Cmama12's latest activity

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    Cmama12 reacted to sls314's post in the thread Wiki Outpatient workflow question: Do your physicians sign their note before or after coding review? with Like Like.
    I only code signed notes. If it's not signed, how do I know it is complete and accurate?
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    Cmama12 replied to the thread Question Modifier 82 Same Specialty?.
    Yes usage of mod 82 is not speciality related.
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    Cmama12 replied to the thread Wiki OB code sequencing - we're having a debate.
    Thanks, agree O10 - I'm just so used to adding the additional codes - however, for anemia there is a "use additional code" note under O99 category heading, which would apply to all codes in that section.
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    Cmama12 reacted to csperoni's post in the thread Wiki OB code sequencing - we're having a debate with Like Like.
    I'll also weigh in. I also believe as long as the first code is your O99.013, either example A or example B would be correct. I personally would probably code as example A with all my Chapter 15 codes before any others, but would certainly not...
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    Cmama12 reacted to nielynco's post in the thread Wiki OB code sequencing - we're having a debate with Like Like.
    The ICD10 guidelines do not address this issue directly, but in multiple examples they have provided via their Q&A they indicate that as long as the primary/first listed Dx is from Chapter 15, the other diagnoses used would follow whatever rule...
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    Cmama12 reacted to rstroup's post in the thread Wiki OB code sequencing - we're having a debate with Like Like.
    I would not code I10 and D64.9 as those conditions are already described in O99.013 and O10.013, respectively. Otherwise, I would follow example B when the specific code instructs to use an additional code that might describe higher specificity...
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    Cmama12 reacted to pclaybaugh's post in the thread Wiki OB code sequencing - we're having a debate with Like Like.
    Well. just back into coding OB, but I place the condition codes just below those as in example B. Thanks for posting this as a debate and look forward to others responses.
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    Cmama12 replied to the thread Wiki Assistance with Hysterectomy Codes.
    Hi, unless I missed something, it appears all the uterine attachments were severed via the scope, and the specimen was removed vaginally. I would code 58571. For an LAVH, you would see the uterosacral/cardinal ligaments severed via a vaginal...
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    Cmama12 posted the thread Wiki OB code sequencing - we're having a debate in OB/GYN.
    As we all know, the Chapter 15 guidelines state that Chapter 15 codes have sequencing priority over codes from other chapters. After many, many years of OB coding, we are now having a discussion as to whether this means that ALL the O codes...
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    Cmama12 replied to the thread Wiki Coding for pessary.
    Usually that is all done at the same session, and 57160 includes fitting and placement. For my two cents, I would bill 57160 for the fitting, and wouldn't bill additionally for the insert. Clinical Responsibility The provider performs a...
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    Cmama12 replied to the thread Wiki Assist or not with Adhesions/Hysterectomy.
    Hi, we see this situation fairly often. The lysis can be billed by the gen surgeon. As the gen surgeon didn't assist with the hysterectomy, 58150-80 is not applicable.
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    Cmama12 replied to the thread Wiki Z39.0.
    Yes, you would use it in that situation but it is not limited to that situation. https://www.aapc.com/codes/coding-newsletters/my-ob-gyn-coding-alert/reader-questions-heres-what-dx-to-report-for-pp-hospital-visit-171442-article I don't know...
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    Cmama12 replied to the thread Wiki 59200.
    59200 has an MUE of 1, MAI 3. You are unlikely to be paid more than once - you would need to have documented medical necessity and appeal the denial...
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    Cmama12 replied to the thread Wiki Z39.0.
    Well Z39.0 in and of itself doesn't specifically have anything to do with whether the delivery was in hospital or out of hospital. There is no requirement per se to use it, as far as I am aware. Typically the patient would be admitted and stay...
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    Cmama12 replied to the thread Wiki Z39.0.
    Hi, not quite sure I understand what you're asking. If a delivery occurred outside of the hospital, then a delivery would not be billed, but Z39.0 could be used on any E+M services provided.
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