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    Wiki Neck dissections

    "38720, also known as suprahyoid lymphadenectomy" - is incorrect. 38720 is a Radical lymphadenectomy. 38700 is Suprahyoid lymphadenectomy -level 1 only.
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    Wiki Sentinel Node Biopsy/Mapping 38525/38900

    According to Zupko, you can use +38900 for the Mapping of sentinel node with gamma probe. The description for +38900 says "include injection of non-radioactive dye when performed" so maybe that's why...
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    Wiki Biopsy of gum tissue--HELP! What CPT code

    40808 is incorrect for GUMS - from the Code Description: The vestibule consists of the mucosal and submucosal tissue of the lips and cheeks within the oral cavity, not including the dentoalveolar structures. You could bill 41899 and compare to 40808 -or possibly 41825 Excision of Dentoalveolar...
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    Wiki EXCISION OF LEFT PRE-AURICULAR CYST

    I think you are on the right track to use the 1144X series and if its a layered closure, the 1205X series. Pre-auricular cysts or sinuses are not the same thing as branchial cleft cysts. Those cysts are typically excisions from the NECK. I know that the ENT/Allergy specialty books also say that...
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    Wiki bilobed flaps help please

    Remember that if bilobed flaps are ATT/Transposition flaps (14XXX series), they're based on the size of the defect not the flap(s) per CPT.
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    Wiki Bilobed Flap

    Transposition or rotation flaps (14XXX series) are based on the size of the defect. So if the defect is 30sq cm, and the bilobed flap requires two flaps (one to close the defect, one to close the skin 'donor' site), then double the defect size to 60 sq cm (or 14301)? Is that correct?
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    Wiki 52 Reduced Services Mod on Neck Dissections

    If that were true, then in which cases WOULD you use a modifier 52 on 38724? When its only a few lymph nodes from one or two levels (I-V)? A paratracheal dissection only? CPT Assistant, August 2010 Page: 3-7, 15 •Modified Radical Neck Dissection (MRND): Removal of all lymph node groups...
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    Wiki cpt code for laryngoscopy with removal of vocal cord nodules

    A tumor codes to neoplasm, but a mass and/or lesion is not necessarily a tumor/neoplasm.
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    Wiki CPC-A Looking for Medical Coding position. Resume Attached.

    Hi, you have a great resume, but its too long. You should consolidate it down to two pages at the most. In fact, some employers only want to see one page and a cover letter is important too. You can find good resume templates free online or on Microsoft Word. Teaching (university) hospitals...
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    Wiki Going back to work after staying home with my son

    Hi- you could just keep applying. I know people that had to apply for hospital jobs 15 times before they finally got a call back and job eventually. If you know an employee put their name as a referral. One company you can try is Change Healthcare- they hire PT and FT remote HCC coders. Also...
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    Wiki Tympanoplasty 69631 and Derma-fat-fascia graft 15770

    NO fascia is not- cartilage is- with separate incision and closure documented.
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    Wiki Tympanoplasty with temporalis fascia graft

    FASCIA graft is an integral part of a Tympanoplasty so not separately billable- even with separate incision. It states this in the AMA Coders Desk Reference. Cartilage harvesting however IS separately billable if separate incision (and closure is documented).
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    Wiki 31536 or 31541 excision of laryngeal polyp/microlaryngoscopy

    If they state that they took the entire polyp you can use 31541 - otherwise 31536 since they called it biopsy.
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    Wiki Passed my CPC Exam 10/24/20--Interested in CPC position

    I looked and North Carolina Professional Group recruiting agency has a post for biller/coder so thats a great bet- and they can find you something. Temp jobs are great because they try you out before hiring. Its a great way to gain experience. Also Raleigh Orthopedics is looking for a certified...
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    Wiki Apprentice Removal letter

    My coding manager filled out my form. Whomever was in charge is your best bet- or maybe your trainer? Just give a quick explanation and thank them profusely for taking the time to assist you and attach it. The form actually won't take them that long, just be sure to follow up.
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    Wiki I got hired!

    Congrats- and I agree that many coding jobs are in the larger cities - especially where there are teaching hospitals or universities. I moved East across the country on my own so I know the struggle - and fortunately it paid off too.
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    Wiki Help Getting into a Medical Coder position

    I posted some info under the HELP! Can't Find Coding Jobs post here. Hopefully its helpful. Actually $1000 for classes, books, etc. is really good by today's costs. I ended up paying 3-4 times that amount a few years ago- and that was at the local community college's AHIMA approved 2-year...
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    Wiki Help! Cannot find coding jobs!

    I always tell people to get their foot in the door at hospitals as Patient Service Representatives or Associates. Its basically scheduling and messaging for doctors and nurses on a PC and phones. They train you- just be able to type and stay patient with patients. ;) Also Billing/AR Reps or Rev...
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    Wiki Panendoscopy with biopsies & Tonsillectomy

    If a "scout" endoscopic procedure to evaluate the surgical field (e.g., confirmation of anatomic structures, assess extent of disease, confirmation of adequacy of surgical procedure such as tracheostomy) is performed at the same patient encounter as an open surgical procedure, the endoscopic...
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    Wiki coding papular lesion of tongue scissor excision & biopsy

    The 41XXX codes are correct - biopsy if only a piece of it - 41100, and excision if he removed the entire lesion - 41110. If the electrodessication of the base is only for hemostasis, those codes are OK. However, it would be technically Unlisted 41999 relate to 41110 if he destroyed the lesion...
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    Wiki thyroid lobectomy with substernal component

    This needs to be more clearly defined by CPT and the AAPC. I used to think it was only for total but now I think its intended to be used for BOTH lobectomy substernal (partial) and total per the CPT blurb under 60240 and 3M HDM (enter Lobectomy>Thyroid>Substernal-Partial it takes you to 60271...
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    Wiki Cpt 60271

    The 2021 CPT Manual and 3M HDM (August 2020) now reference a CPT Assistant note that states 60271 is ONLY for TOTAL, not just a Thyroid Lobectomy.
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    Wiki Is it possible to find a job as an apprentice?

    Get a Patient Service Rep or Scheduling job first + try Temp'ing or Coder Development I had a friend who worked for a large health system in Philadelphia and she heard that Scheduling was looking for some Contract or "1099" employees for the position "Patient Service Representative". That's...
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