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Latest activity
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Ddanachock replied to the thread Wiki Newbie with breast biopsy question.Hello and good evening MrsSpiney, I do not care if the margins were on fire here. Seriously, what did the pathologist state within the pathology report that I do not have the privilege to see? Did you carefully access the "gross for inking and...
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BDoes anyone have a POCUS chart audit form? I am working with a client to audit provider's POCUS notes and I am having a difficult time finding a template online. Much appreciated!
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CPer the CPT Assistant Q&A in September 2015: Q: Would it be appropriate to report code 58563, Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation), when the dilation and...
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Ccsperoni replied to the thread Wiki Multiple acutes.This is from the full AMA guidelines: Number and Complexity of Problems Addressed at the Encounter One element used in selecting the level of office or other outpatient services is the number and complexity of the problems that are addressed at...
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nielynco replied to the thread Wiki IUD insertion problem.You would not use a modifier -52 on J7297 - you did not provide a reduced service and this is a code for a supply not a service. If Lilleta will not reimburse you, I'm afraid you are out of luck. But if the Mirena fit, the Lilleta should also... -
Ccsperoni replied to the thread Wiki IUD insertion problem.-52 is not a valid modifier for J7297 and I don't think would be appropriate in this scenario anyway. You could consider -53 or perhaps -JW. Before billing insurance, I would at least ASK my rep to consider replacing. I have no firsthand...
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Ccsperoni replied to the thread Wiki consult by phone.Take a look at 99446-99449 & 99451. If your physician did not provide a written report to the ER clinician, then I don't think it would be billable.
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nielynco reacted to csperoni's post in the thread Wiki If a hysterectomy is performed and there was a fibroid within the uterus, is the fibroid weight included in the total weight for code selection? with
Like.
Yes, the weight includes the weight of the fibroid. The idea is that you are receiving higher payment/more RVUs for a more complex surgery. The large fibroid(s) that enlarged the uterus made for a more difficult surgery. In fact, I'm not even... -
nielynco replied to the thread Wiki 58100 and 58563.Per the CPT Assistant Q&A in September 2015: Q: Would it be appropriate to report code 58563, Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation), when the dilation and...
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Ccsperoni replied to the thread Wiki If a hysterectomy is performed and there was a fibroid within the uterus, is the fibroid weight included in the total weight for code selection?.Yes, the weight includes the weight of the fibroid. The idea is that you are receiving higher payment/more RVUs for a more complex surgery. The large fibroid(s) that enlarged the uterus made for a more difficult surgery. In fact, I'm not even...
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nielynco reacted to csperoni's post in the thread Wiki Laproscopic left salpingectomy AND ovarian cystectomy with Like.
After reading the op note, my initial probable impression seems correct. The provider was removing the cyst which happened to be on the tube. There was one specimen removed. It would not be appropriate in this situation to bill both 58662 and...
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nielynco reacted to csperoni's post in the thread Wiki Dx lap including lysis of adhesions with Like.
I only code gyn surgeries and agree with @Orthocoderpgu. You code what was done. 58660 Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) If the provider performed lysis of adhesions of the ovary...
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nielynco reacted to mmckibbin's post in the thread Wiki OB pt had precipitous deliverer in OB/GYN office. with Like.
Was this her first time in your office or did you do her prenatal care as well? I would say the admit into the hospital would be billable with puerperium codes as well as the any additional codes for the repair. If you did her prenatal care then...
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No, you shouldn't bill the antepartum now. If the provider leaves and another takes over her care in the same practice there is still potential for global billing (59400, 59510, etc.) since the practice provided all of her OB care. You shouldn't...
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nielynco replied to the thread Wiki Mastitis in The Pregnancy Global Period.If she is in the antepartum period, the modifier -24 cannot be used (the definition is unrelated E/M in the POSTOP period). If she has not delivered, she is not in the postop period. You can certainly code for the mastitis and if if is denied...