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    Wiki Combined congestive heart failure

    If a provider documents I50.21-Acute systolic congestive heart failure and I50.31-Acute diastolic congestive heart failure Can a coder automatically combine that to I50.41 Acute combined sysolic and diastolic congestive heart failure?
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    Wiki Discharge

    Only the admitting physician can charge a discharge. However, what if that provider does not submit a formal H&P because it was done in the office? Can you charge 99238/99239 a discharge code if there is no H&P or initial code from the same speciality? For example, the patient was seen in the...
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    Wiki Interpretation and Report Only codes

    For interpretation and report only codes for professional services, what date of service is correct? The date the dictation is created or the date it is sign and complete? Audit is stating its the date its created. But my arguement is that its not consider a "complete" interpretation until its...
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    Wiki Radiology Services PC/TC indicator 2

    For Radiology Services PC/TC indicator 2 (93016 and 93018) done in the facility. Would the provider use the date the test was done or the date of review and interpretation. The note below looks to be more for indicator 1 codes. Also, if the test was done on Monday, but the provider dictates on...
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    Wiki Supraventricular Tachycardia

    Hi all! With the new Tachycardia codes, what would you consider Paroxysmal SVT? is that I47.10 or I47.19? In the ICD 10 book under I47.19 it list Atrioventricular Paroxysmal. Thoughts? Thank you!
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    Wiki MEAT DOCUMENTATION

    Hi, Trying to get more information on MEAT documentation. Everywhere I read it says "simply listing every diagnosis is not acceptable or valid per official coding guidelines". But i can't find that document anywhere. Does anyone know where the find that document?
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    Wiki Multiple E/M on the same day

    Hi, reading the 2024 E/M guidelines, I have a question on multiple E/M on the same day by the same sub-specialty. For example if a patient comes into the hospital and seen by a Cardiologist, and they request an Electrophysiology Cardiologist to consult. Can you code both E/M with a 25 modifier...
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    Wiki I08.0 Combine valve

    Question, when a patient has Nonrheumatic aortic valve I35.0 and Rheumatic Mitral Valve Stenosis I05.0 do you still combine and use I08.0? Or keep them separated?
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    Wiki 93228 Inconsistent w/ POS

    Has anyone gotten denials for 93228 inconsistent w/ POS? These are remote External mobile cardiovascular telemetry with electrocardiographic recording. Office/11 POS is used but it denials. Also, how does one of these get paid "remote" reading if the patient is in the hospital (inpatient) and...
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    Wiki Pacemaker Programming 93279-93281

    Trying to find a document that explains what date of service is used for pacemaker programing cpt code 93279-93281 with 26 modifier. Our office only bills the 26 modifier and another company will bill the TC modifier. What is other cardiology office using as the date of services for...
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    Wiki Outpatient Vs Observation

    With the new 2023 guidelines on observation status, does this also apply to outpatient status? Would we also use 99221-99223 with 22 pos? Second question, can we use 99238-92239 for outpatient discharge?
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    Wiki AI modifier

    If your provider admitted the patient. But his physician assistant did the H&P note. The Physician also added a small note at the bottom but not a split share. Are you able to add an AI modifier to the PA's note? Because the physician is wanting to charge a discharge code.
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    Wiki Smoking - Pack per day

    When the provider states "patient is an active smoker with 1 pack per day" would you use Z72.0 or F17.210. He doesn't specify the type of tobacco but reference the word "pack." Isn't cigarattes smoking measure as pack per day (PPD)?
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    Wiki Pre-operative visits after the decision for surgery

    In this guideline, the first bullet. "Pre-operative visits after the decision is made to operate" Is there a time frame for this? For example, if a surgeon decided on Major Surgery/CABG on January 5th but doesn't have the surgery until April 16th. (due to covid restrictions, personal reasons...
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