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    Wiki Laproscopic left salpingectomy AND ovarian cystectomy

    Hello my coders :) I am reviewing this op note and i wanted to confirm if 58661 and 58662 can be billed together in this instance. Any input is appreciated. Thank you. Operative Report Pre-procedure diagnosis: Adnexal mass Post-procedure diagnosis: Left fallopian tube cystic mass Procedures...
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    Wiki Cystectomy with excision and removal of the cyst in toto.. help please

    Hello :) I am new to this and I am hoping someone can give me any input. Physician performed a Cystectomy with excision and removal of the cyst. Upon researching this may apply to an unlisted cpt code 51999 or possibly CPT code 51555. Any input is appreciated. OPERATIVE NOTE - Intraoperative...
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    Wiki OPEN RSO surgery

    Hello Everyone. I wanted to ask for coding advice. I am gearing towards cpt code 49000 but wanted to confirm. Any help is appreciated. Primary Procedure: LAPAROTOMY EXPLORATORY RSO Pre-procedure diagnosis: Right Hemorrhagic Ovarian Cyst Post-procedure diagnosis: same as pre procedure dx...
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    Wiki EXPLORATION OF RUPTURED VULVAR HEMATOMA

    Hello. I need assistance with this op report contemplating on cpt code 57023? PREOPERATIVE DIAGNOSES: 1. Vulvar hematoma, ruptured POSTOPERATIVE DIAGNOSES: Same as above NAME OF PROCEDURE: exploration of ruptured vulvar hematoma ANESTHESIA: GETA ESTIMATED BLOOD LOSS: 1000 cc FINDINGS...
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    Wiki RETURN TO OR AFTER CSECTION FOR DEHISCENCE OF C/S WOUND & Reduction of herniated bowel and omentum

    Hello :) I really need help with this OP report. Patient had csection and returned back to Or the following day for dehiscence of csection wound. Post-procedure diagnosis: 1.Dehiscence of C/S wound in its entire length 2.Herniation of bowels and omentum. 3.H/O primary C/S , day #7 4.Advanced...
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    Wiki 59151 with left ovarian cyst drainage

    Hello Fellow Coders. Any input is appreciated. I am gearing towards 59151 for the right ruptured ectopic preg but i am stuck with the left ovarian drainage. I found 58805? Preoperative Diagnosis: Free fluid, suspected ruptured ectopic pregnancy vs hemorrhagic cyst Postoperative Diagnosis...
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    Wiki 56405 and 10060

    Hello :) I am gearing towards coding this as 56405 but i came across 10060 as well. I wanted to ask for anyone input. Thank you Pre-procedure diagnosis: Fournier's gangrene of left mons and left labia Abscess on left mons pubis with cellulitis Right lateral labial cellulitis and abscess...
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    Wiki Bladder repair due to adhesions during Csection

    Good morning I have an op report that i am debating if cpt code 58160 is supported. it is not an injury to the bladder. During the csection the doctor documented that there were significant adhesions in bladder, he went in and performed a cystotomy. ANy input is appreciated. SO Far I have 59514...
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    Wiki laparoscopic L ovarian cystectomy with evacuation of hemoperitoneum

    Hello everyone. I need input. I am aware that lap ovarian cystectomy is 58662. can someone give me advice if this code includes evacuation of hemoperitoneum. Operative Note Pre-Op Diagnosis: hemorrhagic cyst with hemoperitoneum Post-Op Diagnosis: same as pre-op Procedure: laparoscopic L...
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    Wiki Need help understanding diagnostic Laparoscopy converted to laparotomy with rt salpingoophorectomy

    Hello Coders! I hope everyone is doing well. I needed some advice with a surgery that was originally scheduled as a diagnostic laparoscopy but then converted to a laparotomy. I understand that i would need to code the surgery as to what performed at the end.. But i wanted anyone input and...
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    Wiki CPT CODE 49002?

    Hello fellow coders. I am trying to make sure I get this op report correctly. Patient had a csection same day and had to return back to OR for exp lap with additional procedure for subfascial hematoma after csection. Can someone please confirm if this should be 49002 with mod 78?? OPERATIVE...
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    Question 49320 WITH 58660

    Hello fellow coders. I wanted to ask for any advice on the surgery that i am coding. I am coming up with 49320 and 58660 but i wanted to see if anyone has any input. Thank you Pre-procedure diagnosis: ruptured ectopic pregnancy vs ruptured corpus luteum Post-procedure diagnosis: possible...
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    Wiki uterine rupture pregnancy

    Hello Everyone. I have been doing my research for diagnostic laparotomy with closure of uterine rupture at 31 weeks. I am between the 49320 or since this is OB related and related delivery due to uterine rupture I can bill cpt code 59514 with the closure of uterine rupture 59350? any input is...
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    Wiki suction d and c with intrauterine tamponade balloon

    Hello. I am really in the need of advice. Upon reviewing the op note i came with cpt code 58120 but i am very confused with the intratuerine tamponade balloon as the second procedure and need anyone's experience if the cpt code 58120 is included with the balloon procedure. I am used to coding...
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    Wiki MOLAR PREGNANCY D AND C

    Hello. I am getting mixed information regarding D and C for Molar Pregnancy. I am gearing towards 59870 with icd 10 code O08.9 please let me know if anyone has any input. Thank you. Pre-procedure diagnosis: molar pregnancy Post-procedure diagnosis: molar pregnancy Procedures performed: suction...
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    Wiki VAGINAL CUFF DEHISCENCE CPT CODE 57200???

    Hello :) I wanted to seek any input from anyone that can help me. Patient had a hysterectomy with another provider (not in our medical group) 13 days ago. She came in the Ed with complaints of vaginal bleeding my doctor found that patient has a vaginal cuff dehiscense and requires to go to...
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    Wiki DENIAL FOR CPT 59151

    hello everyone. I wanted to see if anyone can give me some insight on this surgery. I coded it as a 59151 with icd 10 code o00.101. blue cross denied the claim, stating that the cpt code is not covered with icd 10. If anyone can let me know if the code I used is not correct please let me know. I...
    • rockylopez
    • Thread
    • 59151 ectopic pregnancy laparoscopic surgery
    • Replies: 2
    • Forum: OB/GYN
  18. R

    Wiki CPT 59830 VS 59840

    Hello Coders. I have an op report for blighted ovum/septic AB and i am gearing towards cpt 59830 but then again I think due to blighted ovum and light vaginal bleeding op report seems like it was more of an induced AB (59840) any input is appreciated. Pre-procedure diagnosis: Blighted ovum...
    • rockylopez
    • Thread
    • 59830 59840 blighted ovum
    • Replies: 3
    • Forum: OB/GYN
  19. R

    Wiki cpt CODE 58800? DIAG. LAPAROSCOPY/DRAINAGE OF OVARIAN CYST/RSO

    Hello fellow coders. I wanted to ask for anyone's input if i am coding this surgery correctly. CPT code 58800 & 58661,RT??? Pre-procedure diagnosis: Adnexal mass 27 cm Post-procedure diagnosis: right adnexal mass, filled with clear fluid, 3750 cc Procedures performed: Dx. L/S. drainage of...
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    Wiki need help with understanding cpt code 49000

    Hello. I am coding for a cosurgeon case and I am stuck with coding what was initially laparoscopic and converted to open. The op report is confusing in determining how i should code the procedure I am gearing towards 49000 but really could use some help. Thank you PROCEDURE in DETAIL: Upon...
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    Wiki Csection/Right Salpingectomy/left ovarian cystectomy

    Hello! I am hoping someone can give me any insight if the codes that I selected for this procedure are correct. CPT codes 59514, 58925, and 58700 Operative Report POSTOPERATIVE DIAGNOSES: 1. G4, P2 female with IUP at 38 1/7 weeks. 2. Previous CS x 2 3. Abdominoplasty 4. Torsion of the right...
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    Wiki Exploratory laparotomy, hematoma evacuation and pelvic irrigation

    Hello! Thank you for taking time to read my post. I am coding for a hospitalist physician that did not perform the csection but the patients went to hospital 4 days after her csection delivery (another provider not in the group delivered and delivered in another hospital). Upon reviewing the op...
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    Wiki Total abdominal hysterectomy after vaginal delivery

    Hello Coders. I was coding for a vaginal delivery only (59409) which resulted with postpartum hemorrhage and extensive blood loss. The provider attempted medication and also bimanual exam took the patient same day to to OR and under general anesthesia performed a tah. i only found add on cpt...
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    Wiki CPT CODE 58661 with modifier 22

    Hello Coders. I have a diagnostic laparoscopy converted to mini lap. I believe the cpt code is 58661 and with the extensive lysis of adhesions modifier 22 is supported. Any input is appreciated. Thank you. "During evaluation, the contents of the left and right ovarian cyst were spilled...
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    Wiki Diagnostic Laparoscopic vs conversion to Mini laparotomy

    Hello fellow coders. I wanted to ask if anything can assist me with this surgery that i am contemplating on the cpt codes for the surgery. Pre-procedure diagnosis: 1. Abdominal pain 2. Left ovarian mass Post-procedure diagnosis: Left adnexal mass Procedures performed: 1. Diagnostic...
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    Wiki Aspiration of Bartholins Gland Cyst

    Hello. I am in need of assistance. I have a ED physician that saw a patient and performed an aspiration of bartholins cyst. The note is that not detailed in explaining if excision was performed. I am wondering if the cpt code for excision of Bartholins cyst is even billable at this point or I...
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    Wiki cpt code 49320 . Help Please.

    Hi Fellow coders. I have a physician that performed a diagnostic laparoscopy/right adnexal mass removal, collection of pelvic washings for torsion of right paraovarian mass. I have been reviewing my cpt book and came across cpt code 58662 that i am gearing towards. But when I review 49320 but I...
  28. R

    Wiki need help with surgery cpt codes

    Pre-Op Diagnosis: pelvic fluid collection, failed IR drainage Post-Op Diagnosis: multiple adhesions with bilateral hydrosalpinx Procedure: diagnostic laparoscopy converted to exploratory laparotomy with lysis of adhesions, bilateral salpingectomy, appendectomy, chromopertubation Need help with...
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    covid specimen collection cpt codes

    Hello All. I am coding for an Urgent care provider that has been dropping cpt code G2023 when the on office PCR covid testing is performed. i have researched that G2023 cannot be billed as this code is only for independent laboratories. Can anyone please help me :( I have explained that i cannot...
  30. R

    Wiki anesthesia question regarding time

    Good morning. I wanted to reach out in the forum. I am doing research on cataract surgery anesthesia. The physician works with a CRNA and his start and stop time has been overlapping. I am trying to do research to see if this is billable. His major payor is Medicare. I found information online...
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    Wiki MD as rendering for CRNP note

    I am currently coding for a pain management provider in Maryland and wanted to ask for clarification or if anyone has any documentation or resources. I have a charge that a CRNP saw the patient and signed off on the note but the office dropped the claim with the MD as rendering and Supervising...
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    Wiki CRNP vs MD billing

    Hello Everyone. I have a question. I am currently auditing a Pain Management office in which i am noticing CRNP is seeing the patients as a follow up for routing medication management. The note it signed off by the CRNP but the claim was send under the MD for rendering and supervising. Can...
  33. R

    Wiki botox with 64615

    I am billing for a physician that performed 64615 with botox. the botox was supplied by a specialty pharmacy. physician wants to drop 64615 and the J code (j0585). to my understanding if medication was not supplied by the office and instead a pharmacy we cannot bill for j code. If anyone can...
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    Wiki cpt code for wound care

    Hello I need assistance to see if there is a cpt code for wound care for a laceration on the forehead in an Urgent care setting. Please see below description. thank you Location: left forehead . The wound was irrigated with sterile normal saline and debrided of any foreign material or...
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    Wiki cpt code for urgent care wound care

    Hello I need assistance to see if there is a cpt code for wound care for a laceration on the forehead in an Urgent care setting. Please see below description. thank you Location: left forehead . The wound was irrigated with sterile normal saline and debrided of any foreign material or...
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    Wiki Medicaid plans prenatal visits guideline help?

    Hi i would like to ask if anyone has information or guideline info on prenatal visit. I was told that routine ob visits should have the global 0502f and not h1000. I was always told that medicaid all the plans for the routing prentals visits it has to be h1000. And everything is billed...
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    Wiki need assistance with coding neurosurgery please :(

    I am having difficulties coding this surgery as i am new to neurosurgery can anyone please help. The op report states pre op diagosis: Atlantoaxial Instability and Rhuematoid pannus Procedure: Removal of right C2-T2 posterior instrumentation. New occipital to T2 right sided instrumentation...
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    Wiki need help with neurosurgery coding please!

    If anyone has time i need assistance in coding two surgeries that a physician performed for neurosurgery. I am new to the specialty. rockylopez085@gmail.com
  39. R

    Wiki Neurosurgery coding question?

    Hi I am new to neurosurgery and i wanted to reach out to anyone that can help me code this surgery please. Patient had: -removal of right C2-T2 posterior instrumentation -New occipital to T2 right sided instrumentation -New Occiput instrumentation -Occipital to C3 arthodesis. Please if anyone...
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    Wiki keloid scar excision with csection

    physician is billing a csection (59514) and cpt code 11900. can someone please tell me there input on the paragraph and tell me if it supports the cpt code 11900 An elliptical incision was made around her previous keloid scar. It was elevated with alice clamps and undermined with the bovie...
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    Wiki need assistance or advice on delivery

    Hello. I need to ask for assistance or advice on a charge that an ob doctor is dropped. op report states REPEAT LOW TRANSVERSE CESAREAN SECTION, BILATERAL SALPINGECTOMY, RIGHT OVARIAN CYSTECTOMY. patient was 36 weeks and had fetal demise. The charges that the physician is dropping is -59618 PR...
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    Wiki delivery for 18 week still born

    physician is dropping vaginal delivery charge for patient that was 18 weeks. I have been investigating and online it states in order to bill vaginal delivery patient has to be 20 weeks or more. patient was under the ob care with the physician but was only seen once in the ob office. is...
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    Wiki cpt code for Robotic assisted laparoscopic left oophorectomy, excision of endometriosis, cystoscopy

    Physician is dropping cpt 58661 for Robotic assisted laparoscopic left oophorectomy, excision of endometriosis, cystoscopy. can someone please confirm with me if this is a billable code for this . Thank you
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    Wiki cpt code for PRIMARY LOW TRANSVERSE, INVERTED T UTERINE CESAREAN SECTION MYOMECTOMY

    Hi . I am trying to ask for assistance physician delivered patient via csection at 26 weeks. Physician is dropping cpt codes 59510 and cpt code 58140. in the op report he performed a vertical uterine incision. 2 fibroids were also removed which path report is reporting total 44 grams. would...
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    Wiki delivery cpt

    Good morning. I have a question and wanted coding advice. Physician is billing for 59410. Patient broke her water and delivered the baby in her car in the hospital parking lot. The note that physician is attaching to this charge is stating that the delivery clinician was unattended. IS the 59410...
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    Wiki outpt surgery question. 59160?

    Need help coding and explaining to physician the cpt code he is dropping for procedure which is cpt code 59160. Patient had a D&C for early pregnancy loss with retained products of conception. 　She D&C completed with 10mm suction curettage. I believe 59160 does not support the procedure as...
  47. R

    Wiki cpt code diagnostic laparoscopy with left salpingectomy for ovarian mass??

    Hello I really need help with coding the diagnostic laparoscopy and left salpingectomy for patient that had occluded mass? any help or advice is appreciated.
  48. R

    Wiki discharge after delivery question

    Hello. I just started coding for a large Ob/Gyn practice and wanted to confirm if physician delivered patient that was under the global care and the physician dropped charge for lets just say vaginal delivery and on the next day or two the physician saw patient to discharge and dropped 99238. is...
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