Recent content by tblmt1966

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    Wiki Laparoscopy bilateral Salpingectomy with incidental liver perforation and adhesions.

    My question is on this case shown below regarding the diagnosis extent of severe adhesive on the 58661 would it be correct to use the K66.0 instead of the N73.6 for that code only due to liver perforation? 58661 with modifier 22, 50 with N93.8, N73.6 K91.72 58558 N83.8, N73.6 Findings...
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    Wiki Question for Vagina delivery with repair for 3A laceration

    Thank you so much. I have learn so much from you.
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    Wiki Question for Vagina delivery with repair for 3A laceration

    Our midwife did the delivery, and our physician did 3a laceration repair. Unfortunately, the provider did not provide the dimensions of repair. So, my question is can I code the vagina delivery under the midwife can add modifier 22? My other question is on the diagnosis. This is what I came up...
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    Wiki Help with Dilation and curettage under ultrasound guidance with placement of Bakri uterine balloon.

    Hopefully I'm understanding this correctly. Don't bill the 59899-78 for balloon and just bill the 59160 with the modifer 22 and the 76998 for the ultrasound. I still have to add the modifier 78 for the return trip to the OR. What modifer would I put first the 22 or the 78
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    Wiki Help with Dilation and curettage under ultrasound guidance with placement of Bakri uterine balloon.

    My patient had C-Section in afternoon and then in evening she returned to OR for the D/c under ultrasound guidance with placement of Bakri uterine ballon. Would 59899-78 and compare it to 43460 for Baki Balloon. Then for D/C under ultrasound guidance 59160 with 76986. Diagnosis Postpartum...
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    Wiki Need help excision left vulva cyst and Right Incision drainage of vuvla

    Sorry, for late reply I've been out on a family emergency. Yes, I meant to say 10060 for the right. I agree that there is no specific code for the I&D of vulvar sys in the 5xxxx code section. When I looked at the 10060 Incision and drainage in the CPT book states Incision and drainage of...
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    Wiki Need help excision left vulva cyst and Right Incision drainage of vuvla

    I'm coming up with 11423, LT and 1160 RT Procedure detail: After consents were signed and IV fluids running, patient was taken to the operating room and placed in dorsal supine position. General anesthesia was obtained and found to be adequate. Patient was repositioned into a dorsal lithotomy...
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    Wiki OB TRIAGE BILLING

    My provider also seen one of patient in triage on the labor and delivery and abscess. I would code 99213 and place of service 22 Outpatient hospital correct.
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    Wiki Intrauterine Fetal Demise - Help!

    First thank you for explaining above. I have something like but little more complicated case that I'm stuck on and need help. Our patient at 19 weeks pregnant, known fetal demise for several days. Came into the ED by ambulance with bleeding. The ED provider delivered the fetus and clamped the...
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    Wiki Need help with Incomplete Spontaneous abortion at 19 weeks in ED. Our provider delivered the placenta. Next day did removal of impacted IUD.

    I'm confused with your answer. For the charges that I need to bill for are for inpatient provider services so coding for ultrasound would not be correct. The hospital owns the equipment, and our provider did not read the ultrasound. Coding rules indicate that an abortion after 20 weeks 0 days...
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    Wiki Need help with Incomplete Spontaneous abortion at 19 weeks in ED. Our provider delivered the placenta. Next day did removal of impacted IUD.

    Our patient at 19 weeks pregnant, known fetal demise for several days. Came into the ED by ambulance with bleeding. The ED provider delivered the fetus and clamped the cord. Our provider was enroute to ED. Upon arrive in the ED transported the patient to L&D for further care of the Placenta...
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    Question Question regarding coding 58661 to Medicare for sterilization

    Patient had a Laparoscopy, surgical with removal of bilateral salpingectomy for sterilization. According to the CMS, Medicare does not pay for elective. sterilization. My dilemma is 58661 for this procedure is covered for medical reasons, just not for elective sterilization. No ABN was...
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    Wiki ROBOTIC ASSISTED LAPAROSCOPIC HYSTERECTOMY, BILATERAL SALPINGECTOMY AND CYSTOSCOPY PR LAPAROSCOPY W TOT HYSTERECTUTERUS <=250 GRAM W TUBE/OVAR

    The provider dropped code 58571. I believe the correct code would be the 58552 per the documentation. Which code would be correct? Procedure Details: The patient was seen in the preoperative area. The risks, benefits, complications, treatment options, non-operative alternatives, expected...
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    Wiki IUD removed under General anesthesia at the hospital outpatient.

    Patient was scheduled for IUD removal with hysteroscope, surgical: with removal of foreign body. As seen below in operative report " During dilation retained segment of the IUD fell out of the cervix and was sent to pathology. The Hysteroscope was inserted a general survey of the uterine cavity...
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    Wiki Help with Anembryonic pregnancy/missed abortion.

    Would this be coded as 59812, 59820 or 59840? SUCTION DILATION AND CURETTAGE ULTRASOUND GUIDANCE Diagnoses: Pre-op Diagnosis * Missed abortion [O02.1] Post-op Diagnosis * Missed abortion [O02.1] 1. Anembryonic pregnancy (blighted ovum) 2. Declines medical management Procedures: SUCTION...
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