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Thread: help please

  1. #1

    Question help please

    AAPC: Back to School
    I really need help with this one: The doctor stated he excised a chronic sinus tract in the groin because of chronic drainage. Every thing I find relates to nasal. Please help if anyone has heard of this or if you know the code.

  2. #2
    Join Date
    Apr 2007
    Johnson City


    Often times I bill 13160, and 15002. For excision and repair of sinus tracts. It would depend on if it was from a previous old incision.


  3. #3


    I believe you need to be looking under "fistula repair", sometime referred to as a "sinus tract".....since you provided limited info, this might point you in the right direction.

    ENT CT

  4. #4
    Join Date
    Apr 2007

    Default Colonoscopy screening

    I have a question regarding billing consults for colon screening. I'm new to general surgery and this doc does a lot of colonoscopies. He will bill a consult with the dx code of V76.51. This is not being covered, would I use a V68.89 as a primary code followed by the V76.51? Thanks! Gina

  5. #5
    Join Date
    Apr 2007
    Milwaukee WI

    Default Consult & colonoscopy

    If the patient is being sent to your physician specifically to have a colonoscopy, then there is NO consultation. You might have a new patient visit depending on if this is a significantly separate E/M from the procedure (colonoscopy). The RVUs for the procedure include the work of a usual evaluation of the patient commensurate with the requirements of the procedure.

    F Tessa Bartels, CPC, CEMC

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