Recent content by jalabergeron

  1. jalabergeron

    Wiki Patient cancelled procedure right before anesthesia

    Hi coders! I'm not familiar with the billing side of cancelling procedures. The patient was in the OR, prepped and draped, ready for procedure. While about to administer anesthesia, patient got scared and wanted to cancel the procedure. The facility wants to charge for OR supplies and surgery...
  2. jalabergeron

    Wiki Arthroscopic rotator cuff revision

    Hopefully, a simple question: For an arthroscopic shoulder rotator cuff revision, would you code 29827 (Arthroscopy RCR repair) or use an unlisted code 29999 (unlisted procedure, arthroscopy)? Reason I'm asking, the insurance company is denying 29827. Wonder what the masses are coding for...
  3. jalabergeron

    CPC Certified. Currently working as a medical coder for an inpatient and outpatient hospital.

    CPC Certified. Currently working as a medical coder for an inpatient and outpatient hospital.
  4. jalabergeron

    Wiki fibula fractures

    I'm getting S82.424A Nondisplaced transverse fracture of shaft of right fibula, initial encounter. I agree on the strange "upper and lower" code which I do come across with at times. Hope someone sheds more light on this!
  5. jalabergeron

    Wiki ATP fusion with Posterior fusion same level

    Yes those are the codes we use. 22612 posterolateral fusion 22558 for anterior interbody fusion, includes discectomy 22853 biomechanical device 22845 plate and screws (but this will edit out) 63047 decompression 20930 allograft 20936 autograft
  6. jalabergeron

    Wiki Reconstruction Facial, MOHS RECONSTRUCTION NASAL

    No I did not. I was advised to use only Z42.8. But thanks for the info!
  7. jalabergeron

    Wiki Reconstruction Facial, MOHS RECONSTRUCTION NASAL

    UPDATE: So I did learn the MOHS surgery was done a prior date. This is just the reconstruction portion. I coded 14060 and 15260. Dx codes included Z42.8, Z85.828, Z98.890. Hopes this helps others!
  8. jalabergeron

    Wiki Reconstruction Facial, MOHS RECONSTRUCTION NASAL

    Ok thank you so much. I agree with this. Also, I am assuming the MOHs surgery portion was performed before this reconstruction procedure and would not be coded. Would this be correct?
  9. jalabergeron

    Wiki Reconstruction Facial, MOHS RECONSTRUCTION NASAL

    I don't code plastic surgery very often and would appreciate any help with this. The flaps and grafts are quite confusing to me. The scheduling codes include 14060, 15260, 13151. Would these be correct? Any additional codes? Procedure: Reconstruction Facial, MOHS RECONSTRUCTION NASAL Pre-Op...
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