Recent content by fill.ess1@gmail.com

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    Wiki Citation needed coding from body of op report not procedures performed

    Good Day everyone, The provider notates : PROCEDURE PERFORMED 1. Excision of left upper back mass, final excision size 10 x 14 cm. 2. Complex wound closure in layers of 10 cm incision. In the body of the op report, he documents the closure, but doesnt indicate the size. I'm being told to take...
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    Wiki Infectious agent in disease classified elsewhere

    Hi, Patient was jaundiced (R17) had elevated counts (R74.0). Patient had an ERCP and cultures showed E. coli B96.29 Coding instructions say you can't code the B96.29 first... Sequence the disease first... How do I figure out what that is?? Thank you. Phyllis
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    Wiki documentation of Pulmonary functions test

    Would someone please provide me with an example of a redacted example of the documentation necessary to appear in an office visit note by the doctor in order to code/post for the tech component of same 94010-26. What does the doctor HAVE to note in the chart that supports the coding?:
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    Wiki Help with medicare guidelines

    no dx for chart perhaps this could be coded as annual physical-- the 9983x-thru 9993x codes. you're not actively treating a medical condition, so you would use a Z code for example z00.00 with 99385 or 99396
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    Wiki Critical care documentation - making any addendum

    critical care if you work for a teaching hospital, critical care generally is only billable by the attending PROVIDED he documents his work and time. He can't piggy back on someone's notes for critical care. That said, PA's can perform critical care in certain institutions with only the MD's...
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    Wiki Critical care documentation - making any addendum

    PA- critical care In a teaching hospital, the signature alone is insufficient. If non teaching, I believe a cosignature is sufficient, although it's concerning that the doctor didn't follow up
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    Wiki Post-operative exploration of left groin wound and control of subcutaneous bleeding

    35860
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    Wiki Trauma following Neuro Patient

    :confused: Good Day, patient has surgery performed by Neurosurgeon. Patient normally needs higher level of post-op care, so patient is assigned to the Trauma ICU. The Trauma doctors round on the patient and say they are managing the respiratory aspect as well as the medication. How do I...
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    Wiki Mckesson SCC internal exam

    how was the test?? I've been approached as well and the internal test gives me pause.
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    Wiki McKesson Billing

    I'm researching billing companies that hire remote coders. What has anyone heard regarding McKesson or Kforce companies??? good, bad indifferent?? thank you Phyllis:)
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    Wiki bronchoscopy as guidance for perc trach

    the surgeon used a bronchoscope to assist w/trach placement. it was advanced down the et tube. report reads:No copious amounts of secretions were needed to clear prior to procedure. Lung fields were visualized. Both mainstem bronchi were open and patent. Then the ET tube was removed to 19 and...
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    Wiki Observation order support

    the order states "admit patient for further review" does this order support an inpatient admit or observation?? thank you
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    Wiki Trauma Patient leaves AMA- e/m code?

    my guys are trauma surgeons. can I use the ER codes for them???
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    Wiki Trauma Patient leaves AMA- e/m code?

    Patient comes into ER due to a --4-5 foot fall. evaluated by trauma doctors. (critical care) no broken bones- just shock, tenderness, pain and muscle strain. Patient basically gets up and leaves the ER. It's unusual to hav a critical care patient seen and sent home from Emergency Dept (or...
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