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JI am getting questioned and actually pressured to give the provider the codes he wants and especially code 20680 which I have always found to be bundled in this situation. He is stating that since this patients had pain for 12 years the plate...
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NNRaizman replied to the thread CPT 29884 vs 29876?.29884. This was a lysis of adhesions, not a major synovectomy, which is a rarely used code that would be more appropriate for PVNS, rheumatoid arthritis, or major synovial disease, not post-op adhesions. There is no specific code for the...
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LYou code both E11.36 and the H cataract code - See Coding Clinic 2019, 2Q, pg 30: Question: A type 2 diabetic patient with nuclear sclerotic cataract and primary open-angle glaucoma of the right eye undergoes phacoemulsification with intraocular...
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LThe provider stated the patient had diabetes and had cataracts. For ICD-10CM this is all you need to code it as diabetic cataracts.
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LAgain in this ICD-10 CM era, they do not need to be linked by provider documentation if the condition like cataracts is listed under the word "with" under its main term such as diabetes. For ICD-9 coding the terms must be linked in the...
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LThis is new for ICD-10 CM. the provider does not have to document the relationship or the word with in the documentation. If the complication is listed under the term "with" in the alpha section of the code book then it is a presumed causal...
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LAccording to ICD-10 CM conventions and guidelines. In the alpha section under the keyword diabetes you see the word "with" the terms indented under the word with are considered to be automatic causal conditions. The provider does not need to...
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Llyork1 posted the thread Coding Prenatal NICU Counseling Visits for Inpatient Mothers When Consultation Codes Are Not Used in Inpatient Facilities.I am looking for some guidance on a coding scenario involving our NICU APPs. Our organization does not report consultation codes. We have APPs in the NICU who are asked by Maternal Fetal Medicine (MFM) or OB/GYN providers to see pregnant...
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Ssllamas523 reacted to lal4381@yahoo.com's post in the thread Billing Hydration and Chemotherapy with
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I need some help determining how to appropriately bill for a hydration infusion with chemotherapy. Patient received hydration from 1050-1325 and chemotherapy from 1120-1305. That means that there was a 29-minute span prior to chemo and a... -
Shttps://careers.spartanburgregional.com/us/en/job/SRHSRHUSP108866EXTERNALENUS/Specialist-Denials-Management-Remote The Denial Management Specialist is responsible for denial and AR management for the department as defined by their...
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KI am leaning towards 29884, due to the extensive scar throughout the knee, however the physician states major synovectomy. He mentions the gutters, suprapatellar pouch, and anterior compartment however I am missing inflamed or damaged synovial...
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TI've recently had an anesthesiologist document placement of temporary pacing wires during a cardiac procedure at the request of the surgeon. This was done through a central line also placed by the anesthesiologist. I'm finding conflicting...
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Aangiesams@mail.com posted the thread 20550 Sacrococcygeal Ligament injection in Billing/Reimbursement.Has anyone found the proper modifier to bill this midline ligament injection? We have been getting rejections and denials (mainly from UHC) stating anatomical modifier may be required - Smartedits. Procedure Description Sacrococcygeal ligament...
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Jjadams@calvertmedicine.com posted the thread Medicare AWV Telehealth guidelines in Medicare Regulations.Current Medicare guidelines state that the patient's height, weight, BMI, blood pressure, balance and gait should be included in the exam. Is there a separate policy or guideline specific to AWVs being performed as telehealth (since they...
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CI am only needing help with whether i could possibly bill cpt code 64595. the provider removed a sacral lead and placed a new lead. The provider also opened existing implantable pulse generator pock with lead disconnection and reconnection to...