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  1. M

    Wiki NERVE BLOCK NOTE

    Hello. Does anyone have any information on a possible change to CMS documentation requirements for the "Reason for block" on a post-op nerve block note? We're hearing that CMS may not be accepting post-op pain management "per surgeon request" anymore. Thank you.
  2. M

    Wiki Sedation for Retrobulbar Block Only - Ocular

    Is it appropriate for an anesthesia provider providing sedation only while a surgeon performs a pre-op Retrobulbar Block for an ocular surgery (i.e. cataract), but does NOT participate in the ocular surgery itself to be reimbursed for that pre-op block sedation time?
  3. M

    Wiki ANESTHESIA TELEPHONE PATIENT CONSULTS

    Does anyone know if it's appropriate to bill anesthesia telephone consults (99441-99443) for patients (mainly OB)? I know 99441-99443 CPT codes are for established patients and most payors were making an exception during PHE. Any feedback is appreciated. Thank you!
  4. M

    Wiki SEROMA EXCISION CPT

    Hello. Any suggestions on what CPT code to use for an "excision" of a seroma from the abdominal wall? 10121? TIA.
  5. M

    Wiki EXCISION OF AXILLARY BREAST TISSUE CPT CODE 19120 vs 19301

    Does anyone know the appropriate CPT CODE for the EXICISION OF BILATERAL AXILLARY BREAST TISSUE? Plastic surgeon is thinking it should be 19301-50, but I'm leaning toward 19120-50 since it's not an excision of a malignancy. Any thoughts or suggestions? TIA.
  6. M

    Wiki MODIFIER -59 & PLASTIC SURGERY EDUCATION

    Hello. Was wondering if anyone had a good MODIFIER -59 & PLASTIC SURGERY webinar resource? TIA.
  7. M

    Wiki TISSUE TRANSFER ADD-ON 14302 MULTIPLE QUANITY

    Thank you!
  8. M

    Wiki TISSUE TRANSFER ADD-ON 14302 MULTIPLE QUANITY

    Hello. Does anyone know how large multiple quantities of 14302 are billed? It was a very large area (800 sq cm) with 25 units (14301 first 60). I know that each payor has a max allowable quantity. Would it be billed 14302, 14302-59 x 24 (or allowable qty) or 14302, 14302-59 on separate lines...
  9. M

    Wiki INPATIENT CONSULT & SAME DAY SURGERY IN THE OR

    Thank you.
  10. M

    Wiki CONSULT IN THE ER

    Thank you.
  11. M

    Wiki COMPLICATIONS AFTER GLOBAL PERIOD EXPIRES

    Thank you.
  12. M

    Wiki COMPLICATIONS AFTER GLOBAL PERIOD EXPIRES

    Hi. Anesthesia coder brand new to E/M coding and Plastic surgery. We recently started billing for a plastic surgeon who had a question regarding post op complications after a global period has expired. For example, If a patient comes in his office with wound dehiscence and global period has...
  13. M

    Wiki INPATIENT CONSULT & SAME DAY SURGERY IN THE OR

    Hi. Anesthesia coder brand new to E/M coding. We recently started billing for a Plastic surgeon who sometimes has an inpatient consult on the same day as a surgery. Is the consult billable if it's on the same day as the surgery? I understand that Medicare and some commercials don't accept...
  14. M

    Wiki CONSULT IN THE ER

    Hello. Anesthesia coder here... new to E/M coding. We recently started billing for a Plastic surgeon who sometimes performs consultations in the ER. What E/M would be most appropriate for a consult in an ER? I understand he has to meet the 3 R's for the consult, but I'm unsure of which E/M...
  15. M

    Wiki Post op pain mgmt bier nerve block

    Does anyone know the CPT for a post OP pain mgmt Bier nerve block? I'm getting some saying 64450 and others saying 64499? TIA
  16. M

    Wiki Four point tap blocks

    Thank you! This is very helpful!!
  17. M

    Wiki Four point tap blocks

    Hello. My provider preformed a post op pain mgmt Bilateral Dual Tap Block (four point guidance). This is the first time I've seen this. I'm not sure how to bill ... thinking 64488?!! Thoughts? TIA.
  18. M

    Wiki C-section w/bowel repair

    Good morning! Needing a little help. Patient went to OR for a C-section due to bowel obstruction. Can we bill for both the C-section and the bowel repair? Same incision. The C-section of course has a cap reimbursement amount. The bowel procedure added an hour and a half to the op session...
  19. M

    Wiki Luna

    Good morning! Does anyone know of a comparable CPT for a LUNA procedure? I bill for anesthesia only so not familiar with this procedure. Unlisted is 58578. Any ideas? TIA.
  20. M

    Wiki Cpt for removal of cranial eeg electrodes

    Would anyone know what CPT or ASA would be used for the removal of stereo-electroencephalogram electrodes? 61760 is for implantation and includes removal for the surgeon, so he does not report the removal. 11 base units just seems high for a removal especially when my provider was only with the...
  21. M

    Wiki 2018 new/revised cpt code list

    Does anyone have a link or list to the new/deletions/revisions 2018 CPT codes (appendix b)? TIA!!
  22. M

    Wiki Icd 10 dx pre-bariatric surgery endoscopy

    Hello. How would you normally code in ICD 10 for a pre-bariatric surgery endoscopy? I code for anesthesia. The surgeons usually just give a GERD primary dx....but for almost ALL of the cases. I'm aware that most obese patients do experience GERD. Is it better to code off the endoscope report for...
  23. M

    Wiki Icd 10 coding pre-bariatric surgery endoscopy

    Hello. How would you normally code in ICD 10 for a pre-bariatric surgery endoscopy? I code for anesthesia. The surgeons usually just give a GERD primary dx....but for almost ALL of the cases. I'm aware that most obese patients do experience GERD. Is it better to code off the endoscope report for...
  24. M

    Wiki Icd 10 uncomplicated twin delivery

    Hello! Am I understanding it correctly that primary dx code(s) for uncomplicated twin vaginal delivery should come from the O30.001-O30.093 range (anesthesia coding)? According to ICD 10 guideline for O80 is for full term vaginal "single" live not twin?!! TIA!
  25. M

    Wiki O32.1 vs O64.1 - breech presentation

    Thank you!
  26. M

    Wiki Physical status modifiers

    thank you! we have one payer that requires a secondary dx for the PSM. So we provide for all payers.
  27. M

    Wiki Post op mediastinal re-exploration for bleeding

    Thank you!
  28. M

    Wiki Post op mediastinal re-exploration for bleeding

    Thank you! That's what I did:)
  29. M

    Wiki Amygdalohippocampectomy stereotactic laser ablation

    Is anyone familiar with the AMYGDALOHIPPOCAMPECTOMY stereotactic laser ablation procedure? I code for anesthesia and have never seen this procedure before. I know to bill with unlisted 64999, but what would the comparison cpt code be? 61798? TIA!
  30. M

    Wiki Canpc exam

    Thank you...that's helpful!!!
  31. M

    Wiki Post op mediastinal re-exploration for bleeding

    HI! Would anyone know what CPT code to use for a same day return to the OR for a mediastinal bleed? I code for anesthesia. Patient who underwent urgent coronary bypass surgery earlier today. He had been loaded with Plavix the day before. Initially, he returned to open-heart recovery and had...
  32. M

    Wiki Post op mediastinal re-exploration for bleeding

    HI! Would anyone know what CPT code to use for a same day return to the OR for a mediastinal bleed? I code for anesthesia. Patient who underwent urgent coronary bypass surgery earlier today. He had been loaded with Plavix the day before. Initially, he returned to open-heart recovery and had an...
  33. M

    Wiki Physical status modifiers for ob deliveries

    thank you!
  34. M

    Wiki Critical care coding

    Does anyone have CRITICAL CARE CODING experience? One of our Docs just started in a SICU. I wanted to make sure I'm coding dxs correctly. An example would be... if a pt is admitted to SICU for sepsis shock and it's post procedural would I include primary dx from the surgical procedure as well...
  35. M

    Wiki Physical status modifiers for ob deliveries

    Does anyone know if physical status modifiers can be charged to OB patients for delivery? Guidelines? TIA:)
  36. M

    Wiki New endoscopy 2018 cpt codes

    Thank you!
  37. M

    Wiki New endoscopy 2018 cpt codes

    Good morning! Does anyone have any information or link to the new endoscopy CPT codes for 2018? TIA :)
  38. M

    Wiki BLOCKS: 64445 (sciatic) & 64450 (saphenous)

    Thank you!
  39. M

    Wiki Subgaleal fluid collection

    Hello! Does anyone know the ICD 10 & CPT for post op SUBGALEAL FLUID collection (adult)? This complication followed a decompressive hemicraniectomy. ICD 10 I was thinking G97.82. Would 10140 be appropriate for the fluid collection at the subgaleal level? I code for anesthesia. TIA!
  40. M

    Wiki Post op subgaleal fluid collection

    Hello! Does anyone know the ICD 10 & CPT for post op SUBGALEAL FLUID collection (adult)? ICD 10 I was thinking G97.82. Would 10140 be appropriate for the fluid collection at the subgaleal level? I code for anesthesia. TIA!
  41. M

    Wiki Dx for physical status modifiers

    Thank you lcole. I sent you a private message!
  42. M

    Wiki Physical status modifiers

    HI! Fairly new to anesthesia coding and was looking for a little clarification on dxs for Physical Status Modifiers. To bill for the P3-P5 does the dx have to be different from the primary dx (an underlying condition)? I was trained that is does, but wanting to make sure that's correct?!! TIA!
  43. M

    Wiki Dx for physical status modifiers

    HI! Fairly new to anesthesia coding and was looking for a little clarification on dxs for Physical Status Modifiers. To bill for the P3-P5 does the dx have to be different from the primary dx (an underlying condition)? I was trained that is does, but wanting to make sure that's correct?!! TIA!
  44. M

    Wiki ICD-10 code for encounter for delivery for a PT over the age of 55?

    thank you!
  45. M

    Wiki Spinal fixation

    Thank you!
  46. M

    Wiki Spinal fixation

    Thank you!
  47. M

    Wiki Spinal fixation

    Thank you!!!! In most cases then do you use the CPT for the cage (i.e. 22853) in addition to the CPT for the plate fixation (22845)?
  48. M

    Wiki Spinal fixation

    Does anyone know what types (i.e. PEEK) spinal fixation biomechnical devices (cages) require a plating system for stabilization? I code for anesthesia only and can't bill the new 22853, 22854, or 22859 because they don't hold any base units for anesthesia. We only can bill the plating systems if...
  49. M

    Wiki Spinal fixation

    Does anyone know what types (i.e. PEEK) spinal fixation biomechnical devices (cages) require a plating system for stabilization? I code for anesthesia only and can't bill the new 22853, 22854, or 22859 because they don't hold any base units for anesthesia. We only can bill the plating systems if...
  50. M

    Wiki 22853 cpt biomech devices

    Thank you! That is what I found as well!
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