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Latest activity

  • K
    Question: Bone marrow aspiration and biopsy procedure note documents successful aspiration (12 mL marrow obtained from left posterior iliac crest). Bone marrow biopsy was attempted twice but no core specimen was obtained ("core biopsy attempted...
  • F
    CPT ASST June 2009 reads: Removal of Deep or Superficial Bimalleolar Plate and Screws Code 20680 would be used to describe the removal of a plate (eg, periarticular plate, locking plate, or one-third tubular plate) and screws from the fibula in...
  • R
    rtayag4 replied to the thread GUIDELINE FOR CLASSES OF OBESITY.
    Hello. Just along the lines of Obesity class 1-3. If the provider documented obesity class 2, but the bmi from other licensed clinicians states BMI calculated as 30.8, and therefore we coded based on BMI but Obesity class 1. The auditor states...
  • A
    ashfaye814 replied to the thread 2027 OBGYN Changes.
    If you don't mind my asking, how are you having the providers document differently? We've been working with our EMR system to create a new template, but I'm not sure that their changes are going to be enough to qualify for an e/m visit.
  • A
    ashfaye814 reacted to kaylahcm@hotmail.com's post in the thread 2027 OBGYN Changes with Like Like.
    I've started billing e/m visits for deliveries set to happen 2027, with the pregnancy modifier. Getting providers use to documenting differently. I am in Ga ; our payors recommended it as well.
  • T
    I hope someone can help me with this. I'm coding/billing for inpatient mental health. I have a patient who has an admission date of 7/27. On 7/28, the MD completed 1 visit note for both the psych diagnosis evaluation w/med services (90792) and...
  • C
    can you bill 92960 (with appropriate modifier) at the start of a PVI 93656, provided the patient is in fib upon arrival? part 2 can you bill 93657 with 93656 for additional afib lines? both of these coding situations have been deleted...
  • M
    Has anyone found an answer to mixed Hyperlipidemia associated with Diabetes? Do you use E78.2 or E78.49? my assumption is the HLD is being caused by DM regardless that it is mixed.
  • N
    Hi everyone any help or guidance would be greatly appreciated!! I have 3 claims that are denying for procedure/modifier issues, and I am at a loss. I am newer to podiatry, and these surgeries are giving me so much issue and my providers are...
  • K
    Open reduction internal fixation right proximal ulna fracture (Monteggia fracture dislocation) Right coronoid reconstruction autologous radial head autograft Right radial head arthroplasty Right lateral collateral ligament repair Right...
  • E
    Hello everyone we would like a second coding opinion for the following op report. Thank you in advance. Postoperative Diagnoses: 1. Left ankle fracture, closed, displaced with extensive comminution, shortening. 2. Syndesmotic joint...
  • J
    joeli220 reacted to MH3550's post in the thread New HCPCS C8014 Code with Like Like.
    C8014 was created to report cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed). There is another HCPCS code C9761 cystourethroscopy...
  • J
    joeli220 replied to the thread New HCPCS C8014 Code.
    thank you for your response.
  • R
    I need help! Everything I have reviewed and the below OP report I found 27599 is the best fit. I have been asked to review 27514 but since there is no documentation of a fracture this does not fit. Based on this "replaced and reduced the fragment...
  • D
    on the physician notifications of screening ( 5 year plan) is the physician documenting this enough or do we have to have aphysical copy scanned into the chart?
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