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Wiki 76998 in office for IUD placement

Thank you so much! This is exactly what I needed, much appreciated. Have a great weekend!
- dmarshall
- Post #6
- May 9, 2024
- Forum: OB/GYN
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Wiki 76998 in office for IUD placement

Hello Melanie, I have a question regarding the message above, would the 76830 code not require the image documentation because it is being used for the IUD removal guidance, our office has been performing these and we needed clarification of what is required for billing other than the detailed...
- dmarshall
- Post #4
- May 6, 2024
- Forum: OB/GYN
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Wiki Wedge Resection of labial lesion

Awesome information regarding the diagnostic laparoscopy, and I will query the provider as I totally agree the procedure should be supported by the documentation of size and also, yes, there is a path report in the medical record to reference for the size of the lesion. Thank you for your...
- dmarshall
- Post #3
- Mar 29, 2024
- Forum: OB/GYN
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Wiki Wedge Resection of labial lesion

Hi OBGYN Group, This patient had a Diagnostic laparoscopy, Hysteroscopy with Symphion and resection of adenomyosis, SSLF with Enplace, Anterior and Posterior colporrhaphy, urethral bulking with bulkamid and cystoscopy, removal of labial lesion. I am inquiring if I could bill the 49320 with...
- dmarshall
- Thread
- Mar 27, 2024
- Replies: 2
- Forum: OB/GYN
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Wiki LEEP Question

Morning Christine, Yes, you are absolutely correct, this is the first time I've noticed the path being reported this way and I wanted to make sure my coding choice of the LEEP was correct for billing the 57522 since no colposcope was used. I usually look for documentation noting that all or part...
- dmarshall
- Post #3
- Feb 1, 2024
- Forum: OB/GYN
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Wiki LEEP Question

Hello OB/GYN Group, I have searched the archives looking to see if I see anything comparable to this Leep that one of our Physicians did and I am still unsure of correct coding, I am listing a portion of the surgery below: Procedure Details: The patient was taken to the Operating Room with IV...
- dmarshall
- Thread
- Jan 31, 2024
- Replies: 2
- Forum: OB/GYN
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Wiki Modifier 52

Thank you for the information provided, very useful and helpful websites.
- dmarshall
- Post #3
- Jan 22, 2024
- Forum: OB/GYN
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Wiki Modifier 52

Hello OB/GYN Group, We have a patient that was scheduled for a Colposcopy the colpo was unable to completed: Unable to successfully perform colposcopy due to patient discomfort. Multiple attempts with speculum were performed to visualize cervix but limited views of the posterior aspect of...
- dmarshall
- Thread
- Jan 18, 2024
- Replies: 2
- Forum: OB/GYN
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Wiki Diagnostic Laparoscopy, Vaginal Cuff Repair, Dense lysis of adhesion, small bowel serosal oversew, cystoscopy and conversion to Laparotomy

Thank you very much Melanie for your guidance and thorough explanation of this surgery, much appreciated and your knowledge always provides a learning experience for me.
- dmarshall
- Post #3
- Jan 7, 2024
- Forum: OB/GYN
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Wiki Diagnostic Laparoscopy, Vaginal Cuff Repair, Dense lysis of adhesion, small bowel serosal oversew, cystoscopy and conversion to Laparotomy

Good morning OB/Gyn Group, I am asking for guidance regarding CPT codes for this return to surgery after Laps Total Hyst done on 12/06/23. Please see op note below; Procedure: Diagnostic laparoscopy, vaginal exam under anesthesia, dense lysis of adhesions, vaginal cuff repair, small bowel...
- dmarshall
- Thread
- Jan 3, 2024
- Replies: 2
- Forum: OB/GYN
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Wiki Billable or not Billable NST

Thank you so much for your response Melanie.
- dmarshall
- Post #3
- Jul 5, 2023
- Forum: OB/GYN
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Wiki Billable or not Billable NST

Hello OB/GYN Group, Our Attending saw our OB patient who was here for routine prenatal visit and NST for FGR with fetal brachycephaly and suspected type II OI. She complains of increased pelvic pressure with intermittent rhythmic low back pain since she was seen 1w ago. Otherwise she is doing...
- dmarshall
- Thread
- Jun 28, 2023
- Replies: 2
- Forum: OB/GYN
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Wiki First Trimester Transabdominal & Transvaginal U/S

Thank you so much for your response and education, much appreciated, I feel more confident to bill out the two codes now. I was unaware that the sac and fluid could be given credit under 11 weeks if the presence of a yolk or gestational sac was mentioned, I have not seen this noted in the ACR...
- dmarshall
- Post #3
- May 1, 2023
- Forum: OB/GYN
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Wiki First Trimester Transabdominal & Transvaginal U/S

Hi OB/GYN, I need OB ultrasound education/advice please, our sonographer scanned this OB patient and our Attending submitted TV and TA codes, I asked the Attending this question: Both a TV/TA US was done due to suboptimal views, but I do not see where the qualitative assessment of amniotic...
- dmarshall
- Thread
- Apr 28, 2023
- Replies: 2
- Forum: OB/GYN
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Wiki Methylene Blue Tampon Dye Test Procedure

Thank you so much Melanie, I appreciate your knowledge and guidance.
- dmarshall
- Post #3
- Apr 6, 2023
- Forum: OB/GYN
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Wiki Methylene Blue Tampon Dye Test Procedure

Good morning OBGYN Group, Wanted to ask if we have a code for the Methylene Blue Tampon Dye Test in which the patient was not taken back to the OR, I have researched and I saw a while back that we should use the unlisted code and compare it to 57150 and then I read something on the AUGS site...
- dmarshall
- Thread
- Apr 3, 2023
- Replies: 2
- Forum: OB/GYN
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Wiki Bedside Ultrasound

Thank you so very much Melanie, your guidance and knowledge is so appreciated. Dorine Marshall,CPC,COBGC Tulsa,Ok
- dmarshall
- Post #3
- Mar 9, 2023
- Forum: OB/GYN
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Wiki Office visit procedure for GU Gland Injection

Thank you so much for this very helpful information and the article from Melanie, I will be using your suggestions.
- dmarshall
- Post #3
- Mar 9, 2023
- Forum: OB/GYN
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Wiki Office visit procedure for GU Gland Injection

Hello OB/GYN Group, I need your assistance please: Pt presents for follow up of vaginal pain. Patient has had 3-4 years of constant vaginal pain that has worsened over the last year. Describes as a dull, throbbing, constant fullness, no radiation, no provoking or relieving factors. Denies...
- dmarshall
- Thread
- Mar 8, 2023
- Replies: 2
- Forum: OB/GYN
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Wiki Bedside Ultrasound

Good morning, Our OB/GYN dept had a patient that was being seen for her routine prenatal visit. She complained of headache for the last 2 days and during the visit her BP was elevated and they did a bedside ultrasound and also performed a BPP with the documented scoring system and medical...
- dmarshall
- Thread
- Mar 7, 2023
- Replies: 2
- Forum: OB/GYN
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Wiki Obstetrical Endo loop placement

Thank you Melanie, greatly appreciated!
- dmarshall
- Post #3
- Aug 15, 2022
- Forum: OB/GYN
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Wiki Obstetrical Endo loop placement

Hello OB/GYN Group, Baby A delivered alive at home. This was inevitable due to previous rupture and already known cord prolapse on arrival to hospital Endo loop placed x2. Baby b still fht 155. Discussed case with mfm. Due to being monochorionic.and still at high risk of...
- dmarshall
- Thread
- Aug 11, 2022
- Replies: 2
- Forum: OB/GYN
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Wiki Uterine Septum question for CPT

Thank you for your input Meg and Christine, I will request clarification from the provider as back up for justification, I totally agree. Thank you again!
- dmarshall
- Post #6
- Jun 6, 2022
- Forum: OB/GYN
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Wiki Uterine Septum question for CPT

Thank you so much for your confirmation of coding, I appreciate it, I feel confident in billing the 58560 code as well.
- dmarshall
- Post #3
- Jun 1, 2022
- Forum: OB/GYN
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Wiki Uterine Septum question for CPT

Hello OBGYN Group, Doctor notes in the hysteroscope procedure that it appeared to be a uterine septum was reduced with subsequent dilator. My question is does this qualify for using 58560? When I sent an inquiry to the doctor she states, no, it literally came down when we finally got around it...
- dmarshall
- Thread
- May 31, 2022
- Replies: 5
- Forum: OB/GYN
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Wiki Office visit Procedure for Endometrial Adhesion

I was leaning towards the unlisted code, thank you!
- dmarshall
- Post #4
- Feb 28, 2022
- Forum: OB/GYN
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Wiki Office visit Procedure for Endometrial Adhesion
- dmarshall
- Post #3
- Feb 28, 2022
- Forum: OB/GYN
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Wiki Office visit Procedure for Endometrial Adhesion

Hi Group, Need assistance again please: Attempt was made to break endometrial adhesion via ultrasound guidance. A speculum was placed and Single tooth tenaculum was used to manipulate uterus. Ultrasound was being used abdominally for guidance. Multiple attempts made to pass into...
- dmarshall
- Thread
- Feb 25, 2022
- Replies: 3
- Forum: OB/GYN
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Wiki Post Op Drain Removal

Hello Melanie! Yes, it was local anesthesia, typo error, sorry about that. Thank you for your expert reply, you are much appreciated.
- dmarshall
- Post #3
- Feb 21, 2022
- Forum: OB/GYN
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Wiki Post Op Drain Removal

Morning OB/GYN Group, Our patient had a 56405 done under General anesthesia and returned to our office for the drain removal, and since she is still in her 10 day global for removal and post op care, my question is would this be considered billable as she returned for drain removal due to...
- dmarshall
- Thread
- Feb 18, 2022
- Replies: 2
- Forum: OB/GYN
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Wiki Sacrospinous ligament suspension removal

Got it! Thank you Melanie! :)
- dmarshall
- Post #3
- Feb 15, 2022
- Forum: OB/GYN
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Wiki Sacrospinous ligament suspension removal

Hello OB/GYN Coders, Need your assistance with the CPT code for this procedure performed in the office please: Date/Time:0:00 AM Performed by: Dr Who; Verbal consent obtained. Written consent obtained. Risks and benefits: risks, benefits and alternatives were discussed Consent given by...
- dmarshall
- Thread
- Feb 14, 2022
- Replies: 2
- Forum: OB/GYN
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Wiki Exploratory laparotomy abdominal pregnancy CPT assistance

My thoughts too, I wasn't sure if I should add a modifier 22 to the 59130 since the pregnancy was an abdominal pregnancy and the tube was attached to the placenta causing removal. Thank you for your help, appreciate it your response.
- dmarshall
- Post #3
- Jan 19, 2022
- Forum: OB/GYN
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Wiki Exploratory laparotomy abdominal pregnancy CPT assistance

Hello OB/GYN coding group, Doctor removed abdominal pregnancy and left tube in which the placenta appeared to be attached to, my question is if my coding choice is correct to bill out CPT code 59130 & 58720-51. Please see Op report with path below: Specimens: Pregnancy found to be in...
- dmarshall
- Thread
- Jan 18, 2022
- Replies: 2
- Forum: OB/GYN
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Wiki Episiotomy breakdown CPT code assistance

Thank you Melanie and have a great day! :)
- dmarshall
- Post #3
- Jan 18, 2022
- Forum: OB/GYN
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Wiki Episiotomy breakdown CPT code assistance

Hello OB/GYN Group, This is a new patient seen in the clinic and delivered approximately 3 months ago by another physician who is not in our group, however she sustained an episiotomy during her delivery that was not repaired and is now experiencing dyspareunia. Our physician says she was...
- dmarshall
- Thread
- Jan 13, 2022
- Replies: 2
- Forum: OB/GYN
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Wiki Revision of Introitus for Vaginal Atresia

I am so glad I reached out to confirm my coding choice and I appreciate your input as I am in total agreeance with you. Thank you so much!
- dmarshall
- Post #4
- Sep 3, 2021
- Forum: OB/GYN
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Wiki Revision of Introitus for Vaginal Atresia

Hello Group, Please see procedure in detail below: The patient was taken to Operating Room, identified and the procedure verified. A Time Out was held and the above information confirmed. General anesthesia was administered without difficulty. She was placed in dorsal lithotomy position...
- dmarshall
- Thread
- Sep 2, 2021
- Replies: 3
- Forum: OB/GYN
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Wiki Cervical Laceration after Vaginal delivery

Thank you for the information provided as the care was not performed by the same provider providing global maternity, I appreciate your guidance to look at 57720.
- dmarshall
- Post #3
- Jul 8, 2021
- Forum: OB/GYN
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Wiki Cervical Laceration after Vaginal delivery

Called to bedside by nursing secondary to patient having large amount of bleeding after delivery. Presented to bedside immediately. Patient was laying supine and blood pressure noted to be 80s/40. Second bag of pitocin was running. Chuck pad underneath patient had approx. 1000 mL of blood clot...
- dmarshall
- Thread
- Jul 7, 2021
- Replies: 2
- Forum: OB/GYN