obs

  1. R

    Wiki Hand-and-Wrist Procedures performed in an Office-Based Surgical Suite (OBSS)

    Hand-and-wrist procedures lend themselves to WALANT (Wide Awake Local Anesthesia with No Tourniquet) where the surgeon can communicate with an awake patient and ask them to move their fingers during the operation to obtain immediate feedback. Even though there are dozens of peer-reviewed...
    • ritecode
    • Thread
    • ectr fac pe rvus in-office endoscopic carpal tunnel release ioectr non fac pe rvus obs obss (office-based surgical suite) office-based-surgery reimbursement orthopedics site-of-service differential (sosd)
    • Replies: 0
    • Forum: Orthopaedics
  2. R

    Wiki WALANT: (Wide Awake Local Anesthesia with No Tourniquet)

    Is anyone working with surgeons using WALANT? Note that this is not a specific CPT code but how you perform a host of procedures. The most common are hand and wrist procedures such as: carpal tunnel release, tendon repair and removal of masses. The issue is not the CPT code but where the surgery...
    • ritecode
    • Thread
    • fac pe rvus in-office endoscopic carpal tunnel release ioectr non-fac pe rvus: practice expense rvus obs office-based-surgery reimbursement site-of-service differential (sosd) walant
    • Replies: 0
    • Forum: Billing/Reimbursement
  3. C

    Wiki Prenatal Package- Resident Clinic

    Can someone who works at an OB resident clinic confirm with me how they bill out the prenatal package (59425/59426)? Does your attending/teaching physician see and sign all ob visits? Or just in the end when the pt is ready to deliver? Once you bill the package 59425/59426 do you add the GC...
  4. D

    Wiki Mult days in OBS

    If we have a pt in the hosp for OBS for mult days, how would that be billed exactly? Pt admitted to OBS on 01/12 did a consult, 01/13 fu visit, and procedure and discharge on 01/14. Or vice versa, pt has procedure on 01/12, fu 01/13, discharge on 01/14. These always confuse me.
  5. B

    Wiki Attempted Insertion Of Port-A-Cath

    The surgeon tried several times to insert the Port-A-Cath and he encountered air on 2 attempts. He had x-rays taken and found the patient had bilateral pneumothorax and admitted her to Obs. The next day he inserted a chest tube. Should I code the aborted Port-A-Cath placement with a 53 modifier...
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