Recent content by Cmama12

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    Wiki Condyloma/skin tag removal

    11420 also requires an incision, so would not be applicable for removal with a scissors.
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    Wiki Nexplanon Removal

    ACOG has a LARC coding guideline, but to reiterate what was said above, a provider should not be standardly charging an E+M in this situation. Here is a snip from a PDF version
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    Question Modifier 82 Same Specialty?

    Yes usage of mod 82 is not speciality related.
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    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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    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 approach.
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    Wiki OB code sequencing - we're having a debate

    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 should be listed before ALL the other codes, or if it...
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    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 vaginal exam to determine the proper type and size of...
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    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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    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 what you would use it for on the facility side..
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    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. https://www.cms.gov/files/document/revised-modification-medically-unlikely-edit-mue-program-mm8853.pdf
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    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 1-2 nights if there were no complications, so you...
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    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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    Wiki Late transfer of care subsequent visit

    59425 would not be coded for an initial visit, or do you mean that the first OB is charging 59425?
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    Wiki Intrauterine Fetal Demise - Help!

    It is still a missed abortion as far as the diagnosis goes. You would code your e+m and any delivery of placenta if documentation supports.
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    Wiki Intra operative consult for accidental injury ICD 10

    I have never heard of this. However, it would not be appropriate to use an S code in this instance. See Chapter 19 Coding Guidelines with regard to coding of iatrogenic injuries.
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