Recent content by rocoder

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    Wiki prophylactic pancreatic stent

    Does anyone know if prophylactic pancreatic stents are billable? It was done during ERCP with stent placement in the bill duct. Thank you!
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    Wiki Age inderminate fracture

    Hello - On radiology reports we usually see in the final impression " age indeterminate wedge compression fracture of L1". Order only shows low back pain. How would you code this? S32.010A? Thank you!
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    Wiki Orthopedics and neurosurgeon co-surgery or assistant

    If an orthopedic surgeon and neurosurgeon perform a spinal surgery together is this billed as co-surgery?
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    Wiki IVCD dx

    Hello, How do you guys code IVCD - intraventricular conduction delay. I keep getting different answers - I45.4, I45.89 or I45.9. Thank you!!
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    Wiki congenital ptosis

    Good morning, Does anyone know what code to use for removal of an infected prosthetic graft used in congenital ptosis repair? I was thinking Unlisted. Thank you, Catalina
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    Wiki 64400 x2 or 64400 x 3

    Good morning, Does anyone know if this injection is billed 64400x 2 or 64400 x3? The supraorbital and supratrochlear are part of the ophthalmic branch. So would this be counted as 1 injection? The supraorbital, supratrochlear and auriculo-temporal nerve regions were identified by manual...
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    Wiki surgery for hidradenitis of the neck

    I would use unlisted and reference a hidradenitis excision code.
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    Wiki periurethral laceration

    Good morning, Doesn't anyone know if periurethral laceration repair during vaginal delivery is billable? If yes, can you please provide me with your reference. This is different location than a 3rd or 4th degree laceration repair. Periurethral lacerations are anterior tears while a third...
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    Wiki Closed reduction percutaneous screw fixation of right displaced anterior column aceta

    Hello, What CPT code would you use for this case. Unlisted and reference 27227 ( there is no code for percutaneous fixation) Our providers wants to bill 27227 and 20650 Post-Op Diagnosis: Closed displaced right anterior column acetabulum fracture * Procedures Performed (detailed): Closed...
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    Wiki retrogade access

    Thank you so much! Catalina
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    Wiki retrogade access

    Hello everyone, How would you code this? 36246? The right groin and right foot were prepped and draped in the usual fashion. Under ultrasound guidance the distal anterior tibial artery at the level of the ankle was accessed with a micropuncture needle. Images were saved for further review...
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    Wiki 65205 or E&M

    Can I bill 65205 or would this be part of the E&M? Thank you for your input! Fluorescein stain test shows corneal abrasion is present, but a retained contact lens was noted to be in the eye. Procedure: Topical tetracaine HCL eye drops is used to anaesthetize Left eye. The retained contact lens...
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    Wiki how would you code this?

    Can you please let me know if I have the right codes? I got 28820 and 28122 -59. Thank you for your input!! Procedure Description: Consent was obtained prior to surgery. The leg was prepped with ChloraPrep and sterilely draped. Incisions were made at the base of the necrotic fourth toe. The...
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    Wiki thoracic aortic aneurysm

    I think this should be coded as 33864 but I don't see the coronary artery buttons being reimplanted into the graft. I greatly appreciate your input!! Here is the op note: A median sternotomy performed without complication. The patient was heparinized. The patient was cannulated with a 29 fr...
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    Wiki lap enucleation of liver cyst

    Dr. performed a laparoscopic cholecystectomy and laparoscopic enucleation of a small liver cyst. I have 47562 of the lap cholecystectomy. How would you code for the cyst enucleation? This is what the op note states " The gallbladder was identified, retracted superiorly. There also was a cyst...
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