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    Wiki DCR Coding Help! 2 Surgeons: ENT and EYE

    Hello, was hoping to get help on a 2 surgeon Endoscopic Dacryocystorhinostomy performed in my ASC. I have the relevant excerpts from each surgeon's op report attached and would like to see if my coding is correct. ENT surgeon reads and codes as a 31239, ENT surgeon agrees. I'm having trouble...
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    Wiki Dual Surgeon Case Billing for 66991?

    Hi! I do the ASC billing for our facility and I have 2 surgeons who just performed a "combo case" and I'd like to make sure my thinking on coding of the case is correct. Procedure in question is 66991 - one physician performed the cataract sx piece and the 2nd physician performed the stent...
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    Wiki Coding for Limited Orbicularis Myectomy

    Hello! There is a physician who scheduled/performed a "bilateral limited orbicularis myectomy" and is wanting to code it as 67999. In my research I'm being pointed towards 67399 for the myectomy, but I am also seeing mention of 67901. Has anyone else had any experience with this procedure and...
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    Wiki Pain Management 64450 x3 vs 64454

    Physician wants to code 64450 x 3, but according to the CPT book 64454 encompasses all 3 - Superiomedial, superiolateral and inferomedial branches. Am I wrong in advising it is inappropriate to bill 64450 x 3? We should be coding to the greatest degree of specificity, shouldn't we? Thank you...
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    Wiki Avastin Units, ASC Billing

    Hi, I need some help calculating units based on the Avastin solution used. I see for ASC billing that HCPCS C9257 should be used (Bevacizumab, 0.25mg), but the packaging I was given shows Bevacizumab 2.5mg/0.1mL (Solution for Injection in 1mL). The billing sheet I received has an amount used...
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    Wiki RT Femoral & Articular Nerve RFA?

    Hi! I code pain management procedures for my ASC and we have a physician coming in to do a procedure our normal doc does not perform...so I want to get it right! He's listing the procedure above as a 2 peripheral nerve hip ablation and provided cpt 64640 x2. Patient has Medicare (I can't find...
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