Recent content by deeva456

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    Wiki skin graft and unna boot

    Do you know if you can bill a skin graft 15271 and unna boot 29580 together? We occasionally apply a skin graft with the Unna boot in our vascular wound clinic but vascular surgery does not have a coding forum so I thought I would start here. Appreciate any information you can provide Thank...
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    Wiki cpt 92941

    Hello Bill 92941 for an acute STEMI or NSTEMI only, usually an urgent cardiac angio, PCI is needed. should not code 92941 if the procedure is done the following day or 2 days. if a diagnostic heart coronary angiogram is done the with the PCI, 92941 is the primary code. It appears you are...
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    Wiki Left subclavian ostial stent angiogram/PTA

    Hello I read the report and the correct code for the heart cath is 93459-26. The aortic valve was crossed, and measurements were taken. LIMA/LAD, SVG/OM arteries/grafts were imaged. Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s)...
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    Wiki tPA thrombolysis ?????????

    Hello I read the report and agree with the codes except 37211 Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day. this isnt the code for spider filter but tPA...
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    Wiki Pediatric Cardiology

    Hello It depends if the pediatric cardiologist will be doing surgery or general cardiac care. Our physician does not perform surgeries but performs echocardiograms, holter and event monitors, other diagnostic tests and will refer his patients to a pediatric surgeon when needed. CCC is...
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    Wiki Billing pacemakers/ICD's/physiology monitors

    You are correct, cannot bill prior to 90 or 30 days. We schedule the interrogations on the 31st or 91st day. there are global surgery calculators available online to assist in determining if the DOS is within 90 days. Unfortunately, not every Medicare administrator has a calculator available...
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    Wiki Myocardial viability PET scan and glucose monitoring test

    We have a physician who wants to bill for a myocardial viability PET study with the patient being given GlucoCrush for glucose load during the study. I hope this is correct. Any idea how to bill for this? Thank you for your consideration. Dolores
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    Wiki Holter Monitor/MCOT

    Hello Cyndi Bill the holter/event monitors with the date of the interpretation not the date it was placed. There is nothing to review and interpret until the patient wears the monitor and is recording for whatever amount of days/time the physician has recommended. Code selection is based on...
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    Wiki Billing pacemakers/ICD's/physiology monitors

    The interrogations must be done every 91 or 31 days, no exceptions. if these are remote interrogations, the patient availability is not relevant. Our cardiologists have been performing and billing for remote interrogations for several years and if the interrogation is done within the 90 or 30...
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    Wiki -82

    I have a couple of vascular surgeons who have billed a couple of procedures with modifier 82. Do you have any reference materials that explains how to use or bill modifier 82? I have to present this info next month. Appreciate any help you can provide. Thank you!
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    Wiki To bill a hemiarch graft or not to bill?

    I need a second opinion for this case. Would you bill both 33858 & 33866? 33858 - Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection 33866 - aortic hemiarch graft including isolation and control of the arch vessels, beveled...
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    Wiki Help with 37224

    Modifier 50 is billable with 37224.
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    Wiki CPT books

    What do you do with your CPT books that are not being used? I have 2019,2020 books and no room to store them. I also have Dr. Z's coding reference books from 2020, 2021 and I think 2019. Do you recycle them or give to a thrift store? Thank you Dolores
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    Wiki EKG help

    Who is your Medicare carrier and do they have a LCD for ekg's? The LCD usually will provide information that is needed for EKG's. Also, there is a CMS MLN booklet available. I recommend searching your Medicare carriers website, it may have information on signatures. Coverage Indications...
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    Wiki Who outsources their credentialing?

    Hello I just saw your post. I did credentialing for 15 years, we had 20 cardiologists and five office locations. When I started doing credentialing, I didn't know much but over time I became an expert at it. it was 1993 and the internet wasnt available at the time or was just started to...
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