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tumor

  1. C

    Wiki Endoscopic Expanded Endonasal Approach for resection of sellar/suprasellar tumor

    I am a Pro-fee neuro e/m coder that is being asked to code a surgery since our outsourced billing/coding company is late to get to it. Dr. F and Dr. T are not with our practice. I'm thinking this should just be 62165-62, but let me know your thoughts as I haven't really touched surgeries that...
  2. D

    Wiki When to use postoperative or pathology diagnosis?

    Can anyone tell me where I can find the guidelines or rules for coding a diagnosis from the postoperative diagnosis or the pathology report findings? (such as benign tumors). Through my coursework in AAPC, I have been coding from the pathology report if it gives more specific details about the...
  3. L

    Wiki benign tumor vs mass of limb please help!

    We had a new patient come into our office for an evaluation of her wrist the physician states "pt has therefore been diagnosed with a most likely benign soft tissue tumor over the ulnar side of the wrist." (he previously ruled out ganglion) would I use dx code R22.31 for lump or mass of the...
  4. K

    Wiki frontal craniectomy -coronall approach- 2 surgeons

    Can anyone help me with CPT codes for this surgery? Ear/Nose and Throat surgeon report Procedure: 1. Coronal approach to anterior skull base 2. Cranialization of frontal sinuses 3. Transcranial exploration of right orbit with tumor removal 4. Pericranial flap with closure of CSF leak 5...
  5. J

    Wiki Wide Excision of Malignant Neoplasm of skin, soft tissue, and muscle on chest wall

    I would appreciate any assistance in CPT coding of the following procedure note: This is on a MALE patient. Wide Excision of Malignant Neoplasm of skin, soft tissue, and muscle on chest wall 10cm Patient has been noncompliant with plan of treatment for right breast cancer. A 1.5 cm margins...
  6. A

    Wiki icd-10 coding of neuroendocrine tumors

    Hi, If the patient is going to be treated for brain mets from a poorly differentiated neuroendocrine tumor of the lung- is the correct icd-10 code C7B.8 (other secondary neuroendocrine tumor) and C7A.1 (malignant poorly differentiated neuroendocrine tumor)? Because the metastasis was from a...
  7. C

    Wiki Difficult colon surgery, any help would be great!!!!!!

    I have copied the op report below and I am afraid I am missing something in my choice of codes. I know I can't charge for the lysis of adhesions or the hernia repair. I am coming up with 44146 with a modifier 22. Colon surgery is confusing to me at times. Thanks in advance for the help...
  8. K

    Wiki Transphenoidal pituitary tumor

    Our neurosurgeon recently did a transphenoidal pituitary tumor removal. It's common to have transphenoidal CSF leaks after this. When we are coding for a second surgery the following week to repair the CSF leak (transphenoidal approach again) what code should I use? I was told I should possibly...
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