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    Wiki Laceration Repair on same date of service of original repair

    A patient has a laceration repair and on same date of service, a while later, presents to the emergency department with a stitch popping loose from the original repair. A different provider sees the patient and applies dermabond. Can this second visit be billed? Would modifier 77 be appropriate...
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    Wiki Attestation

    Hi, Can anyone tell me if this attestation is sufficient to show that the MD examined a patient for a Managed Medicare claim? There was NP and MD involvement on this chart. "For this encounter, I reviewed the NP documentation, treatment plan and medical decision making. I have reviewed all lab...
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    Wiki Constipation in Pregnancy

    We are having a debate in our office on the correct diagnosis code for a pregnant patient with constipation. Some agree on O99.61x, K59.00 and the others say constipation should not be coded this way because it is not a digestive "disease" and should be coded K59.00, Z233.1. Does anyone know...
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    Wiki Suggested CPT code for procedure

    Can someone tell me what CPT code would be correct for this deroofing procedure? The site was anesthetized using EMILA cream, after adequate time to anesthetize the skin the site was cleaned with chlorehexidine gluconate and the pustule was deroofed and small amount of purulent material was...
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    Wiki Laceration of tongue

    Can I please get help with CPT code for this procedure of laceration repair of tongue? Would this be covered under 41250? Thank you!
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    Wiki Billing 12011 and 12001

    Can CPT 12011 and CPT 12001 be billed together? Thank you in advance for any help.
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    Wiki Symptoms associated with final diagnosis codes

    When a patient comes in with a symptom such as nausea and vomiting and the doctor diagnoses the patient with (ex pancreatitis), should the diagnosis on the claim be only pancreatitis as documented by the doctor or the reason the patient came in which was the nausea and vomiting followed by...
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    Wiki Primary diagnosis codes

    Can I please get some help understanding primary diagnosis codes on hospital subsequent encounters? If the patient is admitted with a diagnosis of respiratory failure (ex) and on next day the hospitalist documents that the patient developed a fever, should the primary diagnosis on the subsequent...
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    Wiki Help with modifier for dup procedure performed on different location and bundled with primary procedure billed

    Can I get any help with the following billed CPT codes? 43753 billed with 36410 x 2, which are performed on different locations. 43753 is bundled with 36410, so I am thinking a mod 59 would be added to the first 36410 billed, but what modifier would be appropriate to bill with the second 36410...
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    Wiki Open Thoracotomy

    Can I please get advice on correct CPT for this procedure? Thoracotomy done in the ER. I am looking at 32100. Procedure: Left sided incision from sternum to axilla. Intercostal muscles cut with scissors. Rib spreader applied. Aorta cross clamped. Lung gently moved away to expose the heart...
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    Wiki Diabetes with other known diagnosis codes or complicstions

    Can someone help me to understand how to code diabetes with other documented diagnosis codes and/or complications? For other diagnosis codes that are not listed in the index or tabular, but are documented in the note, such as diabetes and anemia. Is this coded as "other complication" or is...
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    Wiki HCC coding

    I am interested in finding out more about HCC coding. I have read that these jobs are mostly seasonal jobs. Can anyone give me any information on whether HCC coding jobs are mostly seasonal or are there companies that employ HCC coders full time year round? Any information that anyone can give...
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    Wiki laceration repair help

    Can I get your opinion on whether this would be an intermediate or complex repair? Location: face, nose and right side. Length: 8.0cm. Complexity: complex (requiring alignment of multiple flaps), intermediate (layer closure) and simple (local anesthesia used and sutured). Wound depth/shape-...
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    Wiki urethritis secondary to chlamydia and gonorrhea

    Can I please get opinions on the correct way to code a final diagnosis of urethritis secondary to chlamydia and urethreitis secondary to gonnorhea? Thank you in advance for any help.
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    Wiki seizure in epilepsy patient

    Can I please get opinions on correct ICD9 code for final diagnosis of seizure (this is for a patient who has epilepsy)? Should this be coded as 780.39 or go to 345.xx series of codes? Thanks for any opinions in advance.
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    Wiki Complex partial seizure

    Can anyone please help me with a diagnosis code for complex partial seizure? Thanks in advance for any help.
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    Wiki menstrual bleeding

    Can I please get other opinions on diagnosis code for regular menstrual bleeding? Thank you in advance.
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    Wiki help with CPT and modifiers-correct way to code

    Can I please get other opinions on the correct way to code the following scenario? Patient has two different metacarpal fractures on left and right hand. Closed treatment for the fractures is provided. Thank you in advance for any help.
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    Wiki help with CPT and modifiers

    Can I please get other opinions on the correct way to code the following scenario? Patient has two different metacarpal fractures on left and right hand. Closed treatment for the fractrues is provided. Thank you in advance for any help.
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    Wiki chronic sprains

    Can I please get other opinions on how to code a final dx of chronic sprain? Thank you in advance
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    Wiki bleeding from IV sitge

    Can I please get other opinions for a diagnosis code for bleeding from IV site, s/p 1 day of IV administration? Thank you in advance
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    Wiki acute hip and thigh pain s/p injection

    Can I please get help with a final diagnosis code of acute hip and thigh pain 1 day s/p injection? Thank you for any help.
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    Wiki foot cellulitis secondary to IV heroin use

    Can I please have help with coding foot cellulitis secondary to IV heroin use? Thank you for any help.
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    Wiki chronic wound

    Can I please get other opinions for a diagnosis code for chronic wound of rectal area, present for 2/3 yrs, no mention of ulcer? Thanks for any help
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    Wiki acute asthma exacerbation with bacterial bronchitis

    Can I please get help with a diagnosis code for acute asthma exacerbation with bacterial bronchitis? Thank you for any help
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    Wiki abdominal infection

    Can I please get help for final diagnosis of abdominal infection? Thank you
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    Wiki occluded SFA stent

    Can I get help for a diagnosis code for occluded SFA stent? Thanks for any help.
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    Wiki insomnia due to anxiety and fear

    Can I get any opinions for a final dx of insomia due to anxiety and fear? Would 327.02 be correct coding for this diagnosis or should this be coded as 780.52? Thank you for any help.
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    Wiki proximal humeral head fracture treatment

    Can anyone please tell me if CPT 23600 also covers treatment of proximal humeral head treatment? Thank you for any help.
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    Wiki bipap initiation

    When physician orders and supervises a bipap initiation, is this separately billable with an E/M charge or included with E/M charge? Thank you for any help.
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    Wiki medication administration in ED

    Can I please get your help for appropriate diagnosis codes for the following circumstances? Patient comes into ED in police custody to take their own meds while being observed. Physician's final dx: medical monitoring encounter. What would be an appropriate diagnosis code for this visit...
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    Wiki acute left systolic heart failure

    For diagnosis acute left systolic heart failure, would 428.21, 428.1 be correct codes? Thanks for any help
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    Wiki venous stasis ulcer

    Patient presents with wound infection. PMH chronic venous stasis ulcrs, was recently admitted for infection and discharged yesterday. monring. Returns because still having pus drainage, foul smelling, chills, no fever. was dischrged on augmentin but not taking it. PE: venous stasis skin changes...
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    Wiki help with elements

    Can I please get other opinions of the number of elements in this HPI? Patient presents with arthritis. Patient has a history of arthritis and gout and believes that he is having a flair. however, he is also c/o pain to his right calf. No chest pain or shortness of breath. No trauma. No fevers...
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    Wiki multiple diagnosis code help

    Can I please get help with diagnosis codes? The final dx codes documented are hypertensive urgency, CHF, hypothyroidism, hupertension, diabetes mellitus, GERD, edema, CAD, hyperlipidemia, ischemic nephropathy with atherosclerotic renal artery stenosis, accelerated secondary hypertension. My...
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    Wiki reported sexual assault

    Can I get yother opinions on coding a final dx of reported sexual assault? Is it appropriate to code sexual assault with "reported" included? thanks for your help.
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    Wiki number of elements

    Can I please get other opinions on number of elements in this HPI? Patient presents with psychiatric evaluation. Presents c/o hearing voices and wanting to hurt himself. No homicidal ideation. Also reports dry cough, rhinorrhea and wheezing. No chest Pain. No abdominal pain, back pain, leg...
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    Wiki nail bed injury procedures - lacerations visualized

    Can I please get help with procedure code(s) for the following procedure(s)? Procedure: Nerve Block, Nail Trephination, nail Bed Reconstruction with suture the patient's thumbnail was carefully lifted from the bed with copious irrigation of nail bed and thorough inspection. No FB visualized...
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    Wiki nail bed injury procedures

    Can I please get help with procedure code(s) for the following procedure(s)? Procedure: Nerve Block, Nail Trephination, nail Bed Reconstruction with suture The patient's thumbnail was carefully lifted from the bed with copious irrigation of nail bed and thorough inspection. No FB visualized...
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    Wiki Coagnulase negative Staphylococcus bacteremia

    Can anyone please help me with a diagnosis code for coagulase negative Staphylococcus bacteremia? thank you for any help
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    Wiki anterior wall of maxillary sinus fracture, frontal process fracture

    Can I please get help for coding of anterior wall of maxillary sinus fracture and frontal process fracture? Would 801.00 & 802.4 be appropriate codes? Thank you for any help.
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    Wiki anterior wall of maxillary sinus fracture, frontal process fracture

    Can I please get help for coding of anterior wall of maxillary sinus fracture and frontal process fracture? Would 801.00 & 802.4 be appropriate codes? Thank you for any help.
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    Wiki reduction of ankle subluxation

    Can I get help with CPT code for this procedure? Would 27840 be appropriate in this case? Procedure: reduction of ankle subluxation reduction of ankle performed by me with alignment of anatomic structures. patient was neurovascularly intack post procedure. Thanks for any help.
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    Wiki number of elements

    Can anyone please give me their opinion on the number of elements present in this HPI? Patient presents with psychiatric evaluation. Patient is transferred from nursing home for evaluation secondary to aggressive behavior there. Patient petitioned and felt to be reasonable harm to others and...
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    Wiki pain from G-tube

    Can anyone please help me with a diagnosis code for pain from a G-tube? The patient is s/p 3 week tube placement Thank you for any help.
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    Wiki suicide ideation in pregnancy

    Can I please get any help with coding a diagnosis of suicide ideation in pregnancy? Should this be coded as 646.83, V62.84? This is the sole diagnosis. Thanks for any help.
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    Wiki suicide ideation in pregnancy

    Can I please get any help with coding a diagnosis of suicide ideation in pregnancy? Should this be coded as 646.83, V62.84? This is the sole diagnosis. Thanks for any help.
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    Wiki rectal bleeding in pregnancy

    Which is the correct way to code rectal bleeding in pregnancy? 641.93 or 646.83, 569.3? thanks for any help
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    Wiki rectal bleeding in pregnancy

    Which is the correct way to code rectal bleeding in pregnancy? 641.93 or 646.83, 569.3? thanks for any help
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    Wiki phlegm in throat

    Can I get other opinions on dx code for phlegm in throat? Patient presents with chronic white mucous production with cough after completion of chemo/rad. Physician's final dx is phlegm in throat. Thanks for any help.
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