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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 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

    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 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 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!
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    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 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 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 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 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

    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 **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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    Wiki Sbrt - 77373

    I am having a hard time finding the work RVU associated with 77373. Can someone help me with this? Thanks!
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    Wiki Help with coding!!

    Patient has a history of acute ascending aortic dissection and is now undergoing repair of aortic pseudoaneurysm and redo sternotomy. I need help with codes. Thank you!
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    Wiki Device interrogations

    I understand the physician needs to interpret the results and sign off device interrogations. Does it specifically have to be an electrophysiologist or can a cardiologist sign off on these? Thank you!
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    Wiki CPT help for sternal reconstruction

    Can someone help with CPT code for sternal reconstruction? Thank you!
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    Wiki percutaneous arteriotomy repair

    Can someone help me find the correct code for percutaneous arteriotomy repair? And do you know if this can be paid along with a left and right heart cath? 93460? Thanks!
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    Wiki CardioMEM

    One of my providers is going to start performing insertions of a new device called CardioMEM. There is no code assigned for this, so we need to use an unlisted code and I am just wondering if anyone else is familiar with this procedure and what procedure it can be compared to for the RVU value...
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    Wiki Stereotactic treatment/Rad Onc

    Regarding 77470 and 77432. These are unable to be billed on same DOS and I was hoping someone could tell me how their clinic was billing the special treatment procedure, 77470, and what day they were billing it on? Thank you!
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    Wiki Cardiothoracic training

    Does anyone know of a good conference or webinar series for Cardiothoracic coding? I have been coding for our Cardiology group, but this is a new area to me and I am looking for any help with resources, books, webinars, seminars, etc. Thank you!
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    Wiki Temporary pacemaker - 33210

    I am aware of the NCCI edit for 33210 and cardiac interventions, but are there ever any instances where you could bill a temp pacemaker during an intervention or is this always a bundled component?
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    Wiki Upgrade to dual chamber ICD

    Patient upgraded from dual chamber pacemaker to dual chamber ICD. Physician removed right ventricular pacing lead, dual chamber pacemaker, implanted dual coil implantable cardioverter defibrillator lead, and dual chamber ICD. We billed 33233, 33234, 33249. I am not showing any of these need...
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    Wiki BodyFIX sheet for SBRT

    I am trying to locate the correct code to bill BodyFix sheets for SBRT for Radiation Oncology. Can anyone help? Thank you!
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    Wiki UFH bridging

    Has anyone had success with billing postop visits for bridging after ICD placement and ablation?
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    Wiki Toxic Drug List

    Hello, Does anyone know if there is a listing of drugs for rheumatology patients that require regular monitoring for toxicity? Thank you! Denise Suskie, CPC, CPMA
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