Recent content by nlbarnes

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    Wiki 99497 Advanced Care Planning

    Hello - provider has documented 15 minutes. Does it need to be a complete 30 minutes to bill 99497?
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    Wiki Wound debridement and repair vs adj tissue tx & wound debridement

    Hello - provider submitted 15132 & 15004. 15132 is bundled with 15004. I informed the provider and he suggests 14060-52. Is 14060 supported? How would you code this: PROCEDURE: Debridement of the wound commenced. Areas of prior eschar were trimmed away. The edges of the wound were...
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    Wiki debridement of ears

    Hello - would this be included in the E/M since it's not cerumen? EARS: Auricles reveal no mass or lesions. The bilateral ears were examined under binocular microscopic visualization. On of the right he was noted to have significant exudate suggestive of persistent otitis externa. This was...
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    Wiki 21556 & 13132

    Thank you...
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    Wiki 21556 & 13132

    Thanks so much!
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    Wiki 21556 & 13132

    Hello - thank you for your reply. The reason that I was allowing 13132 is because it's for a complex closure. 21556 states simple and intermediate closures are included in the procedure and that complex closure is separately payable.
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    Wiki G2212/99417

    We recently started using G2212 for more payers. Thank you for your reply.
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    Wiki 21556 & 13132

    Hello - if appropriate, which X modifier would you use or would you use 59? Or, would 13132 only be allowed if it's a different site? Procedure note: This was noted to be a multilobulated lipoma deep to the subcutaneous tissue and extending to the deep muscles of the cervical spine measuring...
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    Wiki ED E/M codes vs Observ E/M codes

    Hello - I'm not coding for the ED physician, but a specialist who places the pt in observation status (observ can be anyplace). I would use the new observation code vs the ED codes according to 2 webinars that I recently attending but I do not have the presentation. What are others doing? I...
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    Wiki Septal perforation with custom implant

    Thanks!
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    Wiki NCD for acupuncture

    Hello - I have found a list of the covered dx for acupuncture but I think it's outdated. I have a hard time finding info within the NCD CMS (difficulty navigating). Can someone please provide a link for the ICD-10 codes vs the NCD.
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    Wiki Septal perforation with custom implant

    Hello - provider performed 31237. He also has this documented: PROCEDURE: After informed consent was confirmed, the patient was taken the procedure room. The septal perforation was confirmed on endoscopy. The perforation was far too small for conventional septal buttons that are commercially...
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    Wiki 69210-RT and 69200-LT

    Thank you so much.
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    Wiki 69210-RT and 69200-LT

    I was grasping at cerumen, without impaction as FB. Ear wax is not a FB I found out. Thanks so much for 69140.
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    Wiki 69210-RT and 69200-LT

    RT hear has ear has excessive cerumen. LT ear has impacted cerumen. Would the RT be coded 69200-RT w/ FBR ear as dx? Cleaned with microinstruments. And another encounter - exostoses, not impacted cerumen. Can I code this 69200 as well w/ FBR ear as dx? Cleaned under micro suction.
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