Recent content by monica.evans@dchsystem.com

  1. M

    Wiki Long term use of antibiotics

    I am looking for guidance regarding the coding of an encounter when a patient comes in for a CBC/CMP and there diagnosis provided is Z79.2 Long term use of antibiotics. The antibiotic level itself is not being tested but it appears to be systemic effects of the long term antibiotic use? Is it...
  2. M

    Wiki ASC BILLING QUESTION FOR NERVE BLOCK CODE 64447

    I found it. Thank you!
  3. M

    Wiki Elevated Digoxin level

    What code would you use for a final impression in the ER that is "elevated digoxin level" They did not diagnosis digoxin toxicity and I am having trouble find a code that makes sense?? Thank you!
  4. M

    Wiki ASC BILLING QUESTION FOR NERVE BLOCK CODE 64447

    I am looking for documentation supporting this statement to give to share with our coders. Can you tell me where you found this info?? Thank you!
  5. M

    Wiki Coronary Shockwave Lithotripsy - CPT code?

    I was wondering if you have found any guidance for this? I am coding for an op surgery center and the physician is doing the transluminal lithotripsy but not placing a stent. We are also getting a lot of these back. Thank yo for your help!
  6. M

    Wiki Poster Fusion requiring C1831 Interbody device

    Can someone help me understand why CPT code 22612 now requires HCPCS code C1831? 22612 is a posterior lumbar fusion and C1831 refers to an interbody device? What am I missing?
  7. M

    Wiki Z51.12

    If a patient comes in to our Cancer treatment center for a follow up to her metastatic breast cancer to the brain and during this visit received a phesgo injection does the Z51.12 code need to be added? My question is because our physician did not document this information in his note, we just...
  8. M

    Wiki 2N9 Location specificity

    Thank you. I agree, that we can use clock position to determine what quadrant the mass was in. I just wasn't sure about this 2N9?
  9. M

    Wiki 2N9 Location specificity

    We have a physician that is documenting 2N9 for the location of a breast malignancy. They say it means that it is at the 2 o'clock position, 9 cm from the nipple. I have searched and cannot find any official guidance on this. Does someone know if this is an "official" location language and if so...
  10. M

    Wiki 2N9 Location specifity

    We have a physician that is documenting 2N9 for the location of a breast malignancy. They say it means that it is at the 2 o'clock position, 9 cm from the nipple. I have searched and cannot find any official guidance on this. Does someone know if this is an "official" location language and if...
  11. M

    Wiki Long term use of medication

    I am looking for official guidance regarding the coding of long term use of medication from non-physician documentation. We have used a nursing document to code long term use codes in the ED setting. Is there a rule stating that a physician has to state the long term use in order to add the Z...
  12. M

    Wiki Pro fee billing/documentation requirements

    I work for a system and am looking for clarification regarding pro fee billing. The hospital has "series" patients that span 60 days. Our bill goes out for the entire span therefore all codes documented during the series go on one bill. If the patient had dehydrations documented on March 2...
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