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Latest activity

  • I
    Do not cross-post in multiple areas of the forum. Stay on topic with each thread. Limit your posts to one per topic. Moderators may move your thread to a more suitable category. Commercial content is not allowed (no spamming, advertising, or job...
  • J
    joettamorales replied to the thread CPT 29876 guidance.
    Based on the op report, i can see documentation of debridement in the medical gutter, lateral gutter, and suprapatellar pouch. however, i am struggling to identify documentation of pathological synovial disease or extensive synovitis that would...
  • J
    Based on the CPT descriptor, 63663 includes revision and replacement of spinal neurostimulator electrode percutaneous arrays. The fact that the new leads were placed at a different epidural location does not necessarily convert the procedure into...
  • T
    We were just updated on this in the past week or so. UHC has a new policy so we are sending the additional documentation with the billing.
  • K
    Is it possible to upload a radiology report through UHC's system? We're waiting on an automated version for our system and we're looking for a way to get them the reports without having to send everything by snail mail.
  • N
    ny2scgirl reacted to LTibbetts's post in the thread Admission and Discharge diagnosis with Like Like.
    I, personally, read over everything first so I have all of the information but the primary dx we use is usually coming from the discharge summary and the progress notes, whichever one deems to be what got the patient admitted in the first place...
  • N
    I have the same question. Is there anyone who can explain how to pick discharge diagnosis?
  • N
    Does anyone know if resolved conditions can be coded on a discharge summary? This is for the pro-fee coding of either 99238 or 99239, such as if a patient is admitted for pneumonia, and on the discharge summary it states "pneumonia-resolved"...
  • N
    I run into the same issue. The patient stays in the ED but was admitted. I have providers do a H&P and discharge, but I get flagged because POS 23 can't have those codes (99221-99223 or 99238-99239). How do I code? Do I change the H&P to ED...
  • N
    How should this scenario be coded: Patient is in the emergency room and an order is placed for an inpatient bed admission (or observation bed admission) but the patient remains in the emergency room for that admission stay. The hospital leaves...
  • N
    ny2scgirl reacted to jhanmer83's post in the thread Who has taken the CEMC? with Like Like.
    Have you studied the MDM table? The more you memorize from the table, the quicker you'll be at pulling out the elements and levels. Just break it down by the elements (problem, data, risk) and don't forget to consider time as well. Code to the...
  • A
    alexiareyes295@gmail.com posted the thread Urocuff in Urology.
    Is anyone billing for the Urocuff procedure? If so are you getting paid using the 55899?
  • kimmcelderry@gmail.com
    kimmcelderry@gmail.com replied to the thread 64721 and 25111.
    Thank you. Accurately reporting the work my surgeons do is very important to me. I am always cautious about mod 59 because I want to keep us compliant, but it's so often subjective.
  • kimmcelderry@gmail.com
    kimmcelderry@gmail.com reacted to NRaizman's post in the thread 64721 and 25111 with Like Like.
    I'm not sure if the cyst was in the carpal canal or in a different place and if it was addressed with a separate incision or not - if it was, then I would consider it separately reportable. If not a government payor, I would use a -59 modifier...
  • M
    Yes, we have that issue as well. We have not found a work-around for these denials either.
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