE: EXAM: MAMMOGRAM BILATERAL POST BIOPSY; ULTRASOUND GUIDED BREAST BIOPSY ADDITIONAL SITE; ULTRASOUND GUIDED BREAST BIOPSY BILATERAL HISTORY: Bilateral abnormalities identified on outside diagnostic MRI. Second-look ultrasound reveals...
  3. G

    Wiki STUDY QUESTION - 27447 VS 01402-AA-P1

    I am new AAPC member and across my studies I have come across a few bewildering problems. Can someone please help me understand this answer. Under a study op report listed is Total Knee Arthroscopy what cpt and anesthesia code? I answered 27447 and 01402-AA-P1 (Healthy patient, anesthesia...
  4. K

    Wiki Coder liability in timely documentation

    Does anyone have insight or resources in relation to the liability that falls on a coder when a provider submits documentation weeks/months after a visit occurred to be coded? Conversation came up that I could potentially start receiving documentation from however long ago a provider decides to...
  5. P

    Wiki Should I leave my comfortable but monotonous low pay job for something better? What would you do?

    So, I'm a full time risk adjustment medical coder approaching my two-year work anniversary. This is the first job I've been able to keep this long so it feels weird that I'm happily bowing out and not desperate to quit immediately like previous jobs ive held. It's a relatively easy and...
  6. D

    Wiki Infusion admin 96365 / possible reaction

    Looking for assistance with 96365. Infusion started and then stopped at 3minute mark due to patient condition. May we still bill the 96365 with a 52 modifier? Patient was continually monitored for almost an hour before discharge. Any guidance will be appreciated. Thanks, Donna
  7. K

    Wiki HELP! anterior interosseous nerve to motor branch of ulnar nerve transfer

    I want to code 64718, 64719, and 69990, but my doc wants another CPT code for the anterior interosseous nerve transfer. Isn't it included or am I missing another code? 1.Right cubital tunnel release with anterior subcutaneous transposition of the ulnar nerve. 2. Decompression of ulnar nerve...
  8. M

    Wiki Coding Echos-dilated IVC

    Hi, When coding an Echo I keep seeing the following 2 statements: IVC is dilated with abnormal (<50%) collapse and IVC is dilated with normal collapse Can someone advice if and how they would code the ICD 10's for this? I am having some confusion, upon researching this. Thank you
  9. M

    Wiki Coding Echos-systolic function

    Hi everyone, I am now coding complete echos (93306) at my job and have a question in regards to coding systolic function. When the estimated LVEF is greater than 70% and documented as “hyperdunamic systolic function” would I50.20 be the correct ICD 10? (Unspecified systolic heart failure). I...
  10. M

    Wiki TUITION REIMBURSMENT?

    Hi, I am looking to get further training in Inpatient Coding via AAPC CIC training course. Does anyone know if AAPC accepts tuition assistance from employers? The health system I work for provides tuition assistance and I would like to use that for this course by AAPC but can't figure out if...
  11. M

    Wiki Labor Checks Vs. NST

    Hi, So when I was put into this position I had very little training and unfortunately I've had to figure things out on my own. My question is when a provider does a labor check, do I still charge for an NST or is there another code that I need to be using? If they only do an NST I charge the...
  12. D

    Wiki 28470 not preformed

    Provider billed 28470x2 diagnosis: M84.374A After appealing with chart notes, UHC says that the chart notes do not support that the 28470 was preformed. Dispensal of pneumatic cam walker was documented and diagnostics were preformed to accurately diagnose the fracture. All of this information...
  13. P

    Wiki Help! I failed the my text!

    I need guidance I do not know what to do. I failed my first CPC attemp with a really low %. I have not been in school for about 15 years. I did well on the course but that because I was not pressure by time but the exam is hard and limited time. And as you know is not cheap to retake the text. I...
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