Recent content by sjtrew

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    Wiki thrombectomy of fem pop graft

    Surgeon performed a percutaneous mechanical thrombectomy of fem-pop bypass. Is this reported with code 37184or 35875? Thanks in advance!
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    Wiki carotid doppler with CEA 35301

    I have a vascular surgeon who is doing intraoperative carotid dopplers when he does carotid endarterectomy. Is this a new standard of care? Is the doppler a separately codable/billable/reimbursable service? He is doing this to ensure his endarterectomy was complete
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    Wiki convergent procedure help please

    This procedure is endoscopic / VATS - not an "open" procedure - i would use code 33265/33266. I check w surgeon if not sure about limited (33265) or extensive (33266)
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    Wiki Billing 0266T

    Hi Luliana are you still having problems getting reimbursed?
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    Wiki Billing 0266T

    Would like to hear from anyone currently billing for Barostim implantation using 0266T. Interested to know if you are receiving reimbursement, does it require an auth? do you bill any post operative care, especially if the procedure is denied as experimental? I am a physician biller, is...
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    Wiki coding 33508 for EVH of SVG for CABG

    There's a new CCI edit for 1/1/21 indicating 33508 is included in the CPT codes 33533-33536. Is this a correct edit? Prior to Jan 2021 we could code a CABG using both arterial and venous bypasses with EVH for SVG harvest using codes 33533 + 33518 +33508. Is anyone still doing this? Adding...
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    Wiki Bronchoscopy w/treatment of bleeding with lidocaine

    Hi - i have the same situation ....... during a bronch with brushings, washings and bronchial bx, the surgeon injected thrombin into an area that was noted to have a slow continuous oozing (pt presented with hemoptysis). is this injection separately billable? thanks for your time and help!
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    Wiki Would Credit be Given for Exam?

    I agree - lymph system for no adenopathy. Also would give credit for exam of musculoskeletal system for comment "neck supple" - meaning the neck moves easily - range of motion of the cervical spine.
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    Wiki Global billing

    Copays are not collectible for pre and post op care - these services are included in the global service and not separately billable, therefore no copay should be collected.
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    Wiki CMS's appropriate use criteria program - Clinical Decision Support Mechanism (CDSM)

    Interested to see if anyone is voluntarily participating in the CMS Appropriate Use Criteria Program. If so, which qualified CDSM are you using? Would appreciate recommendations on which one is easiest for staff to use. Thanks!
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    Wiki TAVR coding - 33361

    Surgeon had a TAVR procedure converted to a SAVR (same operative session) because of a ruptured aortic annulus. The TAVR valve had been deployed and the device removed when the pt became hypotensive. They instituted bypass, opened the sternum, removed the TAVR valve, repaired the ruptured...
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    Wiki ENB 31627 reimbursement

    Is anyone getting reimbursed for the ENB add on code 31627. Many of our payers are denying this as experimental/investigational. We are gathering information in an attempt to change payer policy. Thank you!
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    Wiki Bronchoscopy question

    CPT code 31626 is for placement of fiducial markers, single or multiple CPT code 31627 is for navigational bronch (add on code) use both codes to report dye marking via navigational bronch Sally
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    Wiki Excsion of seroma

    What is the CPT code for excision of seroma- entire seromal sac was excised. This is out of the global period and closure was performed in multiple layers. Thanks for your help!
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    Wiki VATS evacuation of hemothorax s/p CABG

    Surgeon took a patient back to the OR 3 days PO CABG for VATS / evacuation of hemothorax. Evaluation of chest was performed to verify no active bleeding. He also made a second incision to clear some of the hemothorax under direct vision. How would you code this service? Thanks for your help!
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