Search results

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    Wiki add 33362?

    Thank you so much for your response!
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    Wiki I42.2 vs I42.1

    you have helped! thank you very much for your response!
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    Wiki Diagnosis I51.89 vs I51.3

    Thanks so much for your response!
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    Wiki T82.857A

    Thank you so much for your response! I appreciate it!
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    Wiki I42.2 vs I42.1

    My auditor wants me to use I42.1 instead of I42.2. I chose I42.2 because in the note it says she was more of a circumferential hypertrophic than a true outflow tract obstruction. PREOPERATIVE DIAGNOSIS: 1. Mitral insufficiency. 2. Patent foramen ovale. 3. Hypertrophic...
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    Wiki T82.857A

    My auditor wants me to add T82.857A. The physician documents "Prosthetic mitral valve stenosis." This should be listed as the first listed diagnosis per coding guidelines "code also." I coded this 33430 and 33530 with I34.2 and I27.20. Is she right? I was thinking for some reason that the...
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    Wiki Diagnosis I51.89 vs I51.3

    I am being audited and I used I51.89 as a diagnosis. The auditor wants me to Revise I51.89 to I51.3. She says...The physician documents under findings: "The mass appeared to be subacute thrombotic mass associated with an area in the right atrium that was fibrotic and thickened. It appeared in...
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    Wiki Auditing PA assist at surgery

    well, dang... she did this on two claims and I was hoping to get two of those points back. Again, thanks so much for responding!
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    Wiki Auditing PA assist at surgery

    I'm sorry, I should have been more clear. I had coded a 33426 (repair) when it was actually a 33430 (replacement). I agreed with the auditor on these findings. The surgeon wrote his note and included that the PA was an assist so all of that was done properly. I only have the one report from...
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    Wiki Auditing PA assist at surgery

    I’m being audited once again and I have a claim that I billed for the surgeon and on that same claim I billed for the AS who is a PA. So, when the auditor was listing her findings she dinged me twice. Once for the surgeon charge and again for the AS charge. They were on the same claim but only...
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    Wiki add 33362?

    PREOPERATIVE DIAGNOSIS: Acute type A aortic dissection. I coded this 33858. I am being audited and the auditor suggested that I add 33362. I think that's wrong. They didn’t do a TAVR and there isn't documentation for a TAVR. They do open the skin for the femoral artery and vein but that’s...
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    Wiki CO-50 denial what am I doing wrong?

    oh! I'm so sorry... All 3 codes denied.
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    Wiki Complication Codes

    I would like to get other opinions if possible...My auditor says If a device is placed for a specific reason (in this case, the Mitra Clip and mitral regurgitation respectively), if the disease returns, it would be considered a complication since the device isn't doing it's job anymore. She...
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    Wiki CO-50 denial what am I doing wrong?

    I coded this as : 93458 - 26,59 diagnosis codes: I21.4, I25.10 92941 - LD diagnosis codes: I21.4, I25.10 92978 - 26 diagnosis codes: I21.4, I25.10 This is being denied CO-50. I'm not seeing what I'm doing wrong. Can I get some thoughts from some of you as to how you...
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    Wiki 93653 diagnosis help

    Last day of my audit! My auditor thinks that instead of using the diagnosis code I48.92 that I should use I48.3 instead. Do I have an argument? PreProcedure Dx: Symptomatic Atrial Flutter PostProcedure Dx: Symptomatic Atrial Flutter Procedures: Ultrasound guided femoral vein access SVT...
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    Wiki Z95.1 vs Z95.5

    I did just that... I really appreciate the input!
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    Wiki Z95.1 vs Z95.5

    I sent in asking her to look at it again and asked that she share how she came to the conclusion she did. Thanks so much for responding!
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    Wiki Z95.1 vs Z95.5

    I have sent in a rebuttal to my auditor. Hopefully, she will reverse her finding. Thank you so much!
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    Wiki Z95.1 vs Z95.5

    Now my auditor is saying I should use both of the Z codes... she replied... If both are present then both can/should be reported unless there is a CAD in a bypass graft or restenosis of the stent. Are both present in this note? Am I the one missing it? The diagnosis codes I attached to this...
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    Wiki Pacemaker and Ablation coding question

    Thank you! The input I have gotten here will help me with my rebuttal.
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    Wiki Symptomatic Atrial Fibrillation

    Thank you!
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    Wiki Pacemaker and Ablation coding question

    Gosh...that didn't occur to me. I was so focused on her telling me I couldn't use the heart block code that I missed that. I appreciate your input! Thanks so much!
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    Wiki Pacemaker and Ablation coding question

    I have an auditor that is questioning my coding on a patient that had an ablation done and then a single chamber PM inserted. The ablation was done for atrial fib and patient developed complete heart block and pacemaker inserted. My auditor doesn't think I should use the complete heart block...
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    Wiki Z95.1 vs Z95.5

    I have an auditor suggesting my code was wrong and of course I then started second guessing myself. I just wanted to know if somebody saw it the same as me. Your response is just what I needed. Thanks so much!
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    Wiki Z95.1 vs Z95.5

    In coding the diagnosis for this case I used Z95.5 because I thought it was the better choice because of the intracoronary stents. I'm being asked if Z95.1 would be a better choice because CABG was documented. Can someone look and give me their thoughts? I would appreciate the input. Thanks...
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    Wiki Ablation clarification

    I am trying to decide the best way to code the following report. I am considering two options. First option: 93655 x 2, 93656, 93657 x 2. Second option: 93653, 93655 x 2, 93662, 93462, 93623. My confusion or hesitation is the doctor states in the report that "pulmonary veins remained...
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    Wiki FFR

    Thank you!
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    Wiki FFR

    I coded the FFR for LD but I'm unsure about the LC. Does this note show that FFR of the LC was actually done? FFR wire, Boston Scientific was utilized. Patient was started on Angiomax bolus and drip and administered 600 mg of Plavix p.o. The FFR wire was then placed down the LAD. We then...
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    Wiki Symptomatic Atrial Fibrillation

    Can someone tell me what you use for diagnosis code when it's for "symptomatic" atrial fibrillation? I was thinking of using I48.91 Thanks for your help!
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    Wiki Symptomatic Atrial Fibrillation

    Can someone tell me what code you use for "symptomatic atrial fibrillation"? I'm leaning toward I48.91 Thanks in advance for your help!
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    Wiki Pacemaker diagnosis

    Thanks so much! It does!
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    Wiki pacemaker

    Thank you so much for your response. I have sent a query to my physician as you suggested. I was confused by this one as well.
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    Wiki pacemaker

    We have a denial for using code 32100 code as incidental to primary code. I coded 32100, 33213, 33202. Anyone available to look at this and share your thoughts with me? PREOPERATIVE DIAGNOSIS: Inaccessible coronary sinus for left ventricular lead placement due to multiple previous pacemaker...
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    Wiki Diagnosis Coding2

    Thank you for your response! Obviously I made an error in coding this and shared your thoughts with the auditor. She asked me the same question. Thanks again!
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    Wiki Diagnosis Coding2

    Thank you for your response! Obviously I made an error in coding this and shared your thoughts with the auditor. She asked me the same question. Thanks again!
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    Wiki Diagnosis Coding3

    Could someone look at this note and tell me what they would choose to use as diagnosis? Auditor isn't agreeing with me. I used I25.10 and I27.20 INDICATIONS FOR PROCEDURE: Severe symptomatic aortic stenosis. PROCEDURES PERFORMED: 1. Nonselective left groin sheathogram. 2. 7-French sheath, left...
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    Wiki Diagnosis Coding2

    I am in discussions with my auditor and she & I disagree on the diagnosis codes for this. Can anyone else give me their opinion? I used I25.700 INDICATION FOR PROCEDURE: NSTEMI. PROCEDURE: 1. Nonselective right groin sheathogram. 2. Bilateral coronary angiography. 3. Left heart catheterization...
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    Wiki Diagnosis Coding1

    I used I25.119 and Z87.891 I didn't add N-stemi because the discharge summary stated the cause was uncertain but he did not have evidence of acute coronary episode. Would someone read the note and let me know how you would have done it? INDICATIONS FOR PROCEDURE: Non-STEMI. PROCEDURE PERFORMED...
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    Wiki Diagnosis for Cath

    Thank you so much!
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    Wiki Diagnosis Coding Cath4

    I used I25.119 and Z87.891 I didn't add N-stemi because the discharge summary stated the cause was uncertain but he did not have evidence of acute coronary episode. Would someone read the note and let me know how you would have done it? INDICATIONS FOR PROCEDURE: Non-STEMI. PROCEDURE...
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    Wiki Diagnosis Coding Cath3

    I am in discussions with my auditor and she & I disagree on the diagnosis codes for this. Can anyone else give me their opinion? I used I25.700 INDICATION FOR PROCEDURE: NSTEMI. PROCEDURE: 1. Nonselective right groin sheathogram. 2. Bilateral coronary angiography. 3. Left heart...
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    Wiki Diagnosis coding Cath2

    Could someone look at this note and tell me what they would choose to use as diagnosis? Auditor isn't agreeing with me. I used I25.10 and I27.20 INDICATIONS FOR PROCEDURE: Severe symptomatic aortic stenosis. PROCEDURES PERFORMED: 1. Nonselective left groin sheathogram. 2. 7-French...
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    Wiki CPT coding

    Thank you so much for looking and giving me your opinion! I do appreciate it very much. The 33225 and the 33229 the auditor passed me on but it was the 93619 that she didn't like. She suggested I use the 93618 instead. 93618 mentions induction and I didn't see any reference to that in the note...
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    Wiki ICD dual chamber pacemaker generator change

    Thank you for your input... it's the same as what the auditor told me. I had used 33263.
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    Wiki Diagnosis for Cath

    I had used I25.119 but the auditor wanted me to use I25.118. I didn't see stable angina and it was stated no stenocardia so I wanted another opinion. Thanks so much for your help!
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    Wiki Pacemaker diagnosis

    I had added I50.21 to this as I thought the low injection fraction was heart failure. In the discharge summary it states chronic HFrEF The auditor had told me if I could prove it she would remove it from my audit so had to try! :) Thanks again!
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    Wiki ICD dual chamber pacemaker generator change

    I am being audited and my auditor doesn't agree with the cpt code I picked for this procedure. Could someone look at it and tell me what they would use? Thanks in advance for any help! ICD Dual Chamber Generator Change Indications ICD (implantable cardioverter-defibrillator) battery depletion...
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    Wiki Pacemaker diagnosis

    I am being audited and I'm being questioned about one of the diagnosis I used. Could someone look at this note and tell me what they would use? Thank you advance for any help! PPM Implant Biventricular Indications Complete heart block (CMS/HCC) [I44.2 (ICD-10-CM)] Pre Procedure Diagnosis...
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    Wiki CPT coding

    I am being audited and questioned about the CPT codes that I used. I used 33225, 33229, 93619. The auditor disagrees with me and I would like if someone can look and give me their opinion as to which codes are needed. I have attached the report and appreciate any help with this! BIV...
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    Wiki Diagnosis for Cath

    I am being audited and questioned on the diagnosis I used when coding the attached report. I would really appreciate if someone could read the report and tell me their choice of diagnosis. I need to know if I have a leg to stand on to rebutt her findings. CARDIAC CATHETERIZATION REPORT...
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