Recent content by nlbonn

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    Wiki Neurology VS NeuroSX

    I am in the same situation! Hoping you get some answers that may help all of us Neurosurgery coders being given Neruology like they're interchangeable.
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    Wiki "Complete ROS" "All systems reviewed"

    Hi all!!! Provider documented "As noted above on HPI otherwise complete ROS is negative" Less than 10 systems are usable, without double dipping, from HPI. Would you count this as a complete ROS? I was under the understanding it either needed to specify at least 10 systems, or say "All other...
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    Wiki Modifying Factors need outcome?

    Do the attempts to alleviate require the outcome to be documented to count as Modifying Factors? CC Knee Pain abbreviated HPI: Patient applied an Ace Wrap
    • nlbonn
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    Wiki Confused

    I always wait for the pathology on those.
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    Wiki ALS and symptoms

    I'm new to Neurology coding/auditing. I am seeing that ALS affects people differently so i wasn't sure if it was appropriate to code for the ALS (G12.21) along with w/e main symptoms they're being treated/assessed for at an individual encounter. Thanks for any help!!
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    Wiki Diagnosis Documentation

    Thank you all for your perspectives!
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    Wiki Diagnosis Documentation

    Hi Everyone! I'm new at the whole auditing portion, so bear with me, please! Patient is 5 months post-op odontoid screw placement, no new issues. Chief complaint says postop visit and followup for odontoid screw. The doctor doesn't state "reason for visit" or any "diagnosis". Throughout the...
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    Wiki Sternum Lesions Needle Biopsy

    I asked the doctor about the 32405 and she didn't agree with that as the lesion is on top of the sternum, and the 10021 is for fine needle aspiration, which doesn't quite encompass what she did. Thanks for the suggestions though. Nicole
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    Wiki Sternum Lesions Needle Biopsy

    Does anyone have any suggestions for a needle biopsy of a lesion growing on TOP of the sternum!? Open biopsy for thorax 21550 refers you to 20206 but that is for muscle biopsy... I don't know which way to go. Thanks!! Nicole
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    Wiki chest wall mass

    Can you post the path results please? Thanks.
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    Wiki Intra-Operative Fluorescein?

    One of my surgeons performed a bowel resection and administered fluorescein to the patient. Using the Woods Lamp he checked the vascular viability of the bowels. I am at a loss as to how or if I should code for this.. Here is an excerpt from the Op Note: All bleeding was controlled as we...
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    Wiki Graham Patch

    Hi everyone. I have a question about the Graham Patch. One of our physicians performed a gastrorraphy with a graham patch for a perferated gastric ulcer. In his note he stated that there was already enough omentum to not require further mobilization for good coverage of the perferation. How...
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    Wiki Parastomal hernia, sm bowel enterotomy, infected mesh

    I would not suggest 44346 for the parastomal hernia as in the description it says the colostomy is not re-attached at the same site, but through a different incision. I would suggest the incisional hernia repair, 49560. Hope that helps!
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    Wiki Surgical Wound Cauterization

    :confused:Does anyone have a suggestion on this one? This pt had Fistulotomy ealier that day, returned to ER with bleeding. My physician used "extensive" electrocautery to stop the bleeding. I need a CPT for the cauterization.. ?? Thanks!! Nicole:)
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    Wiki 19120 v/s 19301

    I have been searching and searching and I can not find anything that gives a clear definitive distinction between an Excisiona Biopsy, 19120, and a Lumpectomy, 19301. Both take the entire lesion with a small amount of normal tissue, and both can be used in benign cases.. Does anyone know what...
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