Recent content by PMiklavcic

  1. P

    Wiki Enlarging skin lesion/cyst diagnosis

    Yes, I did use the L72.3 for the primary dx code. Thank you so much for your expertise!
  2. P

    Wiki Enlarging skin lesion/cyst diagnosis

    What 2ndary code on the LCD covers "enlarging?" Our provider excised a sebaceous cyst that was growing, no other complications. Medicare requires a 2nd dx to justify the reason for removal. "Enlarging" is listed on the indications for removal, I just can't pair up an appropriate dx that is...
  3. P

    Wiki Enlarging skin lesion/cyst diagnosis

    What 2ndary code on the LCD covers "enlarging?" Our provider excised a sebaceous cyst that was growing, no other complications. Medicare requires a 2nd dx to justify the reason for removal. "Enlarging" is listed on the indications for removal, I just can't pair up an appropriate dx that is...
  4. P

    Wiki Metacarpal fx - splint vs fx care

    We are a primary care office & we had a pt present with hand pain, was found to have a metacarpal fx, hand was too swollen to cast at the time so an OCL splint was applied & pt is returning for full casting. For the initial visit I am inclined to code an E/M with Q4049 (finger splint, static)...
  5. P

    Wiki Global billing

    Thank you so much! That is what we do but just wanted to make sure it was correct.
  6. P

    Wiki Global billing

    Are global visits billed to the ins co with a zero charge to show the ins co that the pt had f/u or are they not billed at all to the ins co & kept on record internally at the doctor's ofc??
  7. P

    Wiki Modifier 76 & global period

    Thank you so much!
  8. P

    Wiki Modifier 76 & global period

    This is being done in an office setting (PCP office)......I was going back & forth b/t the 76 & 78 & was thinking the 78 was more appropriate but the "return to the OR" was throwing me off being that it was being done in the office. The re-I&D was not planned at all......so if I am...
  9. P

    Wiki Modifier 76 & global period

    Our doctor saw a patient for an I&D (10 day global period) of a finger abscess & has been seeing the pt for f/u which falls in the global period.......8 days later the doctor had to re-I&D the abscess......is the 76 modifier appropriate for the 2nd I&D? & does the global period start over with...
  10. P

    Wiki cpt 11100

    This helps tremendously............thank you both so much!!
  11. P

    Wiki cpt 11100

    if 2 separate punch biopsies are done on the same lesion, can you code for the additional punch biopsy? any help would be greatly appreciated. thank you.
  12. P

    Wiki Lab coding during a CPE

    Thank you so much!!
  13. P

    Wiki Lab coding during a CPE

    When a patient comes in for an annual physical, is it appropriate to code the labs as routine (V70.0) if the patient has a medical dx to support the test?? (ie. a TSH is done & the pt has hypothyroidism, do you code the 244.0-244.9 or can you code the V70.0 b/c it is during the annual...
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