Recent content by ReignRuby

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    Wiki ASC implant billing

    Good Afternoon, In an ASC setting, is the actual implant invoice required before billing the insurance for the items used? Sometimes, we have purchase orders that list our cost, and I am wondering if this is sufficient to release the claim.
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    Wiki Colonoscopy with polypectomy

    I would code this as follows: 45385 PT - for the cold snare 45381 PT - for the 1.4 ml saline injection I am assuming this is a Medicare claim. I would be interested to hear other opinions.
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    Wiki Cancelled ASC injection

    I was informed that if a patient leaves the Pre-Op area and goes into the Procedure/OR Room, that we are able to bill for the scheduled procedure with the appropriate modifier 73 or 74. The procedure is noted as Partially Performed/Billable for an ASC. The only time a case is considered...
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    Wiki Phalanx finger fracture re-injured

    I am needing help coding the following: POSTOPERATIVE DIAGNOSIS: Fracture of the proximal phalanx, left long finger. PROCEDURES PERFORMED: Open reduction and internal fixation of the left long finger proximal phalanx INDICATIONS FOR PROCEDURE: This is a female who previously underwent...
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    Wiki ASC Coding - average time spent per case

    Good Afternoon, I am just curious as to what the average time spent coding each case is. I spend 6-7 minutes. Is this average? This is coding, entering the charge and billing the case. Thanks for any insight.
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    Wiki PEG removal ONLY done Outpatient Hospital

    Good Afternoon Pearl, I have the same situation as you have noted above in an ASC. Were you able to receive any re-imbursement? Did you end up using CPT 99213? Any help would be appreciated.
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    Wiki Debridement of finger

    I have assigned CPT 11042 to the op note below. I have not coded very many of these cases. Is this correct and covering everything the physician performed? Would this include the suture removal? :unsure: I code for an ASC. POSTOPERATIVE DIAGNOSES: Left index finger pain status post...
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    Wiki Elbow ligament and tendon repair

    Advice please. :) I have coded the below as CPT 24343. I am on the fence as to adding code 24359-59. This is a workcomp case. This was done under one incision, however the tendon was repaired. Thoughts? PROCEDURES PERFORMED: 1. Right elbow radial collateral ligament repair, (CPT code...
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    Wiki 2020 Facet Joint Injection charging changes

    I have billed Medicare as below and received reimbursement for 64493. CPT 64494 is an add on code. Medicare will not pay these. Medicare wants RT and LT on two separate lines. Commercial is according to contract. Indiana Medicaid uses the 50 modifier for bilaterals. :) 64493- RT 64493 -LT...
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    Wiki Achilles Tendon Repair

    Thank you so much surehjampula. Merry Christmas. :)
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    Wiki Achilles Tendon Repair

    Any help would be appreciated. Please see operative note below. I have coded this with CPT 27654, 27691 & 28118. Would you include 27680 as well? Thank you. I started by exsanguinating the left lower extremity using a 6-inch Esmarch and elevating the tourniquet to 290 mmHg. I then made...
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    Wiki Shoulder Scope - opinions please

    Op note below. I have coded as follows but am not sure. 23412 29822 or 29823 Physician coded as 23412, 29826 and 29999. I did not code 29826 since no acromioplasty was done. Thank you.
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    Wiki SURVEILLENCE COLONOSCOPIES

    Thank you so much! You are awesome.....
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    Wiki SURVEILLENCE COLONOSCOPIES

    Thank you thomas7331. Are you able to provide where I can find the payer policies for Medicare regarding screening colonoscopies? I have been looking for quite some time with no luck.
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