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  1. L

    Wiki Sacral Iliac Fusion

    For A Spinal Fusion when instrumentation is placed 22848 do you also bill for Fusion? This really isn't 27280 Arthrodesis Open sacroiliac joint including bone graft and instrumentation. Its more like an extension of 22612, 22614 and s1-Iliac with morselized bone and DBX being placed with...
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    Wiki 63052 with 22633 Edits

    Has anyone one else noticed incorrect edits for billing 22633 with 63052? i am seeing these in Epic and Codify
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    Wiki Epic

    Has anyone worked on the EPIC EHR system. Wondering How it is different from other EHR. I know employers specifically ask for experience on Epic system. Is it that difficult to learn? Thank You, lmz
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    Wiki Teaching Physician Note HELP

    Thank You Thank You
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    Wiki Teaching Physician Note HELP

    I have a question regarding acceptable documentation that physician was present during exam, reviewed Fellow note and agree. I have a physician who wants to use a check list on the charge slip stating he was present and agrees with Fellow documentation. This is not in the "note", but is in the...
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    Wiki H & P billing

    My practice was "advised" years ago if a physician is doing an H & P for procedure and he is addressing issues above and beyond the H & P He must have a separate note. Do not use the same note for H & P and visit. Even if the above and beyond issue is addressed in the H & P. I believe it was a...
  7. L

    Wiki ER Coding Books

    Thank You! I'll check it out
  8. L

    Wiki ER Coding Books

    Does anyone have a Coding Resource that they would recommend for ER physician coding? Looking to purchase books since I am new to this speciality. Thank You, Lori
  9. L

    Wiki 36223 and 36226

    My understanding is that selective catheterization and angiography of rt common carotid then selective catheterization of vertebral artery would be coded 36223, and 36226 anyone agree or disagree. Im having trouble with blue accepting this. Thank You lori
  10. L

    Wiki Mulitiple procedures different days

    Thank You, Lisi
  11. L

    Wiki Mulitiple procedures different days

    If a mediastinoscopy is done on one day and b/c of the mediastinoscopy it is decided to do a mediasternotomy with removal of masson another day how would you code/ ie: what modifiers,
  12. L

    Wiki Pleural blood patch

    I have not heard of using blood, but I would agree with 32560. Its for instillation, and doesn't specify what agent can be instilled. good luck Lori Z, ccvtc, cpc
  13. L

    Wiki Understanding Modifier 78

    Procedure Room This is really infuriating, but I was told that it can not be an exam room, or an intensive care room. It is a room used only for "procedures" like a cath lab. Hope this helps you. Lori cpc,ccvtc
  14. L

    Wiki sternal wound exploration

    My Doc performed a sternal wire tightening on a surgical wound that was "unstable". Do you think its ok to use 21750 closure of sternotomy seperation with a 78 modifier for this. The wound didn't totally seperate
  15. L

    Wiki I need help before i @##@$%

    I too would not code scarfication i believe it is included as a pleural procedure Lori Z cpc, ccvtc
  16. L

    Wiki Modifier 62 two surgeons

    Thank You Thank you for your help. That makes sense, otherwise you get into unbundling etc.:)
  17. L

    Wiki Modifier 62 two surgeons

    When two surgeons, co-surgeons perform a surgery do they both have to have at least one procedure that they both bill with the modifier 62. Or is this used to indicate that a surgery was performed and they both did 100 % of two different surgeries at the same time thank you
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    Wiki CCVTC Exam

    I just took the exam on 6/12/2010. I thought it was very difficult. I did pass, but i think luck had something to do with it. You definitely need to be prepared,...ie practicum Good Luck
  19. L

    Wiki Neoplasm/ uncertain vs. unspecified

    could someone please explain to me the difference between uncertain behavior vs unspecified for neoplasm coding. I usually use uncertain, but is unspecified corrected if the path came back inconclusive thank you:)
  20. L

    Wiki Please help Debridement of Mitral Valve

    Im not sure I can use this The only instruments used were forceps and a suction device. Do you think I should use this with a 52 modifier. He basically suctioned off vegetation on the leaflets.......no cutting, no sutures, no manipulation involved at all. He had vegetation removed only. I...
  21. L

    Wiki Please help Debridement of Mitral Valve

    Im not sure I can use this The only instruments used were forceps and a suction device. Do you think I should use this with a 52 modifier. He basically suctioned off vegetation on the leaflets.......no cutting, no sutures, no manipulation involved at all. He had vegetation removed only. I...
  22. L

    Wiki Please help Debridement of Mitral Valve

    I have never had to code Median Sternotomy, excision and debridement of vegetation on the Mitral Valve. I have looked and can not find a code, but I'm thinking there must be one any suggestions are appreciated. Should I use unlisted procedure? Thank You Lori
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    Wiki Out patient vs. In Patient status Denials

    loriz cpc I'v had this problem before. You should check to see what the insurance has as the admit date. The patient can technically be in house for a number of days and not an inpt. If they are technically still outpt then bill for out pt., but if the patient is an inpt having an outpt...
  24. L

    Wiki Fluorscopic Guided Thoracoscopy

    If a Thoracoscopy procedure 32602 is stated as being performed with fluorscopic guidance do you bill for the fluorscopic guidance? Thank You, Lori
  25. L

    Wiki Surgery Bundling--help!!!!

    this is included in the surgery you can not bill seperately
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