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  1. M

    Wiki Skin Excision vs Lipoma Excision (114xx, 2155x)

    The body of the op note does not state "subcutaneous tissue" so still give credit for lipoma excision?
  2. M

    Wiki Skin Excision vs Lipoma Excision (114xx, 2155x)

    Hello Everyone: Anyone has any other input? Thanks, MF
  3. M

    Wiki Skin Excision vs Lipoma Excision (114xx, 2155x)

    Hello Everyone: Can someone take a peek at this op note, path states path but not so sure about this op note. Can provider be giving credit for lipoma excision? if his op note states "fascial closure" although it does not mention subcutaneous. Also, if he cannot be giving credit for lipoma...
  4. M

    Wiki Excision 11400 or 25075

    Great thank you for your input.
  5. M

    Wiki Excision 11400 or 25075

    Hello Everyone: I was wondering if someone can take a peek at this op note. The path states lipomas but don't his documentation supports 25075. Preoperative diagnosis: Multiple lipomas of the left forearm Postoperative diagnosis: Same Procedure: Excision of 2.5, 2.1, 1.5, 1.6, 1.1, 1.3...
  6. M

    Wiki Laparoscopic Inguinal Hernia Repair TAPP Technique

    Good Morning: Anyone have any input?? Thanks,
  7. M

    Wiki Laparoscopic Inguinal Hernia Repair TAPP Technique

    Hello Everyone: Was wondering if someone can review the following op note Should this be more then 49650? Maybe additional code 15734? Preoperative diagnosis: Left inguinal hernia Postoperative diagnosis: Same Procedure: Laparoscopic left inguinal hernia repair with implantation of mesh...
  8. M

    Wiki Non tunneled central venomous catheter

    Ok thank you
  9. M

    Wiki Non tunneled central venomous catheter

    Hello: That's what I thought as well. But doesn't the note need to mention that the tip of the catheter must terminate in the subclavian, branchiocephalic, or iliac vein?
  10. M

    Wiki Non tunneled central venomous catheter

    Hello Everyone: Not sure if this is where I would post this question but I figure I would try. I have a provider that code 36556, however not sure this is appropriate and what other code would be more appropriate. This is the brief note Time out performed: No (Emergent situation) Patient...
  11. M

    Wiki 47562 and 47563 (2023)

    Thank you that's what I thought as well. Will see if more coders agree. Thank you,
  12. M

    Wiki 47562 and 47563 (2023)

    Hello fellow coders: Was wondering if someone can take a peek at this note. I thought it would be 47563 but after reading an article from Karen Zupko Associates (Known as KZA) not sure if this is correct and perhaps it should be 47562. Op note is listed below and also the little clip from KZA...
  13. M

    Wiki 27279 WITH 20930 AND 20936

    Great that's what I thought as well but wanted someone else's opinion. Thanks for replying and have a great weekend.
  14. M

    Wiki 27279 WITH 20930 AND 20936

    Hello Everyone: Was wondering if any of your providers are trying to bill the combination above. I know you can't use the 20930 and 20936 with the 27279. My computer systems actually kicks the claim out for coding. But was wondering if there is maybe another code I should be using? Thanks in...
  15. M

    Wiki COLOVAGINAL FISTULA AND HARTMANN

    Happy Monday: Can anyone help? Thanks Miriam
  16. M

    Wiki COLOVAGINAL FISTULA AND HARTMANN

    Hello Everyone: Can anyone help clarify? Thank you :)
  17. M

    Wiki Jejunostomy Tube Removal Done as outpatient

    Does anyone have any other suggestions? Please. Thanks,
  18. M

    Wiki COLOVAGINAL FISTULA AND HARTMANN

    Hello Everyone: On the following op note, would you give credit for 44650 or 44661 or should the only thing to code be 44143 Preoperative diagnosis: Perforated diverticulitis with abscess and colovaginal fistula Postoperative diagnosis: Same Procedure: Hartmann's procedure, repair of...
  19. M

    Wiki COLOVAGINAL FISTULA AND HARTMANN

    Hello Everyone: On the following op note, would you give credit for 44650 or 44661 or should the only thing to code be 44143 Preoperative diagnosis: Perforated diverticulitis with abscess and colovaginal fistula Postoperative diagnosis: Same Procedure: Hartmann's procedure, repair of...
  20. M

    Wiki Jejunostomy Tube Removal Done as outpatient

    Thanks but does an inpatient code only Does anyone have any other suggestions?
  21. M

    Wiki Jejunostomy Tube Removal Done as outpatient

    Hello Everyone: Cannot find a code for this procedure and I came across an article that this can/should be included in the E&M. But this patient had this done as an outpatient. Not sure if I should bill for an E&M or unlisted? but if unlisted what do you compare it to? The area and the...
  22. M

    Wiki 77066 and G0279 Medicare denied for NCD

    Ok thank you
  23. M

    Wiki 77066 and G0279 Medicare denied for NCD

    Hello Everyone: We billed for G0279/TC and 77066/TC with dx C50911. Patient is currently receiving treatment. The G0279/TC was paid but the 77066/TC denied for NCD. When reading the article states that it will reimbursed when patient has personal history of breast cancer. So, is it appropriate...
  24. M

    Wiki Breast Tissue Marker A4648 in an office setting POS 11

    Hello Everyone: We are fairly new to mammography coding so find some denial a little challenging. Was wondering if someone can tell me if they are billing the A4648 with 19083? and are you getting reimbursed (specifically by Medicare) We are noticing that our billing service is adjusting them...
  25. M

    Wiki Excision withouth pathlogy results

    Ok thank you
  26. M

    Wiki Excision withouth pathlogy results

    Hello: I was wondering if any one has come across this situation. I have a provider that dictated an "excision of a cyst" there was no pathology pending or resulted. So I querry and he said "I removed but didn't send it to pathology" Is this billable? or not. Thanks for any clarification. MF
  27. M

    Wiki Electrocautery of sigmoid colon caused by OB-GYN

    Thank you everyone for responding. I agree that the 80 on the 58661 is not a choice. I will do the unlisted and compare it to 44604 and hope for the best. Thank you
  28. M

    Wiki Electrocautery of sigmoid colon caused by OB-GYN

    Hello: Can anyone give some guidance on this coding? Thank you
  29. M

    Wiki Electrocautery of sigmoid colon caused by OB-GYN

    Hello Everyone: Would someone be able to take a look at this op note and let me know what you think? I don't think this is 44604 maybe 49320? This was an outpatient so 44604 would not fly. FINDINGS: A small less than 1 cm surface adjacent to the rectosigmoid junction in the retroperitoneum on...
  30. M

    Wiki Hybrid Open and minimally invasive fusion

    Thank you for taking the time to explain. Miriam
  31. M

    Wiki Hybrid Open and minimally invasive fusion

    Hello: Would someone be able to take a peek at this note? Not sure if all these codes are correct. The only path I have is this " Metastatic malignant neoplasm with epithelioid and sarcomatoid features to bone consistent with the patient's known high-grade urothelial carcinoma with sarcomatoid...
  32. M

    Wiki New to Radiology Coding

    Thank you so much for the response
  33. M

    Wiki New to Radiology Coding

    Hello Everyone: I just have a quick question, I hope. I was asked to help code for some radiology services 77062/TC, 77065/TC 76642/TC (and other codes as well) To come up with a diagnosis code do you pull it from the radiology report? if so do you code from the Indication, Findings or...
  34. M

    Wiki Radiology Coding

    Hello Everyone: I just have a quick question, I hope. I was asked to help code for some radiology services 77062/TC, 77065/TC 76642/TC (and other codes as well) To come up with a diagnosis code do you pull it from the radiology report? if so do you code from the Indication, Findings or...
  35. M

    Wiki Rigid proctosigmoidoscopy

    Thank you
  36. M

    Wiki 2023 Hernia Repair Codes

    thank you
  37. M

    Wiki Rigid proctosigmoidoscopy

    Hello: I was wondering if someone can take a peek at this op note. I was thinking 45300 but this is repair?? Unlisted? if so what do I compare it to? Findings: Anterior rectal defect repaired with 2 layer closure, widely patent, tissues viable. No fecal spillage is noted. Negative leak test...
  38. M

    Wiki 2023 Hernia Repair Codes

    Thank you for clarifying
  39. M

    Wiki 2023 Hernia Repair Codes

    Hello Everyone: Was wondering if I can ask how are your providers documenting the size of the hernias. Are they mentioned it within the body of the op note? As part of the procedure title? I have one provider that it is listing it under findings: Findings: A very small, 5 mm defect amenable to...
  40. M

    Wiki Coding assistance Hemi-Laminotomy C7 63001? and T-1 thru T-3 laminectomies with T-3 Intradural Excision

    Great that's what I ended up coding. Thanks so much
  41. M

    Wiki Counting Level for Laminectomy 63047 and 63048

    Great thank you for clarifying
  42. M

    Wiki Counting Level for Laminectomy 63047 and 63048

    Hello Everyone: Can someone help on this question. If a provider performed a L2-L3 and L4-L5 laminectomy Would that be 63047 1 unit and 63048 3 units? Perhaps someone can send me a diagram or picture? Greatly appreciated MF
  43. M

    Wiki Coding assistance Hemi-Laminotomy C7 63001? and T-1 thru T-3 laminectomies with T-3 Intradural Excision

    Ok thank you for taking the time to review. Have a great day
  44. M

    Wiki Coding assistance Hemi-Laminotomy C7 63001? and T-1 thru T-3 laminectomies with T-3 Intradural Excision

    Hello Everyone: Was wondering if someone can shade some light on this op note. Not really sure of the codes. PROCEDURE PERFORMED: 1.C7 bilateral hemi-laminotomy, T1-T2 bilateral laminectomies and T3 bilateral hemi-laminotomy with excisional biopsy of intradural extramedullary spinal cord...
  45. M

    Wiki Small Bowel Subserosal Ecchymosis

    Thank you for replying Happy Thanskgiving
  46. M

    Wiki Small Bowel Subserosal Ecchymosis

    Hello: Any takers on this issue. I'm thinking the only thing we can really bill for is the assist to the 49900 Any input would be greatly appreciated. Thanks you :)
  47. M

    Wiki Return to the OR for Thrombolytic infusion catheter

    Thank you so much for clarifying. Have a good day
  48. M

    Wiki Return to the OR for Thrombolytic infusion catheter

    But this is a return to the OR
  49. M

    Wiki Return to the OR for Thrombolytic infusion catheter

    Hello: Any takers on this issue? Thanks MF
  50. M

    Wiki Small Bowel Subserosal Ecchymosis

    Hello Everyone: Was wondering if someone can assist with this question. OB-Gyn called one of my general surgeons to assist on a case. OB-Gyn billed for 49900 and we billed 44602. The 44602 was denied. Just wondering if there is another code we can bill or should we just be the assistant to the...
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