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    Wiki PRN coding work

    Hello, I am an experienced CPC looking for very part-time work. If you have a need please contact me and I can forward my resume. Thank you!
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    Wiki Fellow listed as primary surgeon

    Would this also be true of a resident? If the resident is listed as primary and the attending is the assist but the attending has their teaching attestation, we can still bill this under the teaching?
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    Wiki Fellow listed as primary surgeon

    Would this also go for a resident if the resident is listed as the primary surgeon but the teaching physician is listed as the assist and the teaching physician has documented their attestation this is still billable correct?
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    Wiki Seeking part-time contract position

    I work full-time as a coder and am looking for a very part-time contract position to supplement. I have many years of experience with coding multispecialty including Trauma, Cardiology, CT surg, Rad Onc, among others. I also have experience in resolving claim edits and coding denials. Please...
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    Wiki Fellow listed as primary surgeon

    Thank you for this info! How to bill for fellows is always a confusing area for me!
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    Wiki Fellow listed as primary surgeon

    Thank you! That is what I was thinking but wanted to make sure before I billed it out.
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    Wiki Fellow listed as primary surgeon

    I have an OP note where the fellow is listed as primary surgeon but attending is listed as the assist. Is this okay in order to bill under the attending or does the attending need to be listed as the primary surgeon? Thank you!
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    Wiki Pay for contract coding

    Hello, Can someone give me a ballpark of what going pay is for a contract coder? Is it best to do by the hour or by chart and what is average for both? Thank you!
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    Wiki VATS/Robotic Esophageal Diverticulectomies and Diaphragm Procedures

    I agree with STS that these are unlisted. If you read the descriptions of the codes, for example, 43130, it says the surgeon makes an incision in the neck which is not VATS.
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    Wiki Vats mediastinotomy

    No biopsy
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    Wiki Vats mediastinotomy

    One of my Cardiothoracic Surgeons performed VATS mediastinotomy. I only see codes for cervical or transthoracic approach so guessing I need to use an unlisted code? Has anyone seen this procedure and found a different code besides unlisted? Thanks!
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    Wiki CPC with billing experience looking for part-time/prn IC work

    CPC, CPMA, CCVTC looking for part-time/prn coding or billing IC position. I have experience in coding multiple specialties and EMs and have experience in billing also. Please contact me and I can forward my resume.
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    Wiki Signing of individualized treatment plans

    Hello, I support a large Cardiology group and I am being asked about billing for cardiac rehab individualized treatment plans. Does anyone have experience with doing so and if so, are you billing a low level EM? Any help is appreciated! thank you!
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    Wiki Can you count for data?

    If a primary care provider sees a patient for a problem visit and sees they are overdue for screening tests that aren't related to any of the current chief complaints (example, mammogram) can you count the ordering of the mammogram toward data?
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    Wiki Thoracoscopic first rib resection

    Hello, I have a surgeon who performed thoracoscopic first rib resection for thoracic outlet syndrome. I can't find a code that fits this and only find 21615. Is unlisted appropriate here? Thank you!
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    Wiki CEUs for CCVTC

    Hello, Anyone have a great resource/resources for low cost CEUs for CCVTC? Thanks!
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    Wiki Procedure note required documentation

    Hello, For a minor procedure (trigger point injection) is it necessary for a doctor to document "preop and postop diagnosis" or can they document "indication for procedure" or "reason for procedure?" Thanks!
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    Wiki Experienced CPC, CPMA, CCVTC looking for part-time work

    Hello, I am seeking part-time remote work as an independent contractor. I have experience with Epic, Encoder, 95, 97 and 2021 guidelines and 10+ years of experience. I have coded for many different specialties, outpatient and inpatient teaching hospital and also have vast experience with...
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    Wiki Need clarification of split/shared rules for procedures

    I know the split/shared rules are confusing on the hospital side and I am hoping someone can help me. I know critical care and procedures cannot be split shared per CMS but if the APP performs the procedure (ex: laceration repair) and the MD signs off and does his "attestation" is this...
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    Wiki Colopexy

    Hello, I have patient who underwent open colopexy (suturing of the colon to the abdominal wall) and I am having the hardest time finding the correct code for this. Can someone point me in the right direction? Thank you!
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    Wiki Nuss procedure pricing

    Hello, I have a provider who performed a Nuss procedure on a patient, 21743. This is a category C code meaning carrier priced. Has anyone had experience with this code and did you have to price this out and what procedure did you compare this to? Thank you!
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    Wiki Renal denervation, 0338T

    I work with a structural Cardiologist who will be starting to perform renal denervation for resistant hypertension, 0338T. Wondering if anyone has experience with coding this procedure? I have found that 64680 and/or 64681 is a comparable procedure to compare this to for pricing but I am...
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    Wiki Looking for very part-time work - exp surgical coder, CPC, CPMA, CCVTC

    Hello, I am seeking very part time work, maybe about 10 hours per week or less. I am an experienced professional coder with experience coding Cardiology, CT surgery, Radiation Oncology, Primary Care, Trauma, Interventional Radiology, OB/GYN, Geriatrics, outpatient and inpatient E/M, among...
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    Wiki Looking for easy link to CMS shared/split rules

    Hello, I support a group of trauma surgeons and when the APPs are performing the procedures the surgeons are signing off and adding an attestation and trying to bill for these services. I know the shared/split rule does not apply to procedures and if the APP does the procedure we need to bill...
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    Wiki Ligation of facial artery

    Hello, I code for trauma providers and my provider documents: "the large 15 cm left facial laceration was explored, active hemorrhage was present from three distal branches of the facial artery. These were clamped with hemostats and definitive hemorrhage control was obtained with medium clips...
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    Wiki Cancelled procedure after anesthesia

    Not seeing the OP note, I am guessing it would be coded 93458 with 53 modifier.
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    Wiki Trauma coding

    Hello, I have taken on coding for a group of trauma providers. I just want to see if there are any coding resources specifically for trauma or if I just should just focus on general surgery resources? Any help and advice is appreciated! Thank you!
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    Wiki MAT services

    Hello, I support a group of midwives and they are planning to start performing MAT services and I am curious if these are billable and how everyone else is billing for these services? Thank you!
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    Wiki Nurse visits and continuous glucose monitoring

    Hello, When billing for continuous glucose management, 92951 are you also able to bill a nurse visit, 99211 on same day? Thank you!
  30. D

    Wiki Resection of tumor

    Hello, One of my surgeons is performing a procedure for resection of right atrial and SVC tumor on bypass. Would you use 33120 for the resection of the right atrial tumor and unlisted for the SVC tumor? Thank you for your help!
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    Wiki Cath modifier

    I don't believe you can bill an assist for an atherectomy code. You would need to check on the physician fee schedule to double check.
  32. D

    Wiki SC joint reconstruction with allograft

    One of my surgeons is performing Sternoclavicular joint reconstruction with allograft tendon and I am looking at 21740. Can someone tell me if I am looking in the right direction? Thank you!
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    Wiki Coding Cardiothoracic help

    I was new to this area also about 3 years ago. I reached out locally for sources and to see if I could job shadow a CT surgery coder. Dr. Z has a CT surgery resource that is helpful and I would advise to at least get this.
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    Wiki Pap done at the time of AWV

    Can someone tell me if a pap and pelvic is allowed at the time of a Medicare AWV?
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    Wiki Billing for influenza A and B

    Hello, If we perform influenza A & B in the clinic and it gets sent for culture, can we still bill for the flu test in the clinic?
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    Wiki Influenza test

    If influenza A&B were performed in the clinic and then gets sent for culture, does anyone know if we can still bill for the tests performed in the clinic?
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    Wiki resident performing PE

    Can a resident perform a PE and discuss this with the teaching physician in the clinic or does the teaching physician have to be physically present during the entire PE?
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    Wiki Holter monitor insert in clinic setting

    Can anyone tell me if the Holter monitor insert, 33282, can be performed in the clinic setting? We are currently performing these in the hospital, but one of my providers wants to start doing these in the clinic. Thank you!
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    Wiki billing holter monitors

    CMS states it should be billed on the date of the interp. I support a large cardiology practice and this is how we are billing these.
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    Wiki Billing DME at time of diagnostic spirometry

    Hello, Can anyone tell me if the DME at the time of diagnostic spirometry is a billable service? HCPCS code S8100 billing along with 94060. Thank you!
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    Wiki Billing Radiation Therapy Codes 77301 and 77014

    Thank you for this info! We are also getting denials not only from Aetna but also United Healthcare! I will appeal these and hope they get paid!
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    Wiki Anesthesia for c-section and tubal

    Hello, I am new to anesthesia coding and need to know how to code when a patient has a C-section and tubal at the same session. I have a denial from a payer as we used the sterilization ICD10 code and they want the matching CPT code. I see that 01961 says cesarean delivery only. Do we bill...
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    Wiki upgrade from single chamber ICD to dual chamber ICD

    Just need to confirm that I am correct. My provider removed a single chamber ICD and inserted a dual chamber ICD and also a new lead. Would we use the combined removal and replace code of 33263? Would we also bill for the addition of the new lead? Thank you! Denise
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    Wiki Upgrade to CRT-P

    Thank you Misty!! It is always these unusual circumstances that throw me for a loop!
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    Wiki Upgrade to CRT-P

    Patient undergoes upgrade from dual chamber pacemaker to CRT-P. Provider performs removal of dual chamber pacemaker, implants new right atrial pacing lead and implants new CRT-P generator. Patient has had a recently placed left ventricular pacing lead done at a prior procedure. Would I...
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    Wiki Left atrial appendage removal

    I understand that left atrial appendage removal is billable with an unlisted code if this is the only procedure that is performed. It would be bundled with a Maze or mitral valve surgery. Can anyone guide me to a similar procedure so I can compare RVU to price the unlisted code?? Any help...
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    Wiki Intracranial Artery Angioplasty

    I have a denial on this procedure stating it is experimental. Has anyone had any luck with getting this procedure paid? The angioplasty was performed for cerebral vasospasm. I would love to get a copy of an appeal letter if possible. Any help would be appreciated! Thank you!
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    Wiki Procainamide challenge-I am having

    I am having a hard time finding a correct CPT code for this test. One of my cardiologists is performing these in the hospital to rule out Brugada syndrome. He is using 93015, but not sure this is correct. Any help would be appreciated. Thank you!
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    Wiki STS Coding Workshop Materials

    I would also love the materials emailed to me if anyone can do that! I would be very appreciative! dsuskie@lhs.org
  50. D

    Wiki **help with procedure code**

    Need help with assigning CPT codes for pulmonary artery replacement using graft. This is due to aneurysm. Any help would be appreciated. Thank you!
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