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  1. K

    Wiki vulvar skin tag removal

    thanks!
  2. K

    Wiki vulvar skin tag removal

    heyy i know when coding it's suggested to use the most specific location possible but i just wanted to double check if a doctor removes skin vulvar skin tags am i stuck using 11200 or can i use 56605 despite this code stating "lesion" not skin tag thanks!
    • Korbc
    • Thread
    • Replies: 2
    • Forum: OB/GYN
  3. K

    Wiki 59200

    whops the last thing got messed up i meant to say thank you!
  4. K

    Wiki 59200

  5. K

    Wiki 59200

    heyy I can't recall but I think you can charge 59200 twice in the same day if cervadil and cooks done, not on same day delivery right? thank you
  6. K

    Wiki 59025

    thanks so much for the great resource!
  7. K

    Wiki 59025

    thanks! do you have any reference material for this by any chance?
  8. K

    Wiki 59025

    hey guys had nst done for 20 min length of time, but my provider wasn't sure if she could still charge if patient was only 23 weeks. I don't see in cpt or any resources that there's any restriction regarding weeks gestation......was just wondering if anyone knew otherwise? thanks!
  9. K

    Wiki IUD insertion problem

    ahhhh so true! must have read to quick and jumped to the gun lol! thanks so much nielynco!
  10. K

    Wiki 01999

    Does anyone know what would fall under this code? Someone said cpt assistant said you could use it for nitrous oxide?
  11. K

    Wiki Billing for Nitrous Oxide for analgesia

    hey jkyles, i know your post was a while ago but i don't have access to cpt assistant i was wondering is there any chance you could send me those 2 articles or screen shots or attachements of them in any way to my email so i can view it. My practice is now interested in using nitrous oxide for...
  12. K

    Wiki anesthesia done by obgyn physicians

    Hey guys, general consensus seems to be that the physician/surgeon doing the procedure can't charge for the anesthesia separately, more specifically nitrous oxide , and a friend sent me a cms and medicare packet about anesthesia services and it reiterates that except for certain circumstances...
  13. K

    Wiki IUD insertion problem

    yeah so Bayer's iud guide says to use 52 if it's discontinued for anatomical reasons and then 53 for quote "provider couldn't complete procedure due to concerns for patient's well being, severe pain, vasovagal, or the patient changed their mind" but that's just Bayer. Traditionally your taught...
  14. K

    Wiki IUD insertion problem

    I think she's thinking of 52 on the iud insertion attempt because for instance the Bayer company/brand IUD guide says to use 52 specifically for that reason I have a picture of it but it says the image is to large to attach in this thread, but if you wanted to look at it I could email it to you
  15. K

    Wiki add on code 99459

    to my knowledge no
  16. K

    Wiki add on code 99459

    so helpful! just got denials from united saying it's bundled and that must be why!
  17. K

    Wiki add on code 99459

    thanks!!
  18. K

    Wiki add on code 99459

    thoughts on if this is sufficient documentation to use 99459? I'm assuming not.... Entire exam done with a chaperone in the room General: WD/WN, Alert and oriented x3 Pelvic exam: no suspicious lesions
  19. K

    Wiki Chemical cauterization

    Thanks! lately we've had quite a few cases of these lately, and full excision of granulation tissue, that's why I was asking :) We're the delivering provider for our local hospital and have 7 providers along with a few local tenums amongst aprn's and midwives.
  20. K

    Wiki Chemical cauterization

    heyy it was in this thread and your post was dated april 7th 2021 and it specifically referenced granulation tissue. in this link https://www.aapc.com/discuss/threads/excision-of-granulation-tissue.179612/?view=date#post-541160 I'm a little confused by the question, but I don't agree with...
  21. K

    Wiki unlisted procedures

    Does anyone have any tips or pointers or advice on how to get medicaid to pay for an unlisted procedure with a comparison code?
  22. K

    Wiki Chemical cauterization

    hey csperoni! just wondering in a different thread you mention if silver nitrate is dabbed you used just an e/m, what would constitute 56501 vs just using an e/m for quick dabbing? thanks!
  23. K

    Wiki Intrauterine Fetal Demise - Help!

    thanks!
  24. K

    Wiki Intrauterine Fetal Demise - Help!

    heyy i just want to confirm for a scenario i have. patient was 18 weeks pregnant, had dilated cervix and srom, we delivered non viable fetus. This would be e/m with delivery of placenta right. by definition in the acog article it says a missed abortion is fetus without heartbeat but if i...
  25. K

    Wiki excision of granulation tissue

    thanks!!
  26. K

    Wiki methotrexate

    thanks so much as always! i think the j9260 makes more sense to
  27. K

    Wiki excision of granulation tissue

    thanks so much! so helpful and would you think for granulation tissue in the vagina or vulva would icd L92.9 or N89.8 be more appropriate?
  28. K

    Wiki methotrexate

    I forgot there's no code for 25mg. they're sending it through with the 5mg amount so i guess... question is do i charge more units of j9250 or do i charge less units of j9260 of the 50mg......right? o_Oo_O
  29. K

    Wiki methotrexate

    yeah it had me highly confused this is what was documented for NDC :) thank you so much, ms.nielynco your always a life savor! NDC:63323-123-10 Lot: 6128714 Exp: 6/2024 one one site it says 250 mg per 10 mL (25 mg per mL) so I guess I'll go off the 25mg per ml i found it on this site for...
  30. K

    Wiki excision of granulation tissue

    hey since silver nitrate counts as chemical cauterization couldn't you use 17250 for it?
  31. K

    Wiki methotrexate

    hey guys my office orders 250mg of methotrexate per 10ml providers are sending charges over with code j9250..... which i see is for 50mg how would i charge for these 2 scenarios Methotrexate IM injection. Administered 3.6ml (1.8ml per syringe). Methotrexate 250 mg given to patient. 1.58ml...
  32. K

    Wiki J code for Methotrexaste

    hey guys my office orders 250mg of methotrexate per 10ml providers are sending charges over with code j9250..... which i see is for 50mg how would i charge for these 2 scenarios Methotrexate IM injection. Administered 3.6ml (1.8ml per syringe). Methotrexate 250 mg given to patient. 1.58ml...
  33. K

    Wiki add on code 99459

    would this be good enough documentation to use 99459 or if they say just "chaperone present for pelvic exam" and that's it.... I would think for the later not..... Physical Exam Vitals and nursing note reviewed. Exam conducted with a chaperone present. Constitutional: Appearance: Normal...
  34. K

    Wiki add on code 99459

    thanks so much!
  35. K

    Wiki add on code 99459

    heyy i thought it's not applicable for medicare?
  36. K

    Wiki add on code 99459

    looks like medicaid paid for us when i had her at least put it in manually on their website, and i know blue cross processed a couple but i think it went toward the patients deductible....
  37. K

    Wiki pp depression

    Thank you so much! Sorry about that! Still learning :)
  38. K

    Wiki pp depression

    Also could you use 96160 mutilple times during the pp period or those mood check.if they're doing the Edinburgh screening each time and what price would you compare it to or think it should be? Thank you so much!
  39. K

    Wiki add on code 99459

    Thanks, yeah so oddly so far it seems to be all of them. I forget if medicaid did or not. I'll check payer policy
  40. K

    Wiki add on code 99459

    has anyone seen any insurances pay anything for this code. Not one is paying anything for us, and some of them aren't even paying the annual when it's paired together
  41. K

    Wiki add on code 99459

    i saw that after, i don't know why it didn't initially show it for me for some reason! thanks so much! :)
  42. K

    Wiki add on code 99459

    thats a good question, i wonder to
  43. K

    Wiki excision of vulva tissue

    thanks so much!
  44. K

    Wiki excision of vulva tissue

    hey guys just curious if doctor is removing some tissue around the vaginal orifice and perineum. could you use 56620 or would part of the labia minora or majora have to be excised for you to be able to use that code.... For excision of some external vaginal tissue or I guess specially vulva...
  45. K

    Wiki add on code 99459

    thanks!!
  46. K

    Wiki add on code 99459

    I'm aware it's an add on code and it would need to be added on to another code. And it'll mostly be used for our annuals and problem visits but was just seeing if you could add it on to a 1st ob code if a chaperone is present because we do pelvic exams at time as well
  47. K

    Wiki add on code 99459

    thank you, I figured in that circumstance it wouldn't be applicable but just wanted to double check 😀😀 one of our providers is wondering though if we can use 99459 during the 1st ob visit if chaperone is present because pelvic exams are done at that time. Doesn't anyone know if a chaperone...
  48. K

    Wiki add on code 99459

    what about a vulva biopsy or when done in addition to ultrasounds, specifically more so a transvag ultrasound? :) thank you so much!
  49. K

    Wiki add on code 99459

    If there's a problem during the global ob period that causes them to have to do a pelvic exam at the first ob or a global ante visit and a chaperone is present can you charge for this?
  50. K

    Wiki pp depression

    Thank you so much. I'm not finding 96127 in the book? I assume it's out of sequence but even with that I don't see any notation about it being out of sequence where it would be? What page is 96127 on? Thanks so much
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