Recent content by mommacode

  1. M

    Wiki DM & Hyperlipidemia

    I know this is a very old post but the real question is what is considered "other complication" and what is consider "circulatory complication" etc etc etc. I dont think the intent is that every single possible choice be listed, hence the stated "circulatory complication" and "other complication"
  2. M

    Wiki egd with botox injection esophagus

    when an egd and balloon esophageal dilation is performed as well as botox injection of esophagus, is it appropriate to use a modifier to unbundle those procedures if they are both performed of esophagus? i would think unbundling with modifier 59 would only be appropriate for a different site.
  3. M

    Wiki laparoscopic lysis of adhesions only

    If laparoscopic lysis of adhesions is the only procedure performed can we code 49329 without the documentation of"extensive". Does that rule only appy when we are trying to code adhesiolysis in addition to another procedure?
  4. M

    Wiki is 52281 for "through the scope"

    yes, 52281 wouldn't be coded with 52281 or the dilation code but what I am asking is 52281 coded only when the dilation is performed "through" the scope? If the scope is inserted and then removed and then the dilation is performed are we still to code 52281 when the scope has been taken out?
  5. M

    Wiki is 52281 for "through the scope"

    If patient does have urethral stricture, and sound dilation is performed "prior to" the cystoscope being inserted is it appropriate to code 52281 or is this code only appropriate for "through the scope" dilation????
  6. M

    Wiki diabetes and glaucoma

    We now assume a relationship between certain conditions and diabetes if they are listed under "diabetes with" in icd10. Under "diabetes with" glaucoma is not listed however opthalmic complication is listed. Which gives you code E11.39. When you look up E11.39 in the tabular it instructs you to...
  7. M

    Wiki Coding clinic clarification on causal conditions

    I agree, it is clearly stated that "with" means the same as "due to". If diabetes is documented anywhere in the record and one of the conditions listed under "with" is also stated in the record, even though the provider did not link them, the coder is to link them.
  8. M

    Wiki 52000 vs 52281 please help!!

    Does 52281 apply when the dilation is not performed "through the scope"?
  9. M

    Wiki 52281

    in 52281, cysto with dilation, is this referring to dilation done "through the scope"?
  10. M

    Wiki urethral dilation with sound prior to insertion of scope for urethral stricture

    I do not have one at this time to send but yes 52000 and 53601 bundle. Basically what I am asking is 52281 referring to a "through the scope" dilation? if the dilation is done with sounds prior to insertion of the scope and then a cysto is separately done I would only be coding 52000 and not...
  11. M

    Wiki urethral dilation with sound prior to insertion of scope for urethral stricture

    patient has chronic urethral stricture due to morbid obesity, he has dilations done on a regular basis, The doctor states he used sounds to dilate the urethral stricture and then following this the scope is inserted and cystoscopy is performed. Does 52281 apply in this case or would the dilation...
  12. M

    Wiki coding polyps with only documentation of cm

    I should have been more specific. When coding in pcs you are required to know the specific colon site. So if all you have documented is centimeters would it be ok to use a diagram to establish the specific site based on centimeters?
  13. M

    Wiki Diagnosis coding-If the patient is

    you can't code anxiety unless the physician documented that condition. If it is listed under the chronic condition list then you could code it.
  14. M

    Wiki coding polyps with only documentation of cm

    Is it ok to code the specific site of colon polyps and the polypectomy procedure to the specified site of ascending, transverse, sigmoid etc if the physician only documented the location using centimeters?
  15. M

    Wiki dental procedure codes in pcs

    well, outpatient hospital procedures always have(had) icd-9 procedure codes attached, not just inpatient so I would imagine the same would apply for pcs
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