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    Wiki 25600 2600

    Hopefully you can share some insight, my question is on CPT 26600 and 25600. Would these closed treatment code apply here, or would this be consider inclusive. If there not allowed, can please provide a source on why. Thank you. 26418.F3 26735.51.F3 11012.51 26600.F2 25600.51.LT...
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    Wiki Cortical craniectomy/debridement of cortical skull bone?

    How do you see this part Cortical craniectomy/debridement of cortical skull bone? So far I have the following, but stuck on this Craniecotmy… OR SHOULD THE Whole case be 61500? 21014- Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or...
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    Wiki Creation of end jejunostomy and mucous fistula

    Do you see this as 44125? Or 44120.52-44310? PREOPERATIVE DIAGNOSIS: Perforated NEC, s/p resection and abdominal closure POSTOPERATIVE DIAGNOSIS: Same OPERATIVE PROCEDURE: 1. Exploratory laparotomy with small bowel resection 2. Creation of end jejunostomy and mucous fistula ANESTHESIA...
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    Wiki Colostomy and mucous fistula

    Hello Would you just code this as 44320 ONLY? Or would you add 44320 and 45999 for the mucous fistula as well. Operation Performed: Colostomy and mucous fistula Findings (Normal + Abnormal): 2.3 day old neonate born with anorectal malformation. Found to have a distended, redundant sigmoid...
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    Wiki 90460 and 90461

    Hello The following vaccines were used, counseling was done. Question is , did I get my component coding right with 90460-90461? Are these x4s ok? 90723 PR DTAP-HEPB-IPV VACCINE INTRAMUSCULAR 90647 PR HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE 90670 PR PCV13 VACCINE FOR INTRAMUSCULAR USE...
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    Wiki 67250-67255

    Hello Can you help, the provider wants to use 67255. I don't see that. Can you give me your thoughts? On how you would code this. I scrubbed this note for review, if needed. Thank You Pre-op diagnosis: infectious scleritis, right eye Post op diagnosis: Same Procedure: scleral...
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    Wiki Capsulectomy no implant

    I’m looking at CPT 13101-13102, but I’m stumped on the capsulectomy with no implant removal. Would we just use CPT 19371 with modifier 52 by itself. Or CPT 19371 + 13101.59 +13102.59 Scrubbed note OPERATION PERFORMED: 1. Scar revision of the right chest wall from previous mastectomy and...
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    Wiki 37215?

    Hello ALL A physician performs Ultrasound-guided access of right common femoral artery with Stenting of right common carotid artery and Removal of right portacath. How is this coded? OPERATIVE PROCEDURE IN DETAIL: After appropriate consent was obtained and timeout performed, the patient was...
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    Wiki 25332 vs 25447

    Hello All, I'm going with CPT 25332, but would like to know if any of you see it differently? Operation Performed: 1)left wrist resectional arthroplasty of scaphotrapezial and trapeziometacarpal joint without interposition And tight rope(CPT code 25332 vs 25447) 2) left epd tendon tenotomy (CPT...
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    Wiki Takedown aortoenteric fistula

    Hello All. How do you see this? CPT 37779 benchmark to 35870 Repair of graft-enteric fistula or CPT 49999 benchmark to Omental flap, intra-abdominal (List separately in addition to code for primary procedure) OP Note Takedown aortoenteric fistula INDICATION FOR SURGery: Elected to...
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    Wiki Takedown aortoenteric fistula

    Hello All. How do you see this? CPT 37779 benchmark to 35870 Repair of graft-enteric fistula or CPT 49999 benchmark to Omental flap, intra-abdominal (List separately in addition to code for primary procedure) OP Note Takedown aortoenteric fistula INDICATION FOR SURGery: Elected to takedown of...
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    Wiki 15860

    A physician performs a SPY elite perfusion angiography study of flaps 15860 with Panniculecetomy 15830. How is this reported? And is the SPY elite perfusion inclusive? Main question, should this SPY perfusion be looked at as inclusive. OPERATION PERFORMED: 1. Panniculecetomy 2. SPY elite...
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    Wiki SPY Elite

    A physician performs a SPY elite perfusion angiography study of flaps CPT 15860 with Panniculecetomy CPT 15830. How is this reported? And is the SPY elite perfusion inclusive? I'm reading info on this SPY perfusion, some stating that it's inclusive and some saying to code. How our we coding...
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    Wiki Transnasal KTP laser excision of esophageal stenosis with CRE balloon dilation and injection

    Hello ALL I'm coming up with CPT 43499 (unlisted esophagus) and benchmarking it to CPT 43229 + 43204. Curious to know if any of you have coded this procedure. And what your using. The patient was brought to the operating room and left on the gurney in the upright position. The nasal cavity...
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    Wiki 52353 and 50080-81 pcnl

    A physician performs a retrograde ureteroscopically, lasering off the Randall plaques from multiple other calyces in addition to a PCNL. How is this reported? CPT 52353 hits for a CCI edit, but modifier 59 is allowed. Does documentation support reporting both codes? 50080-81, 52353...
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    Wiki 49204 and 49205

    CPT 49204 and 49205 can't be coded together. How would you code this? POSTOPERATIVE DIAGNOSIS: Crohn's colitis with anterior abdominal wall abscess. PROCEDURE: 1. Robot assisted ileocecectomy. 2. Robot assisted sigmoidectomy. 3. Incision and drainage of an anterior abdominal wall...
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    13160 vs 49900

    How would this be coded? CPT 49002 CPT 13160.51 or CPT 49900 Indications: Presents with large volume of leakage from incision and wound opening, concern for fascial dehiscence. He was brought urgently to the OR for wound exploration and reopning of ex lap.Pt signed consent...
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    Wiki Size matters 11042? 24.0 cm x 13.5 cm x 2.8 cm

    Hopefully you can help. If your doctor states the following 24.0 cm x 13.5 cm x 2.8 cm non-infected ulceration involving the skin and subcutaneous tissue of the plantar lateral aspect of the thigh. Do you multiply all these together, 24.0 cm x 13.5 cm x 2.8 cm = 907sqcm? Or do you just grab...
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    Wiki Size matters 11042? 24.0 cm x 13.5 cm x 2.8 cm

    Hopefully you can help. If your doctor states the following 24.0 cm x 13.5 cm x 2.8 cm non-infected ulceration involving the skin and subcutaneous tissue of the plantar lateral aspect of the thigh. Do you multiply all these together, 24.0 cm x 13.5 cm x 2.8 cm = 907sqcm? Or do you just grab...
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    Wiki Size matters 11042? 24.0 cm x 13.5 cm x 2.8 cm

    If your doctor states the following 24.0 cm x 13.5 cm x 2.8 cm non-infected ulceration involving the skin and subcutaneous tissue of the plantar lateral aspect of the thigh. Do you multiply all these together, 24.0 cm x 13.5 cm x 2.8 cm = 907sqcm? Or do you just grab the highest, for example...
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    Wiki cpt 75625 vs 75630 & CPT 35256 vs 35903

    Can I get your take on this, came across your articles online. Very informative. Would you code both together? CPT 35256 – Repair blood vessel with vein graft; lower extremity And CPT 35903 – Excisioin of infected graft; extremity Also Would you use CPT 75625 – Aortography,abdominal, by...
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    Wiki Open treatment of left slipped capital femoral epiphysis (Modified Dunn osteotomy

    Would this operative report fall under CPT 27181 Open treatment of slipped femoral epiphysis; osteotomy and internal fixation ONLY? Procedure Performed: 1. Left greater trochanteric osteotomy and distalization 2. Left surgical hip dislocation (anterior capsulotomy) 3. Open treatment of...
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    Wiki OBGYN question CPT 96160 for postpartum care?

    Question, our OB doctors started using this new code CPT 96160 during a post-partum visit. Is this billable, and if so. What is required to bill this out, any modifiers to break the global apply? As of now I assume it’s inclusive to the postpartum care. Appreciate your input. Thank You...
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    Wiki ERCP Biopsy w/Cellvizio

    What is everyone using out there for Endosopic tetrograde cholangiopancreatography (ERCP): with biopsy and cellvizio. I have CPT 43261 right now. Is there a code for the use of the cellvizio with this procedure? Thanks Daniel,CPC
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    Wiki nephroureterectomy

    I'm looking at CPT 50234,38780.. Can I get some input on what you would select? thanks OPERATION PERFORMED: Laparoscopy, right nephroureterectomy (open single incision with bladder cuff) with retroperitoneal lymph node dissection. FINDINGS: Intense induration in the area of the renal...
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    Wiki Retroperitoneal lymph node dissection

    these are the codes I'm looking at CPT 49204 CPT 38747 Can I get some input on what you would select? Thanks OPERATION PERFORMED: Resection of retroperitoneal mass. Retroperitoneal lymph node dissection. Right adrenalectomy. Resection of liver mass (metastasectomy). See Dr. x operative...
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    Wiki lap: pelvic mass

    Hi All Are we using unlisted for this service? POSTOPERATIVE DIAGNOSIS: Pelvic mass consistent with hemangioma. OPERATION PERFORMED: Resection of pelvic mass. FINDINGS: The patient had a left-sided pelvic mass approximately 4 cm adjacent to the left seminal vesicle identified on CT...
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    Wiki Closure jejunosotmy w/jenjunal gastric anasto.

    My main question is how would one just code the first two procedures. Closure of duodenostomy with duodenal ileostomy anastomosis. Closure of jejunostomy with jejunal gastric anastomosis. thanks! POSTOPERATIVE DIAGNOSIS: Status post bowel resection for small bowel infarction. Bowel...
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    Wiki laparoscopic unroofing splenic cyst

    In researching for a CPT Code for Lap unroofing of splenic cyst, I'm being lead to a unlisted code. Anytakers on this, what are you using on this service. Thanks Daniel,CPC
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    Wiki ER ultrasound

    Hello All Never came across this before, how is everyone coding this below. Thanks PROCEDURE: Real-time gray-scale and color Doppler sonographic imaging of the pelvis was performed using both transabdominal and endovaginal technique. COMPARISON: None Available. FINDINGS...
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    Wiki Sutures..

    Procedure: vaginal exploration: removal of right sacrospinosu suspension sutre. At this point, she was given an excellent general anesthetic by LMA. We placed her in the dorsal lithotomy position utilizing candy-can stirrups, A standar prep and drape was accomplished. Once this was completed...
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    Wiki ureterosopcy with extraction of clot?

    A 20-French cystoscope was inserted into the bladder. The left ureteral orifice was identified and large dense fibrin clot could be seen emanating from the ureteral orifice with ecchymosis around the ureteral orifice. We subsequently grasped the clots and pulled it out. We then placed a...
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    Robotic right nephroureterectomy

    I have case of 1) Robotic right nephroureterectomy 2) Right paracaval lymph node dissection 3) distal uerterectomy with resection of bladder cuff 4) bladder repair Is this all inclusive to this cpt code. 50548 Laparoscopy, surgical; nephrectomy with total ureterectomy
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    Wiki Laparoscopic paracaval lymph node dissection

    Are we going with an unlisted cpt code for Laparoscopic paracaval lymph node dissection? If so what are we crossbenching this code to? Thanks in advance. Daniel,CPC
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    Wiki Incision and drainage of perineal abscess

    This one has me stumped. Male patient. After a time out was done, we then started with manual inspection, the patient was no sacral decubitus ulcer wound that was opened. With probing of this, we were unable to extend into the scrotum. The right hemiscrotum was indurated, but there was no...
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    Wiki CPT Code 50080-50081

    Is anyone using the following CPT Codes with CPT 50080-50081 I have a procedure of Left percutaneous tract dilatilation, left percutaneous nephrostolithotomy of lower pole stone, antegrade nephrostogram, left ureteral stent removal, cystogram,nephrostomy tube placement, nephrourteral stent...
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    Wiki Cpt 26541 ?

    Does CPT 26541 fit the following... The physician performs a primary repair on a collateral ligament of a metacarpophalangeal joint, possibly using a graft or advancement. The physician incises the overlying the skin and dissects to the MP joint. In 26540, the ligament is repaired with sutures...
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    Wiki cystoscopy, dilation of urethera and bladder neck

    I'd think I would go with CPT 52881 based on what you have listed. But here's some info on this.. Coding Alert Reader Questions: Choose BNC Dilation Code Based on Op Note Details Question: Can I use 52281 for a bladder neck constriction dilation? Florida Subscriber Answer: Your coding...
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    Wiki Nephrectomy (radical) laparoscopic

    How is the following coded. Description: 1) Right laparoscopic hand-assisted radical nehprectomy 2) Excision of distal ureter and bladder cuff. I see CPT 50234 (Nephrectom with total ureterectomy and bladder cuff- but this is an open procedure. So would my default code be 50545 (radical...
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    Wiki Thoracic Descending Aortography:

    This procedure note below is in addition to a RHC. My question is what service is this, I'm looking at CPT 75605 and CPT 75630 and CPT 93567. Which one fits? Next a pigtail catheter was advanced to the descending thoracic aorta for aotrography, becasue of servere right iliac tortuosity to...
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    Wiki CPT 36215,757625,75716 together?

    If the peripheral physician enters through the forearm, do to the lilacs bifurcation being clotted. Then engages the subclaivin artery to get to the aorta to perform a abdominal Total Descending aortorgram, can we code for the CPT 36215? What cath code would be used in this scenario...
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    Wiki CPT 33968 (Need input)

    This is a first case for me. So would I just code this with CPT 33968 w/mod 52. And can I code for the aortagram in this case? Indications for Procedurue: The pt had intra-aortic ballon pump placement for cardiogenic shock. The nurse noted that there was blood in the lumen to the ballon...
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    Wiki Cath-Fluoroscopy (Mechanical Valve)

    How is coded? And is the Cath reported separatly? I see CPT 71023-71034 fit what I'm looking for, but is the cath reported in addtion to any of these two codes. Thanks Daniel,CPC
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    Wiki CPT 36800 w/Cath

    This following code below for Hemodialysis, some of my cardio doctors do this in addition to there cath procedures. Because at times, the nephrologist may ask for this to be done for them. I'm getting feed back that this cannot be coded in addition to the cath, but this doesn't seem right...
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    Wiki Left radial artery anigraphy..

    Cath question? My main question is how do you code for the radial approach. The stent procedure I understand how to code. Procedure Title 1) Left radial artery angiography 2) Selective coronary angiography of left internal mamary artery graft to left anterior desecnding artery. 3) Percutaneous...
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    Wiki Modifier 26.. To use or not.

    93314 Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only I'm confused on this code, in Encoder this CPT 93314 show a professinal and technical component. But the description reads...
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    Wiki Inpatient MDM additiona work up

    When your coding an admission E/M CPT 99221-99223, what is consider additional-work in the inpatient setting on the presenting problem MDM table. Thanks Daniel,CPC
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    • Thread
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    • Forum: E/M
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    Wiki Alcohol intoxication on the MDM table

    If the patient comes in and a EXP HX, EXP EXAM is taken. And the patient was pretty much watched over until he sobered up a bit and sent home. No work up done. Where would you rank this on the MDM table. I'm getting minimal MDM. What''s your take on this. Thanks Daniel,CPC
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    Wiki MDM questions

    I just recently started coding ER encounters. I'd like to know what the ER coders out there are considering additional work-up for the presenting problem. I'm being told that you'll never get +4 pts on the presenting problem table. Is this true? Thanks Daniel,CPC
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    Wiki Cpt 33217

    New to pacemaker coding: My question is over CPT 33217, is this inclusive to CPT 33208. Or for the procedure listed, is my coding correct. (FYI first time patient ever had the procedure done) Procedure: 1) DDD pacemaker placmenet 2) Atrail Ventriclular lead placement 3) Intraoperative lead...
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