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    Wiki Diagnostic laparoscopy with conversion to exploratory laparotomy and control of bleeding

    Im so sorry - here is the operative report- thank you so much for reviewing this report Preoperative Diagnosis: Hemodynamic instability secondary to intra-abdominal bleeding after cholecystectomy Postoperative Diagnosis: Hemodynamic instability secondary to intra-abdominal bleeding after...
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    Wiki Diagnostic laparoscopy with conversion to exploratory laparotomy and control of bleeding

    Will you pls review this case? We are thinking that we could possibly use this code. 35840 for exploration of post op hemorrhage, thrombosis, or infections, abdomen. Following a previously performed surgical procedure, the operative wound is re-opened and the surgical site explored for...
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    Wiki 20936,20930

    Hello, Has anyone received denials for the graft codes of 20930,20936 with 22551? I do not have specific payers but have been asked to research. Thank you, for your help.
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    Wiki unlisted cpt

    Hello , When you bill an unlisted cpt for a service that is a major surgery would you bill with post op global visits or would you bill with EnM billable codes when the patient follows up? The question is due to the fact that an unlisted code would not have a global period attached. I...
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    Wiki modifier 62

    Hello , I have a case where the co surgeon feels that he should get credit for all cpt codes even though he clearly states in his documentation that he only performed the exposure. Will someone pls review and give their expert opinion? Dr. D , the co surgeon is not mentioned in any other part...
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    Wiki global billing

    thank you for your response.
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    Wiki global billing

    Can you bill a subsequent visit within the global period if the patient will not be able to recover from the injury or would this still be part of the surgical care and billed as a global? example- pt had a brain surgery on 4/29/2022 and was seen on 4/30/2022 and the decision was made to...
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    Wiki TPA infusion

    Does anyone know of a CPT code to use for a tissue plasminogen activator infusion that was added below and above laminectomy to help dissolve the epidural hematoma would be ? I have researched this and cannot find anything. Would it just be included in the surgical package? Thank you for...
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    Wiki cpt code 61343

    Thank you !!
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    Wiki ABN

    Thank you so much !!
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    Wiki ABN

    Does anyone know if you can create your own format of ABN to qualify for the Medicare Modifiers as long as you make it clear to the patient that they are responsible for any service that Medicare does not cover?
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    Wiki cpt code 61343

    Does anyone know if there is a rule where you can only bill cpt code 61343 -Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) once per session? Modifier 50 is not allowed . I have tried...
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    Wiki list of codes

    THANK YOU SO MUCH !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
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    Wiki list of codes

    Does anyone have a list of the stand alone cage codes that are used for ACDF procedures? You are only allowed to bill the additional code of 22845 plate when the device is a stand alone. thank you !
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    Wiki 63267

    I have not found anything in my research, does anyone have any thoughts?
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    Wiki 63267

    Is there a rule that you are required to send a specimen to the pathology when bill a 63267-Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar-?
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    Wiki s06.5x9d

    Does anyone know when this ICD - 10 code is appropriate? S06.5x9D-Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, subsequent encounter? I have a patient case where the sub hem was removed but he had a secondary issue of intracranial htn and edema. I do not...
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    Wiki CPT code needed pls !!

    Can I pls get help with a CPT code for an L5 transverse process resection for Bertlotti's Syndrome? I am looking at code -21610Costotransversectomy (separate procedure) thank you for your help !!
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    Wiki PLEASE help with prior authorization request

    Authorization request is for : T9 to pelvis posterior segmental instrumentation, arthrodesis, deformity correction, and spinal-pelvic fixation with autograft ; L4-5 TLIF - interbody fusion specifically for this portion of the fusion. With several osteotomies Authorization request is for ...
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    Wiki Methylmethacrylate

    thank you so much !
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    Wiki Methylmethacrylate

    Can you bill for this service if it is used in a fusion? would you code 22853? Thank you , Stephanie
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    Wiki HELP w coding

    I cannot find a code for Redo L posterior fossa craniotomy w exploration of the Left 7th cranial nerve for re padding of the vertebral and or basilar artery away from the dorsal root entry zone of the nerve . The dx code is - left hemifacial spasm- G51.39 61510 for the crani but cannot find a...
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    Wiki modifier 57

    thank you , I do believe that you are correct that the subs visit w the 57 should have been part of the global and the initial visit should have the 57. I just was not sure what all had to be documented to support the 57
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    Wiki modifier 57

    Is it appropriate to add the 57 modifier if the physician states that he has spoken to the pt - explaining risk etc.. and if needed they will take him to surgery the next day OR can you only use this modifier if consent is signed and they do for sure take him to surgery? Thank you, Stephanie
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    Wiki counting levels

    I strongly feel that the second scenario is correct due to Motion segment rather than vertebrae.
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    Wiki counting levels

    Would you code 22600 * 1 and 22614 * 2 or 3 for a C3-C7 cervical fusion? I cannot remember this rule !! Please help, thank you. 3-4, 4-5, 5-6, 6-7 22600 , 22614*3=4 levels OR 3-4 ,5-6, 6-7 22600 , 2614*2= 3 levels
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    Wiki CPT Help Please

    The provider has a dissection of infra saphenous nerve procedure scheduled for chronic knee pain. Has anyone coded this out before ? I am being lead towards an unlisted code of 64999, do you feel this is correct? Any help would be much appreciated. Thank you , Stephanie
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    Wiki ICD 10 code question

    What diagnosis would you use in this case? Provider performed a C4-7 ACDF and the patient complains of neck pain the next day. The provider realizes the screws are not positioned correctly so he performs a removal and re insertion the next day. The reason for surgery is not a breakdown of...
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    Wiki coding help PLEASE

    How would you code this op ? I am feeling like it should be 61512-22 due to the fact that 61512 cannot be reported w 50 mod Do you agree? OPERATION: Bilateral frontal craniotomy and resection of bifrontal parasagittal meningioma, Stealth frameless stereotactic computer guided navigation for...
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    Wiki 63047

    Thank you for your response , I did just receive confirmation from AANS that the decompression codes should be billed at the motion segment level. I
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    Wiki 63047

    When billing 63047,63048 we code at segment , so for example L4-5 is coded 63047 only but if an additional decompressed exiting nerve root is done at S1 does that allow us to bill 63048? OR do we automatically code a 63047,63048 due to L4 (one seg) and L5(one seg) and then 63048 x2 if S1(one...
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    Wiki Exploration of lumboperitoneal shunt and excison of leaking segment of silastic tubin

    CODING HELP PLEASE!!! OPERATION- EXPLORATION OF LUMBOPERITONEAL SHUNT AND EXCISION OF LEAKING SEGMENT OF SILASTIC TUBING OF THE LUMBOPERITONEAL SHUNT DX- LEAKING SILASTIC TUBING ADJACENT TO A STRAIGHT CONNECTOR FROM RECENT REVISON I am feeling this code should be 63744 but the hospital...
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    Wiki Aans coding course

    Will anyone else be attending the AANS coding conference on 2/7/19 in San Diego CA?
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    Wiki URGENT: Neurology Coder Needed

    position Has this position been filled?
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    Wiki 1/1/19 chapter 4 ncci policy manual for medicare services

    Anyone - any thoughts?? :)
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    Wiki 1/1/19 chapter 4 ncci policy manual for medicare services

    One more addition to the 22830 question, if instrumentation was removed at the level can we bill 22855 in place of 22830? I do not see an NCCI edit on this code.
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    Wiki 1/1/19 chapter 4 ncci policy manual for medicare services

    I have pulled the latest version of the NCCI policy manual and the issue of 22633 and 63047,63042 still has not been updated to allow for separate reimbursement for the decompression at the same level therefore all of our claims are denying for this service. Is anyone dealing with this? Anyone...
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    Wiki 22612 and 22633 billed together

    Thank you!
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    Wiki 22612 and 22633 billed together

    We billed 22633 and 22612 out done at the same date of surgery but on different levels. There is a CCI edit in place that is creating these two codes to bundle even w a modifier. We have changed the code 22612 to 22614 but it has a much lower RVU. Has anyone else dealt with this situation and...
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    Wiki Please help w instrumentation removal

    Our doctor performed a removal of Cervical plate and exploration of the prior fusion at C5-6, and a new ACDF at C4-5 and C6-7 with an anterior cervical plate extending from C4 down to C7 due to C4-5 and C6-7 stenosis spinal cord compression. We billed the surgery out to Regence Blue Shield of...
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    Wiki Risk adjustment coding - hcc code documentation

    We are a specialist office and have been researching how much documentation needs to be given within the patient' s note to support the comorbidiitie dx codes that we are adding for risk adjustment coding . We have been told it is ok to put only the dx codes within the dx area of the note but...
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    Wiki dx clarification

    Thank you so much!
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    Wiki risk adjustment coding

    Thank you for your help.
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    Wiki dx clarification

    What ICD 10 code should be used when you see a patient after surgery after the 90 day global period for a follow up spine surgery. We have been using z48.89 along with the original dx of M51.16. We are now being told that we should use Z48.89 only. Please help! Thank you, Stephanie
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    Wiki Icd 10

    What ICD 10 code should be used when you see a patient after surgery after the 90 day global period for a follow up spine surgery. We have been using z48.89 along with the original dx of M51.16. We are now being told that we should use Z48.89 only. Please help! Thank you, Stephanie
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    Wiki risk adjustment coding

    Can you please help me understand this, I work for a neurosurgeon's office and we were recently given a lower fee schedule due to having 26 % healthier pts compared to other neurosurgeons in our area( Idaho). We have since appealed and have received an exception due to not coding the...
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    Wiki risk adjustment coding

    Can you please help me understand this, I work for a neurosurgeon's office and we were recently given a lower fee schedule due to having 26 % healthier pts compared to other neurosurgeons in our area( Idaho). We have since appealed and have received an exception due to not coding the...
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    Wiki Coding CCM

    Pam, Can you please help me understand this, I work for a neurosurgeon's office and we were recently given a lower fee schedule due to having 26 % healthier pts compared to other neurosurgeons in our area. We have since appealed and have received an exception due to not coding the...
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    Wiki Hcc codes

    Does anyone know where I can find the list of HCC codes - Pacific source medicare states there are 79?? When I look on Medicare's website, I find a huge list but am still sure what this really means. Do you also know if the codes change per year? Thank you, Stephanie
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    Wiki co morbidities

    Thank you so very much for this helpful information!!!
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