Recent content by nancygard1

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    Wiki Profee IP Hospital DX coding

    Patient is IP status. Gen Surg does appendectomy on patient for appendicitis. Gen Surg sees patient on POD #2, documents, no complaints, patient doing well. What is DX for this encounter?
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    Wiki Co Surgery Documentation

    I have a compliance question regarding a co-surgery where a neurosurgeon and ENT are working together. ENT opens for neurosurgeon and neurosurgeon does procedure. Neurosurgeon documentation supports CPT code as to cervical level surgery performed and ENT does not document specific levels, only...
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    Wiki Vascular Surgery Help!!!

    PREOPERATIVE DIAGNOSIS: Ischemia left foot, peripheral vascular disease, thrombosed fern-fern graft. POSTOPERATIVE DIAGNOSIS: Ischemia left foot, peripheral vascular disease, thrombosed fern-fern graft. OPERATION: Left femoral thromboendarterectomy with patch angioplasty and profundoplasty with...
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    Wiki Diagnostic Laparoscopy

    Dr. wants to charge diagnostic laparoscopy when she documents: "Attempt was made to take a biopsy of some of the endometriosis; however, this was unsuccessful and the endometriosis was just ablated with monopolar and after copious irrigation, the procedure was deemed complete." Would that be...
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    Wiki Newsletter has gone out

    Please add me to your mailing list too. Thank you Nancy Gard CPC, COBGC nancygard@suddenlink.net
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    Wiki Assistant Surgeon

    Rebecca, Can you send me a copy of the January 2008 Coding edge article. fax 740-446-5677. Thank you, Nancy Gard, CPC, COBGC
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    Wiki Is a modifier required?

    Yes. 28475 on 8/6. The patient was seen the day before the injury for sinusitis. No injury had occurred on 8/5. Thanks
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    Wiki Is a modifier required?

    Child pt seen in pediatrics on 8/5 with sinusitis. Next day 8/6, child injures foot and seen in pediatrics with closed facture treatment. The injury did not occur on 8/5 but would it still require modifier 57?
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    Wiki Wheelchair evaluation

    Does anyone know of a specific code for evaluating a patient who is in a wheelchair? Such as, a patient sees an internist and is wheelchair bound. Would there be something specific as to the patient being in a wheelchair? TIA
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    Wiki Stent placement in hospital setting

    Patient admitted for left heart cath and requires stent.(92980) All done in cath lab with joint ownership by hospital and clinic (Dr employed by clinic). Patient required for overnight stay in hospital and status is observation. Who bills for stent placement, Dr or hospital? Being told if...
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    Wiki temp pacemaker and pacemaker insertion same day

    A temp pacemaker was inserted because sales rep was not present at that time but will be present later on same day. Can both temp and pacemaker be billed? Different sessions but same day. Procedure takes place in cath lab. Thanks, Nancy
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    Wiki Paracentesis inital vs subsequent

    I guess I answered my own question, so if anyone is interested here it goes! Paracentesis is described in CPT by 49080, peritoneocentesis, abdominal paracentesis, or peritoneal lavage (diagnostic or therapeutic); initial. This code should be reported for percutaneous drainage of a fluid...
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    Wiki Paracentesis inital vs subsequent

    I am not finding any information of a time frame between billing an initial or subsequent paracentesis. In this scenario, the patient was seen on an outpatient basis. He had the fluid drained 3 separate times and there were 12 days between each procedure. Any help on this matter would be...
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