Search results

  1. A

    Wiki Adjacent Tissue Transfer

    Could someone assist me with the coding of the below: Adjacent Tissue Transfer of Medially Based Nasal Mucosal Floor Flap, 4 x 5 cm, Left: An incision was made using a Beaver blade at the junction of soft and hard palate, brought superior along the nasal wall and then anterior underneath the...
  2. A

    Wiki Adjacent Tissue Transfer Help

    Could someone assist me with the coding of the below: Adjacent Tissue Transfer of Medially Based Nasal Mucosal Floor Flap, 4 x 5 cm, Left: An incision was made using a Beaver blade at the junction of soft and hard palate, brought superior along the nasal wall and then anterior underneath the...
  3. A

    Wiki Athletic Training Services

    I am looking for some information on Athletic Training Services. Can orthopedic surgeons bill for these services? If so, Would this be done with the Supervising Physician as the billing provider? The trainer provides crutch training, taping techniques, and teaches certain exercises. It is...
  4. A

    Wiki AWV, Preventive visit, office visit

    Looking for information regarding reporting an AWV, preventive and office visit on the same DOS. I have started seeing this some with providers and wondering if these three codes can be reported on the same DOS. I have not been able to find much information about it and would appreciate any...
  5. A

    Wiki Consult

    When a consult is performed in the ED, is a report back required since the consulting provider has access to the ED chart?
  6. A

    Wiki ER Consult - the Hospitalist for management of medical

    Question about an ER Consult for a Medicare patient: -Orthopedic physician was called in by the ER provider to consult a patient. Consult performed and surgery needs to be done; however documentation states the patient is being admitted to the Hospitalist for management of medical...
  7. A

    Wiki Wound Care

    If a provider states in documentation that a patient has diabetes but the wound being treated is not stated as a diabetic wound, do you still code this as a diabetic wound because the patient does have diabetes? Are there some guidelines somewhere that someone could point me to? Thank you.
  8. A

    Wiki Pfsh

    Is "non-contributory" acceptable in family history for the MAC Cahaba? I have searched and cannot find a definitive answer. Thank you.
  9. A

    Wiki Hospital stay less than 24 hours

    It has always been my understanding that if a patient is admitted and discharged on two different dates even if it is less than 24 hours, then the provider should do an H&P and D/C summary; however one of my providers thinks that if the admission is less than 24 hours he can include the admit...
  10. A

    Wiki Joint Injections

    One of my providers has asked for a list of Medicare covered medications for joint injections. Is there a list of these somewhere and if so where can I find it? I have looked and do not find one. Thanks.
  11. A

    Wiki Transitional Care Management - the CPT codes

    Date of service Can someone please tell me what date of service would be used on day 30 of TCM services? I have not been able to find an answer to this. Thank you.
  12. A

    Wiki Lap band

    If a patient is in post op and has a lap band fill under fluoro, can the fluoro be billed separately during the global period? Thanks.
  13. A

    Wiki Lap band fill

    If a patient is in post op and has a lap band fill under fluoro, can the fluoro be billed separately during the global period? Thanks.
  14. A

    Wiki Spot magnification mammogram

    I have not dealt with mammogram billing and I have been asked what code would be used for a spot magnification mammogram. Can anyone help me with this code? Thank you.
  15. A

    Wiki Musculoskeletal exam

    If the documentation states "Normal range of motion muscle strength, and stability in all extremities with no pain on inspection", should this be counted as a complete musculo exam? It is my understanding that each extremity that is examined should be documented separately in order to get...
  16. A

    Wiki Respite Care Visit

    A physician is seeing a patient at the hospital for Respite care. Does he bill that the same as an acute care visit? Would we use hospital subsequent codes? Thank you.
  17. A

    Wiki Wound Care

    Question regarding usage and wastage of Apligraf...I know that with Medicare you can use a -JW modifier to show the amount wasted but does anyone know how wastage should be billed to commercial payers? The Apligraf comes in units of 44 and the rep states that we should bill 44 units on each...
  18. A

    Wiki Record Retention - encounter forms/superbills

    Can anyone tell me how long a practice should keep encounter forms/superbills? I have looked on the CMS website but have not been able to find information relating to the retention of superbills. Thank you.
  19. A

    Wiki Supercoder - Does anyone use Supercoder

    Does anyone use Supercoder? If so, will you please share your thoughts about the product? We currently use Code It Right as our coding resource. Thank you.
  20. A

    Wiki Nursing home question

    If a nursing home patient is seen on a monthly basis, but then is admitted to the hospital, when the patient comes back to the nursing home, is it considered a readmission or just a regular visit? Thanks in advance for help with this.
  21. A

    Wiki Debridements for Medicare

    One case we have is a patient that had 536 sq cm of debridement performed. Codes used: 11043 and 11046 x 26 units Medicare has denied 11046 stating the number of days or units of service exceeds the acceptable maximum. My thinking is that since it is an add-on code per 20 sq cm, this could...
  22. A

    Wiki Lifeport

    One of my physicians asked me about coding for lifeport maintenance and filling them. I am thinking this is going to be part of the E/M. Is this correct or is there a specific code that can be used? I have looked and do not find anything. Thank you.
  23. A

    Wiki T tube placement

    Can anyone tell me what code would be used for T tube place intraoperatively? Thank you.
  24. A

    Wiki Coding Help

    Can someone please point me in the right direction to properly code a resection of duodenal diverticulum and resection of second portion of duodenum? Thank you in advance for any help with this.
  25. A

    Wiki Debridements for Medicare

    Is anyone else getting denials from Medicare for the add-on debridement codes stating the units of service exceed the maximum allowed? What is the trick to getting multiple units of service paid? Thank you in advance for help with this.
  26. A

    Wiki Nursing Home

    Can a physician assistant perform and bill for the initial nursing facility assessment or does this have to be done by the physician? Thank you.
  27. A

    Wiki Coding Help

    It is open.
  28. A

    Wiki Coding Help

    I am having trouble finding a CPT code for a gastric omental biopsy. Can anyone help me with this one? Thank you.
  29. A

    Wiki Need help with Op Note

    My provider and I have chosen different codes for the procedure below. Can someone please review this op note and let me know your opinion on the codes: Procedure: 1. Resection of the right cervical rib 2. Right middle scalenectomy. Procedure detail: The right neck was prepped and draped in...
  30. A

    Wiki Need help with Op Note

    My provider and I have chosen different codes for the procedure below. Can someone please review this op note and let me know your opinion on the codes: Procedure: 1. Resection of the right cervical rib 2. Right middle scalenectomy. Procedure detail: The right neck was prepped and draped in...
  31. A

    Wiki Question about 44005

    I have a question about billing 44005 with other procedures and will appreciate any help on this.... My physicians feel that when they do lysis of adhesions with other procedures that even though it is a bundled code, it should still be billed when it is extensive and requires extra time. I...
  32. A

    Wiki Help with an Op Note

    Perfect. Thank you for your help.
  33. A

    Wiki Help with an Op Note

    Can someone please help me with coding the following procedure: Implantation of the right testicle into the right thigh in the subcutaneous tissues. The testicle and cord structures were noted to be viable and they were felt to be in need of permanent implantation in the thigh subcutaneous...
  34. A

    Wiki Seton tightening

    If a physician does seton tightening and the patient is outside of the global, what code would be used for this or would this be just an E/M visit? Thank you.
  35. A

    Wiki Coding Help

    I had a feeling I would have to use an unlisted code, however my next question, do you have any idea what code it would be closest to as far as WRVU vaulues? Thank you.
  36. A

    Wiki 2012 Updates

    Does anyone know where I can find a list of the 2012 ICD 9 additions, deletions, and revisions? Thank you.
  37. A

    Wiki Coding Help

    I have a physician who had to remove 2 ribs during a surgery and insterted metal struts in the place of the ribs and I am having trouble finding the correct code(s) to use for the insertion of the metal struts. Any help or suggestions would be greatly appreciated. Thank you.
  38. A

    Wiki EKGs with AWVs

    I know that CCI has bundled 93000 into G0438 and G0439 but would it be appropriate to bill with a modifier -59 if the patient is having a problem and the physician performs the EKG? Should the patient sign an ABN for this? Thanks.
  39. A

    Wiki Hernia Repair

    If a physician does a ventral hernia repair and a port site hernia repair, can both of these be billed together?
  40. A

    Wiki -25 Modifier

    A patient comes in the office with back pain, the physician evaluates the patient and decides to do an injection for the pain. Can the physician bill an E/M with a -25 modifier and the injection even though the only diagnosis for the visit is back pain. Thank you.
  41. A

    Wiki CPT code 96523

    Can a port flush (96523) be billed as an incident to service by a nurse if the patient was not seen by the Physician or PA? I know this code is only billable when it is the only service performed for a date of service but not sure when the nurse was the provider that perfromed the service. Thank...
  42. A

    Wiki Code 95165

    Question regarding billing 95165...The scenario is the physician is writing the orders for the vials of allergy extracts and sending to the lab, it is being prepared at the lab and sent to the office. No preparation is being done at the office. Can the physician bill for 95165 if he is only...
  43. A

    Wiki Remote Coding/Auditing Positions

    I am interested in Coding and/or Auditing from home part time. Does anyone know of any places that have remote positions available? Thank you in advance for any information.
  44. A

    Wiki Coding Help

    One of my physicians worked in a case with another surgeon and he performed a "Thoracoabdominal exposure for a corpectomy of the vertebral body with plate placement". Not sure how to code since all my surgeon done was the initial opening of the surgical site. Can someone please help me with...
  45. A

    Wiki Coding Question - medication management

    I have an Oncologist that has asked the following: If a patient has labs done and after reviewing the labs he decides to change their chemo orders, is there a code that we can bill for high risk medication management? Can someone please help me with this? Thanks.
  46. A

    Wiki Coding Tools

    Does anyone use Code It Right Online? If so, would you please give me your opinion on the product. I am currently using ACS Coding Today, but Code It Right seems to have more information available on the codes and code validation. Any input would be greatly apprectiated.
  47. A

    Wiki Coding for Open G-tube

    Please help with following. The only code I find is 49440 which is insertion of G-tube percutaneous and this was done as an open procedure. Operation: Open G tube Procedure: Patient placed insupine position with administration of general endotracheal anesthesia. Just under the xiphoid the...
  48. A

    Wiki Coding Help - Right groin exploration

    Thank you.
  49. A

    Wiki Coding Help - Right groin exploration

    Can someone please help me with the CPT coding the following procedure: Operation: 1. Right groin exploration 2. Excision of the right side of the fem-fem graft 3. Partial excision of the right side of the fem-fem graft 4. Partial excision of the right limb of the aortobifem 5. Partial...
  50. A

    Wiki Newsletter has gone out

    Audit Newsletter I would like to receive a copy of the newsletter, please send it to akmorgan94@gmail.com. Thank You.
Top