Recent content by cherylbr

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    Wiki FACILITY BILLING FOR VERAFORM TISSUE MARKER

    *****Need help with coding for the facility charges please! I am billing for an outpatient facility. Patient had: 1. Breast wire localized lumpectomy with breast ultrasound guided wire placement. 2. Axillary sentinel node biopsy. The radiologist performed the ultrasound guided wire...
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    Wiki ASC BILLING QUESTION FOR NERVE BLOCK CODE 64447

    Orthopedist did the TKR. Anesthesiologist did the pain block. We understand the anesthesiologist can bill this however, my question is for billing the facility.
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    Wiki ASC BILLING QUESTION FOR NERVE BLOCK CODE 64447

    Anyone coding and billing for an ASC that can please help answer my question? We are an ASC where the patient had a TKR (27447) and also a nerve block for post operative pain management (64447). Can anyone tell me if the billing of these two codes in combination are appropriate billing...
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    Wiki Please help with coding this operative report!

    PREOPERATIVE DX: Bilateral brow lid ptosis with dermatochalasis. POSTOPERATIVE DX: same OPERATIVE PROCEDURE: Bilateral brow lid blepharoplasty with ptosis repair. Procedure: Patent was brought to the operating room and placed under sedation, prepped and draped in a sterile manner. Upper...
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    Wiki NEW 2023 PAIN MGMT HCPCS G3002 G3003

    There has been a article related to this in the Orthopedic Coder's Pink Sheet, published Dec 21, 2022. Hope this may help you.
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    Wiki NEW 2023 PAIN MGMT HCPCS G3002 G3003

    Has anyone received any information on the documentation requirements and the proper claims submission for the new 2023 Pain management HCPCS codes G3002, G3003. It appears as these codes are for accumulation of services provided monthly. Am I understanding these correctly? Any information...
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    Wiki Help coding lumbar and sacral RFA

    PLEASE HELP WITH THE CORRECT CODING OF THIS OP NOTE: Procedure performed: Radiofrequency ablation right L4, L5 medial branches, S1, S2, S3 lateral branches. Description of Procedure: Ipsilateral oblique views were used to visualize the junction of the right L4 transverse process with the...
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    Wiki 29823 or 29826

    I do understand per CCI that you cannot bill the 29822 however, you can bill 29823 debridement 3 or more structures with the biceps tenodesis code 29828. Since alot of the insurances do not reimburse for code 29826 acromioplasty is it correct to use the debridement done for the spur removal of...
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    Wiki 29823 or 29826

    Unsure if this should be 29828, 29823 or 29828, 29826. Can the removal of spur from the subacromial space be used as the 3rd debridement of the shoulder. Postoperative Diagnosis: 1.Partial rotator cuff tear, right shoulder. 2.Labral tear anterior, posterior and superior labral complex. 3.Biceps...
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    Wiki URGENT HELP NEEDED WITH TENEX PROCEDURE WITH ULTRASOUND

    Has anyone coded a percutaneous lateral epicondyle tenotomy with ultrasound guidane for the new Tenex procedure? I am coding and billing for the ASC. I have the tentomy code 24357, but I am unsure about which code to use for the ultrasound guidance and the resource page on the Tenex website...
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    Wiki TENEX PROCEDURE WITH ULTRASOUND

    Has anyone coded a percutaneous lateral epicondyle tenotomy with ultrasound guidance for the new Tenex procedure? I have the tenotomy code for 24357, but I am unsure about which code to use for the ultrasound guidance and the resource page on the Tenex website does not work for me. I am leaning...
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    Wiki post op pain saphenous block

    I have been finding much debate on the proper CPT code for a post op pain saphenous block. I have been using 64447 to code these as my understanding is that the saphenous nerve is a branch of the femoral nerve. Recently, I have been questioning this as it seems the opinion of other coders is...
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    Wiki Please help with coding!

    I am considering coding this as 27486 & C1776 for billing the ASC. Please see the op note and your rendered opinion is greatly needed and appreciated. Would you feel excision of the patellar fragment (27331) is inclusive to the knee revision? Per my coding software, it does show as a bundled...
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    Wiki Please help with coding

    Here is my situation. Pt was in the preop holding area being prepped for a urological procedure. The anesthesiologist administered Fentanyl. The patient went into tachycardia and had to immediately be taken to the emergency room. Is this a billable service? How would this be coded? The...
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    Wiki Please help answer this question

    I am billing for the anesthesiologist. The case was scheduled as MAC however the anesthesiologist could not get a good IV stick and remained present monitoring the patient for the procedure while the Surgeon performed a local. How would you code this? I feel the anesthesiologist should be...
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