Recent content by TnRushFan

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    Wiki Free Nipple Graft with Gynecomastia surgery

    Good morning, I have been researching this and cannot find a definitive answer. Any thoughts are greatly appreciated. My surgeon performed gynecomastia reduction surgery and free nipple grafting. She documented it differently this time (as skin graft) and am wondering if it will bundle into...
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    Wiki Femoral Artery Transposition

    Good morning, Does anyone know the CPT code for Femoral Artery Transposition? I have searched every way know how, to no avail. Can't imagine it will bundle with the 35656 graft 35685 miller cuff codes. 1. Transposition of Superficial Femoral artery to profunda femoris artery 2. Femoral to...
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    Wiki 52224 vs 52204

    By electrical current OR excision... Just saying I would code it to excision not biopsy. The pathway in our coding software leads to excision if the entire lesion is removed. The forceps are the tool he used to remove the lesion not the driving factor in his procedure. "...d. All visible...
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    Wiki 52224 vs 52204

    It is my understanding that if the entire bladder lesion is removed it is an excisional biopsy - coded to excision. 52234 is for 0.5cm-2cm - per your post he documented "all visible lesions were removed" and they were below 1cm.
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    Wiki Mediastinal tumor and thymectomy (for exposure)

    Hi all, Our surgeon resected a mediastinal tumor via a transsternal approach. To obtain adequate exposure he removed the thymus gland. The assigned coder wants to code both, some of us agree but some of us think the thymus gland bundles in as part of the approach. Any thoughts? References...
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    Wiki -82

    Thank you so much...I feel more confident about it now.
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    Wiki -82

    My providers recently started documenting the use of Assistant Surgeon in absence of a qualified resident. Is it appropriate to use -82 in the Out Pt Surgery Dept? My CPT code payment indicator allows its use but the surgery was performed on an out pt basis. -82 is not listed in the approved...
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    Wiki -52? attempted meniscal root repair with ACL reconstruction

    Yes, but haven't heard anything back yet.
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    Wiki -52? attempted meniscal root repair with ACL reconstruction

    Good morning, My ortho surgeon performed ACL reconstruction and attempted to also perform meniscal root repair. He didn't have the correct instruments to perform the root repair but managed it and had a small fx , then after reconstructing the ACL compromised the root repair and it was...
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    Wiki Fistulogram with ligation of collaterals

    Good morning. My provider performed a fistulogram and an open ligation of the collaterals in an attempt to mature the fistula (did not ligate the fistula itself).. NCCI edits bundle the two procedures together. Does anyone know if it is appropriate to break the bundle since the fistulogram was...
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    Wiki Open right carotid interposition graft with harvested Right GSV

    Good morning folks, Any insight is greatly appreciated. POST-OPERATIVE DIAGNOSIS: Right internal carotid stenosis PROCEDURE: Aborted transcarotid artery revascularization with stent **they only cannulated and shot angiogram** Open right carotid interposition graft with harvested Right GSV...
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    Wiki -AS modifier

    Hello everyone, Does anyone know if I can append -AS for the PA assisting during surgery as well as -GR for the resident for the same surgical encounter? Thanks in advance.
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    Wiki Clinic procedure H&P

    Thank you so very, will relay this to them.
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    Wiki Clinic procedure H&P

    Good morning folks, Several administrative office folks I know are having a discussion about clinic based procedures and the requirements of the H&P. I'm hoping to glean a few authoritative opinions/references. Example: Imagine, you have a 2cm lump on your arm that you do not like. You go to...
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    Wiki Carotid Angiogram during endarterectomy

    Hey folks, I have a provider who performed a carotid endarterectomy with bovine patch [35301] and also a carotid angiogram - micropuncture through the bovine patch...does anyone know of a code for the imaging? Believe radiology codes were deleted and bundled into 362** codes but none of these...
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