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  1. 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
  2. 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
  3. 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!
  4. K

    Wiki 01999

    Does anyone know what would fall under this code? Someone said cpt assistant said you could use it for nitrous oxide?
  5. 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...
  6. 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?
  7. 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...
  8. 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...
  9. K

    Wiki pp depression

    acog article states if someone is diagnosed with pp depression we can try to charge for it given payer policy allows. Could we charge if they're not diagnosed with depression but are coming in sooner and more frequently because they have a history of it so they're coming in because of...
  10. K

    Wiki fertility counseling during annual

    Could I charge anything along with an annual for counseling on fertility done at the same time as an annual? The discussion was for same sex couple trying to conceive Reviewed CARS and poss IUI and looking at sperm banks and eventual having a subscription to gather info about poss donors...
  11. K

    Wiki ob or non ob ultrasound

    Hello, Just wondering if a doctor performs a transvag, transabdominal, and a doppler for suspected retained POC if those would be considered ob or non ob. He never gave a definitive diagnosis of retained POC and since a doppler is obstetrical I assume I should code the ultrasound as obstetric...
  12. K

    Wiki surveys

    hey there, there was a year that aapc was taking survey's about peoples jobs and the satisfaction rate with various things, and I was able to read these somehow I beleive on the forum I can't remember where, but I was able to get some insight as to how people liked their particular coding job or...
  13. K

    Wiki global or not

    i was just looking for an opinion if you would find this to be global or a problem visit. I feel like it's not routine ante care but it is just a follow up apt, but yet again she also sent an RX in as well
  14. K

    Wiki 57105

    If vaginal mucosa was removed but not sent for biopsy can I still use this code? Perhaps use is with reduced services modifier? Thanks!
  15. K

    Wiki 57105

    If vaginal mucosa was removed but not sent for biopsy can I still use this code? Perhaps use is with reduced services modifier? Thanks!
  16. K

    Wiki pp perineal repair

    hello, I was looking for help with coding this case if anyone would know what would be the equivalent of the OB versions of codes 56810 and 59300. I don't know if I should just code 13131 for this case. Here's the description below... also the attending physician who delivered the baby did...
  17. K

    Wiki abdominal myomectomy

    Hey there, I was just wondering for abdominal myomectomy that is 1 single fibroid weighing over 250g should I use the 58146 even though it's less then 5 myomas but it's accurate weight wise. I think that's what I've read to do? thanks!
  18. K

    Wiki 52 vs 53

    hey guys, my practice has always put 53 on cases of a failed procedure, like a failed attempted endo biopsy etc., but now I'm wondering if it should be 52 instead for at least the attempted work, same with ultrasounds where viability wasn't determined because they couldn't see, any opinions on...
  19. K

    Wiki 12021 with hydrofera blue

    hey there, Just wondering if the supply code for hydrofera blue is included in 12021?
  20. K

    Wiki labor check

    patient came to office for labor check and was sent to our observation unit for nst. she is laboring and was given the option to labor at home and return when she has a more active labor pattern or stay in the hospital and labor there, she then was admitted a few hours later, hasn't delivered...
  21. K

    Wiki office visits with procedures

    hello, Still new to coding, let alone ob gyn coding, and saw in the ob/gyn newsletter that endo biopsies that were pre planned should only be charged with the biopsy code no office visit unless there is a separate identifiable service, does this go for all other procedures too I assume, like...
  22. K

    Wiki 59430

    Hey everyone, I have a patient who didn't deliver with us and came back for pp care. I see from some sources online this code should be billed 21 to 56 days pp, does that time frame still apply regardless if they were see sooner for a problem visit? Would I charge the office visit charge then...
  23. K

    Wiki HC supplemental nursing feeding system

    Heyy, If anyone can share any opinions as to what hcpcs code they would charge for this that would be great! it's a tube/system the helps the baby breast feed at the nipple supplementing the breast milk, and is not a breast pump. I was thinking mabye T2101? I don't think it qualifies as b4035...
  24. K

    Wiki ultrasounds

    hey there, I just wanted to double check if our provider initiates an ultrasound but cannot visibly find our see what they are looking for due to adhesions etc, etc, and they get referred out for a more in depth ultrasound can I can still bill for it and without a 53? I assume I can, but just...
  25. K

    Wiki ultrasounds

    hey there, I just wanted to double check if our provider initiates an ultrasound but cannot visibly find our see what they are looking for due to adhesions etc, etc, and they get referred out for a more in depth ultrasound can I can still bill for it and without a 53? I assume I can, but just...
  26. K

    Wiki IUD

    When someone drops an iud on the floor and can't be used because it's not sterile is there anyway to get any kind of reimbursement for that? thanks!
  27. K

    Wiki CPC w/1 year ob/gyn coding experience looking for remote

    https://1drv.ms/w/s!AiGiyXAop9XQjgqyNg_1ox5t-k8P?e=DNQZSm please let know if the link doesn't work I can email you my resume
  28. K

    Wiki Moderate mdm for emergency e/m

    I was taking a practice test and it said moderate mdm was 99283 but in the book it has the x marked off for moderate under 99284 now, so I'm confused which is actually correct. Since the book has 99284 as the moderate mdm that's what I've been using but maybe this was what caused me to fail the...
  29. K

    Wiki anterior colporrhaphy with TVT sling

    hey guys, so i have code 57240 but for the TVT sling should i bill 57288 seperatly or should i bill the add on 57267 with the colporrhaphy. I read that a sling is not the same as mesh although the add on code says " insertion of mesh OR other prothesis for repair of pelvic floor defect" so not...
  30. K

    Wiki cauterization of endometriosis

    Hey guys, for this surgery I was a bit torn if I can only code 49321 for this surgery. She previously had a Total hysterectomy, ovaries, uterus and and tubes removed. I choose 49321 for the peritoneal biopsies, all of this done lapro. It looked like in an NCCI edit that lysis of intestinal...
  31. K

    Wiki wound dehiscence

    I have a patient who transferred care out of our practice for the remainder of her pre natal care but came back after delivery for wound dehiscence for her caesarean incision. We used no sutures but cleaned and placed hydrofera blue on it. We had them take home the hydrofera blue as well for...
  32. K

    Wiki 57280, colpopexy

    this procedure was done ultimately only on one side because the left uterosacral ligament was more difficult to identify as the ligament had much more laxity and was not providing much support. Should I code this with a modifier 52?
  33. K

    Wiki nst w/bp

    I was just wondering your opinion if a BPP is performed right after an NST because the NST was non reactive would I bill the 76818 or 76819? It was done by the same physician on the same day and same location but done consecutively back to back but just not right at the same time?
  34. K

    Wiki straight stick hysterectomy?

    Hello, Normally our practice does 58571 for our hysterectomies with the da vinci, but one of our doctors told our surgery scheduler she would be doing straight stick hysterectomies instead. I couldn't find much information on that online regarding the difference. Would straight stick be...
  35. K

    Wiki new observation visits

    hello I just wanted to clarify that if a practitioner is of the same group specialty as the physician who initially admitted the patient for observation and is providing the subsequent observation care (same group specialty, 2 different physicians), if that physician for the subsequent care has...
  36. K

    Wiki the article get the FAQ's on E/M coding in March 2023 business monthly pg 34

    Hey guys, I was just wondering in this aricle it says if your provider isn't the admitting provider and sees them after they've been admitted you can't charge for a subsequent hosp. care code becuase your provider wasn't the admitting provider and should charge for an office outpatient service...
  37. K

    Wiki 58545 w/morcellation

    Does anyone know if morcellation that took an extra half hour with a scalpel can be separately coded or is that inclusive to this code or should I append a modifier 22? I think 22 because I don't believe there is a code for morcellation and it would be considered an unlisted procedure if it did...
  38. K

    Wiki questions pertaining to jan 2023 obgyn newsletter

    In this newsletter they mention if a nurse delivers because the doctor in busy in the next room per say doing something if other people have been using 52 on their global deliveries? and then quote "Be sure to include information about which part of the process they did participate in, so...
  39. K

    Wiki reimbursement policies from insureres

    Hello, I'm new to coding and was wondering if anyone could tell me how to access insurers reimbursement policies? or where to navigate on their website or how to request that information? I live in CT. Thanks!
  40. K

    Wiki suction D&C

    hello doesn't anyone know a code i could use for suction d&c NOT for missed abortion. It looks like they are all for missed abortion. She succefully delivered and then weeks later essentialy needed a hematoma suctioned out....would I still use one of the threatened abortion codes anyway? The...
  41. K

    Wiki ultrasounds

    can you charge for an ultrasound after they've been admitted for labor?
  42. K

    Wiki modifier 78

    Can I use 78 if it was a different physician within our practice?
  43. K

    Wiki Dear AAPC or anyone

    Hello, I firgured I'd post this hear instead of contacting your customer service where I would get direct help from only 1 associate. I have 2 inquires. 1. Why can't all chapter meetings have a virtual option as well as in person since that alligns more with the day in age we're at? 2. I...
  44. K

    Wiki Global package

    Hello, I was just wondering what are some conditions or complications of pregnancy some of you are billing separately for? I see that you can bill some complications related to pregnancy such as hemorrhage, placenta previa, pre eclampsia, and severe hypermesis, along with conditions not related...
  45. K

    Wiki The global package

    Hello, I was wondering if someone could clarify this for me because I've seen contradicting things. If someone develops a compilation of pregnancy like gestational diabetes or gestational hypertension amd they are visiting for it I can bill it out separately because it's a complication, even...
    • Korbc
    • Thread
    • global antepartum global billing global maternity global period
    • Replies: 1
    • Forum: OB/GYN
  46. K

    Wiki cpc looking for remote position

    Hello! I'm a CPC-A looking for remote work. I've completed practicode and now starting my CIC. I've also taken AAPC's CEDC course and just need to sit for the certification exam for that. Please see my resume attached. Thank you!
  47. K

    Wiki z code question

    hey everyone, I was just wondering if anyone could get me any tips as too when an aftercare code should be used over a management code especially for the cardiovascular system and devices like defibrillators and pacemakers? I know presence of is when there is no attention to the device/no...
  48. K

    Wiki practicum assessment

    i'm about to do my first practicum assessment. I saw they are 20 questions each but wanted to know if anyone knows or remembers if they are timed and if so for how long? Thanks!
  49. K

    Wiki cpc employment wages

    Hey everyone, I was just wondering if I could get some opinions or some background information. I have a CPC-A and took their EHS course and the CEDC course but haven't sat the the CEDC exam yet. I realize I don't have any real on the job experience and I would be entry level. I got 2 job...
  50. K

    Wiki CPC-A certified coder looking for job remote/or CT

    I'm CPC certified, attached is my resume. It's not the format of my real resume as I tried to attached my word document it wasn't anywhere to be seen. I'm highley motivated to get started in the career field. Any help would be appreciated. Thank you
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