Recent content by rjh977@vc

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    Wiki NASAL SEPTAL FLAP

    DOES ANYONE KNOW THE CPT CODE FOR A SPHENOPALATINE ARTERY BASED NASAL SEPTAL FLAP? MY DOCTOR WANTS TO BILL 15740 BUT THAT IS NOT CORRECT. HE WAS REPAIRING A CSF LEAK AND USED THE FLAP AND A FAT GRAFT TO REPAIR THE LEAK. THANKS IN ADVANCE FOR THE HELP.
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    Wiki HELP! Eagle Syndrome

    WE HAD A PHYSICIAN TO BILL THIS. IT DID GET PAID BUT ONLY AFTER WE SUBMITTED MEDICAL RECORDS SINCE THE CODE WAS UNLISTED. IT GOT DENIED AT FIRST BUT THEN PAID. THE DR'S OP NOTE REALLY HAS TO BE SPECIFIC AND VERY DETAILED. HOPE THIS HELPS!!
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    Wiki PALATAL ADHESION

    HEY ALL!! ONE OF MY DOCTOR'S RECENTLY DID A "PALATAL ADHESION" PROCEDURE. I HAVE READ ALL ABOUT IT AND FOR THE MOST PART SEEMS TO BE LINKED WITH CLEFT LIP/PALATE. HOWEVER, OUR PATIENT HAD BEEN SHOT THROUGH THE NECK AND WAS HAVING ISSUES WITH DYSPHAGIA AND THE NASAL SOUND. IS THERE A CODE FOR...
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    Wiki Excision of nerve

    HEY EVERYONE--I HAVE A PHYSICIAN WHO WANTS TO DO AN "EXCISION OF LEFT GREATER AURICULAR/TRANSVERSE CERVICAL NEUROMA". NONE OF THE CPT NEURECTOMY CODES SEEM TO MATCH, AND THE NEUROMA CPT CODES DON'T MATCH EITHER. DOES ANYONE OR HAS ANYONE CODED FOR THIS? ANY HELP IS VERY MUCH APPRECIATED...
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    Wiki Ethics Issue?

    I DO NOT AGREE WITH BILLING 30117 FOR THIS PRODUCT/PROCEDURE FOR THE REASON THEY ARE STATING TO USE IT. . THEY ARE NOT REMOVING ANY LESIONS-THEY ARE CREATING LESIONS WITH THE WAND TO REDUCE SWELLING INSIDE THE NOSE, THE SAME THING THAT CODE 30801 DOES. IF THEY WERE REMOVING NASAL POLYPS, A CYST...
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    Wiki Coder

    Thank you for responding. The patient was only here for a check up. So i might need to educate my physicians that if the patient is only here for a recheck to make sure everything still looks good, then they should only bill the scope- use dx codes z08 and the hx code? But if they find...
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    Wiki Coder

    Does anyone have any advice on the following? Pt had base of tongue/tonsil cancer and finished treatment in 2017. Pt comes in for follow-up, physician does scope (31575) to make sure everything is good and no new growths. We bill the scope with a history of code and Humana ALWAYS denies it. The...
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    Wiki Balloon sinus surgery in office

    I WORK FOR AN ENT GROUP AND We are trying to figure out whether or not we can charge for the balloon itself when balloon sinus dilation is done in the office. In the facility setting we don't bill for the balloon because the hospital provides it. But our physicians purchase the balloon when we...
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    Wiki code 61782

    that's the way i understood it also. The publication i mentioned has it clearly listed as not having specific primary codes-type 1 and type 3 do have specific codes. I think they have a code edit issue. Thanks for your input
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    Wiki code 61782

    that is not medicare's denial though. And commercial payers will pay for it.
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    Wiki Billing stealth code +61782

    HELLO-I AM NEW TO CODING, THE MEDICAL FIELD AND WORK FOR AN ENT GROUP. OUR PHYSICIANS WILL USE THE STEALTH GUIDANCE SYSTEM (STEREOTACTIC COMPUTER ASSISTED NAVIGATION) IN SINUS SURGERIES AND PITUITARY TUMOR REMOVAL SURGERIES. MEDICARE DENIES THIS CODE EVERY TIME WE BILL IT:mad:. THEIR REASON...
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    Wiki Pharyngocutaneous fistula

    I am new to ENT coding. I need help finding a dx code for pharyngocutaneous fistula. The patient had a total laryngetctomy and developed this fistula on his neck to the right of his tracheostomy. I have searched and the only code I come up with is "J39.2-Other diseases of pharynx". Any help...
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    Wiki paramedian forehead flap and takedown insertion of paramedian forehead flap

    I am new to coding, been at it only a couple of months now. Theses procedures are confusing me to say the least. The Dr. did the first surgery removing lesion(s) from the nose and then doing the paramedian forehead flap; approximately 3 wks later he did a takedown insertion of paramedian...
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