Search results

  1. N

    Wiki J2930 Solumedrol (methylprednisolone sodium succinate)

    The replacement code is J2919. I'm looking for additional information, also. We still have the J2930 drug in stock. Are we able to use J2919 using the current stock assigning the previous J2930 NDC number?
  2. N

    Wiki Billing for different specialists in same group

    Thank you.
  3. N

    Wiki Billing for different specialists in same group

    Where can information be found on the CMS website concerning same day E&M billing for two difference specialists (of course with different taxonomy numbers) within same multispecialty group sharing one tax identification number? Thank you in advance. Nancy Boyle, CPC CRC AAPC St Louis Chapter
  4. N

    Wiki FESS coding

    Good afternoon all. I'm still new to ENT and struggling with FESS coding. Procedures performed: 1) Nasal endoscopy with frontal sinusotomy and tissue removal 2) Nasal endoscopy with total ethmoidectomy 3) nasal endoscopy with sphenoidotomy with tissue removal 4) nasal endoscopy with...
  5. N

    Wiki Incisional biopsy of left maxillary mass

    Barb Cobuzzi, thank you for your response. The surgeon's note and recall were inconsistent. He actually went with the 31032-52. Thank you for your assistance. Nancy Boyle, CPC, CRC
  6. N

    Wiki G9171 and G9172 replacement codes

    G9171 and G9172 were deleted for 2020. Are there new replacement codes to report the services? Help!
  7. N

    Wiki Incisional biopsy of left maxillary mass

    Thank you Jack!
  8. N

    Wiki Incisional biopsy of left maxillary mass

    Good afternoon all, Please assist with CPT code for an incisional biopsy of a left maxillary mass. OP note states - "15 blade was used to incise through gingival buccal sulcus. Dissection underneath mucosa was done superiorly. Copious straw-colored fluid was expressed through maxillary...
  9. N

    Wiki S0630 global period

    Is there a global period for HCPCS code S0630 when it is used correctly?
  10. N

    Wiki Bursal excision over the IT band CPT code

    Hello there Ortho coders, Patient had sustained tibial plateau fracture when a balcony collapsed on him. Dr performed removal of anterior tibial plate and crews from lateral tibial plateau. "there was a prominent screw at the posterolateral aspect of the plate. This was sitting off the...
  11. N

    Wiki Genicular nerve, diagnostic, injection - Medicare patient

    Hello out there, Who have experience in getting paid by Medicare on 64450, diagnostic knee genicular nerve injection for pain? Need some tips!! Nancy Boyle, CPC AAPC St Louis West Chapter
  12. N

    Wiki Replacement codes for 22851

    reporting 22845 with 22853 or 22854 If a physician is using two different vendors, one for the biomechanical device and different one for a plate, would reporting 22845 and 2283/22854 be correct coding. ASC Expert indicates this combination is not on the CCI edit list. Thank you, Nancy...
  13. N

    Wiki Modifier -59 with pain blocks - why is it correct billing

    Default Modifier -59 with pain blocks - why is it correct billing Medical Coding Books Happy Halloween, At our Ambulatory Surgery Center, in the pre-op are, the anesthesiologist performs a pain block (popliteal, ankle, interscalene, etc) to control post-op pain at the documented...
  14. N

    Wiki using -59 modifier on pain block codes

    Happy Halloween, At our Ambulatory Surgery Center, in the pre-op are, the anesthesiologist performs a pain block (popliteal, ankle, interscalene, etc) to control post-op pain at the documented request of the Orthopedic Surgeon. The literature that I'm finding on coding these pain block...
  15. N

    Wiki Modifier -59 with pain blocks - why is it correct billing

    Happy Halloween, At our Ambulatory Surgery Center, in the pre-op are, the anesthesiologist performs a pain block (popliteal, ankle, interscalene, etc) to control post-op pain at the documented request of the Orthopedic Surgeon. The literature that I'm finding on coding these pain block...
  16. N

    Wiki Pain Management

    Good Tuesday afternoon, WPS Medicare J5 considers 64450 to be not medically necessary. See their LCD L35222. Nancy Boyle, CPC AAPC St Louis West Chaper
  17. N

    Wiki ESI+Fluoro & aborted injection

    Does anyone have information that Fluoroscopy code 77003 can be billed with ESI codes 62310 and 62311 to non-Medicare providers? Patient didnt take Diabetes medication prior to ESI. Patient was checked in and in the prep room. Nurse had him take medication then administered Insulin. Can...
  18. N

    Wiki ESI and Fluoro reporting

    We are receiving Workcomp denials that FLuoro code 77003 is included in value of other services. Upon appeal, the reply is to see 11/13/14 Federal Register, pages 65,779. Does anyone have definitive information that CPT 77003 can be billed and paid separately from CPT 62310 and 62311 for...
  19. N

    Wiki HCPCS code for spinal instrumentation

    Good morning to all, Has anyone used C1713 or another HCPCS code (other than L8699) to report spinal instrumentation, such as screws and rods with successful payment by the insurance company? Thank you. Nancy Boyle
  20. N

    Wiki can 63047 and 63030 be reported together

    In our ASC, Physician performed lumbar decompressive laminectomies with partial facetectomies and foraminotomies at L3/4 and L4/5 with no discectomy peformed - only bony decompression. He then performed the same procedure at L2/3 removing a large extruded disc hernation. The provided diagnoses...
  21. N

    Wiki wound irrigation/debridement/exploration

    any comments on what CPT code should be assigned to this OP note? There was local irrigation and debridement with removal of the suture and removal of the superficial necrotic tissue of the skin. The incision in its entirety was opened. Several cultures were obtained. All necrotic and...
  22. N

    Wiki JP Drain

    Removal drain CPT code Patient had 3 level ACDF 9 days ago. The drain was not able to be removed in the office because a suture strangled it. The drain was removed in our ASC under moderate anthestic care. What CPT code should the ASC report for the drain removal? There has been much...
  23. N

    Wiki Esi & tf esi question

    Can a right L5-S1 transforaminal epidural steroid injection (64483) be reported with a L5-S1 interlaminar epidural steroid injection (62311) at the same session? Thanks and have a great safe Memorial Day Holiday.
  24. N

    Wiki ESI/TF ESI mofider

    Our pain managment physician often performs lumbar transforaminal ESI (64483) and interlaminar ESI (62311) at different levels. The interlaminar ESI is being reported with a -59 modifier because it is the lower priced procedure. An auditor said the -59 modifier should be attached to the...
  25. N

    Wiki 22551 vs 22554

    If physician performs corpectomy of more than 50% of vertebral body at C6, discectomy c5-6 and anterior fusion C5-6 - how would that procedure be coded? Different physician performed anterior discectomy & fusion C3-4, C4-5 and C5-6 with partial corpectomy of more than 50% of vertebral bodies of...
  26. N

    Wiki Patella implant and tibial spacer exchange

    Physician performed tibial spacer exchange from previous total knee replacement along with patellar resurfacing with insertion of implant in our ASC. The physician office states they are using CPT codes 27486 and 27438-59. Has anyone has experience with this scenario?
  27. N

    Wiki ACDF or cervical fusion with corpectomy?

    Physician performed C5-6 discetomy, C6 partial corpectomy (removing more than 50% vertebral body) and instrumented fusion. Also C6-7 discectomy and instrumented fusion. Disctomy is included in both ACDF and corpectomy. Would this procedure be coded as 22551 (C6-7), 22554-59 and 63081-59...
  28. N

    Wiki L4-5 laminotomy & L5-S1 redo laminotomy

    Patient had right L5-S1 laminomty on 3-15-11. Patient returned to surgery center on 6-30-12 to have laminotomy performed at L4-5 right and re-laminotomy at L5-S1 right. Can two primary codes be billed for this procedure - 63030 and 63042 with -59 modifier? thanks
  29. N

    Wiki Removal spinous process disctractor

    Removal Spinous process distractor Thank you also. Other than using CPT 63042 for the redo lami, we have the same codes.
  30. N

    Wiki Removal spinous process disctractor

    Removal spinous process distractor Thank you for your response which was exactly my inclination. It's nice to have confirmation. Have a great weekend. Theso13
  31. N

    Wiki Removal spinous process disctractor

    Physician performed Removal hardware L2-3 (posterior spinous process distractor 0171T when placed), Redo laminotomy L2-3 with removal recurrent disc herniation & Posterior fusion L2-3 with non-segmental fixation (CoFlex device). My inclination is not to bill the hardware removal because...
  32. N

    Wiki Facet fixation with interspinous fixation

    Facet fixation Thank you for your response. I didnt think to look at the MUE edit because the carrier is work comp. Silly me, won't forget in the future. Nancy
  33. N

    Wiki Facet fixation with interspinous fixation

    Recently we had a physician perform non-segmental instrumentation using facet screws at L3-4, L4-5 and L5-1 with placement of Spine Frontier spinous process plates at L3-4 and L3-4 along with the posterolateral fusions at L3-4, L4-5 and L5-S1. The vendor is stating the non-segmental...
  34. N

    Wiki Lumbar Laminoplasty-style laminectomy

    Patient DX: Lumbar HNP & and lumbar spinal stenosis Physician performed lumbar laminoplasty-style laminectomy - at L4-5 and L5-1 left sided laminotomy with ligamentum flavum removal. At L3-4 left sided leminotomy and meical facetectomy with ligamentum flavum removal from right side after...
  35. N

    Wiki L5/S1 ESI & Bilat SI joint injections

    Bilateral SI joint arthritis and lumbar radiculopathy were given as diagnosis. ASCExpert shows that 27096 and 62311 may not be billed together but a modifier is allowed. Doc says its OK because WC is paying. What is the guideline for ALL insurance carriers - can these procedures be billed...
  36. N

    Wiki Rev TKAw/patella resurfacing+rev tibial poly

    Doctor said performed revision TKR with patellar resurfacing and revision tibial polyethylene. He performed medial parapatellar arthrotomy with reaming. The Wright Medical implant was cemented. The knww was lax in flexion and extension so the 14mm spacer was removed and 17mm medial pivot...
  37. N

    Wiki Multi approaches at one injection visit

    Thank you both. I've printed out this info to show the physician. NB
  38. N

    Wiki Multi approaches at one injection visit

    We have a physician who insists that an ESI and a TF ESI can be performed at different levels on the same visit. Usually the ESI is below the TF ESI. Can an ESI and TF ESI be billed on the same day at difference levels? NB
  39. N

    Wiki MNBB and Dorsal ramus injections

    Our doctor wants to bill for L4-5 median nerve branch block as well as for a L5 dorsal ramus procedure. Can both 64493 and 64494 be billed with these levels?
  40. N

    Wiki Removal and redo cervical disc replacemetn

    A spine surgeon performed a removal of an Synthes artificial cervical disc and a "redo" with a Medtronic artifical cervical disc. My CPT choice was 22861. Now, I'm being told by a non-coder that was incorrect because the surgeon changed the typed of disc replacement. My thought is an...
Top