Page 1 of 2 12 LastLast
Results 1 to 10 of 11

Help with op-note

  1. #1
    Default Help with op-note
    Exam Training Packages
    procedure:rt hip arthrogram,rt hip injection

    The RT groin was prepped and draped in a sterile fashion. A spinal needle was inserted through the groin into the hip capdule. Contrast was injected and an arthrogram performed. Once it was confirmed that we are within the hip capsule, the syringes were switched and the hip was injected with a solution of Marcaine and Kenalog. Post-injection fluroscopy confirmed further intra-articular distribution of the contrast; confirming a successful injection. Sterile dressing was applied. The patient was awakened from anesthesia without event and stable to the PACU.

    What codes would you use?

    thank you!!!!!!!!!!!!!!!!!!!!!!

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    are you coding for the physician?
    Mary, CPC, CANPC, COSC

  3. #3
    Default
    Sorry,asc

    thank you!!!!!!!!!!!!!!!!!

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    20610 & 73525-tc
    Mary, CPC, CANPC, COSC

  5. #5
    Default
    Mary, why would you not use 27095?

  6. #6
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    because 27095 bundles with 20610

    This is for an ASC...20610 has P3 PI, 27095 has an N1
    Mary, CPC, CANPC, COSC

  7. #7
    Default
    For physician would you code the same?

  8. #8
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    yes but with the 26 modifier instead of TC (providing he documented appropriately)
    Mary, CPC, CANPC, COSC

  9. #9
    Default
    Rephrasing: Why would you not use 27095, with 77002 instead of 20610 and 73525?
    Last edited by martnel; 08-26-2009 at 02:37 PM.

  10. #10
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Quote Originally Posted by martn View Post
    Rephrasing: Why would you not use 27095, with 77002 instead of 20610 and 73525?
    27095 is for the injection of contrast for the arthrogram

    20610 is for the injection of steroid

    The main purpose of the procedure is to inject the steroid, making 20610 the primary procedure being performed. 27095 bundles into 20610 therefore 27095 is not reportable.

    73525 is for the arthrogram which is the primary radiology procedure, 77002 bundles into that therefore its not reportable either.

    make sense?
    Mary, CPC, CANPC, COSC

Page 1 of 2 12 LastLast

Similar Threads

  1. PA note vs. resident note
    By MADION in forum E/M
    Replies: 1
    Last Post: 05-27-2014, 10:10 AM
  2. Op note
    By ktenney in forum Podiatry
    Replies: 1
    Last Post: 12-28-2010, 12:02 PM
  3. Brief Note!
    By jifnif in forum E/M
    Replies: 2
    Last Post: 01-14-2010, 10:07 AM
  4. op note
    By sblanchard in forum Orthopaedics
    Replies: 1
    Last Post: 09-30-2009, 02:41 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.