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Patient came in with a dislocated left knee. We billed the E/M code with modifier 57 and 27560 with modifiers 54 and LT. I keep getting a denial stating the E/M is included. Can someone please help me with this? Thank you.
Disruption
I was looking at T81.31XA (Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter) but it says that is a facility code if I'm reading it right. So I didn't think I can use that because we can't use facility codes. Am I reading it wrong?
I was wondering how to code this:
Patient comes in to urgent care center. He had a dermatologist remove a mole a few days prior and absorbable sutures were used to close the wound. Last night the wound opened up and was bleeding and is still bleeding this morning. Our provider used 2 sutures...
I code for an urgent care center in an area with a lot of senior citizens. They come in for skin tears and usually can't be sutured because of thin skin. Some of them, even though not requested to by the provider, come in every two days for a wound check. Sometimes the provider notes to...
For an office visit for dysuria of an infant can we code 51701 for catheter and 81001 for the labwork? We received a denial saying it was bundled. We coded:
99213 - 25
51701
81001
Thanks!
Thank you! We always have 3 or 4 bullets for a pediatric patients, either from the parent/guardian or the patient themselves. I don't think it is correct to give them a complete ROS. Unfortunately they won't stop penalizing me unless I can get something in writing from CMS or AMA. If anyone...
I need some guidance. We are being told that if the patient is a pediatric patient under the age of 18 we are to automatically give credit for a complete ROS. Can someone help me out with this? I thought that it was just if the patient was unresponsive, there was no where to get the...
Fracture treated with OTC splint
I code for an urgent care facility. If our providers apply and OTC splint can we code for splint application or is it included in the OTC splint? We do not bill the HCPCS code, I believe our DME supplier bills directly.
We have been going back and forth on...
If a patient comes in with a sprained ankle and the physician orders a splint or strapping to the ankle but has the nurse apply it, can we bill for it? Sometimes the nurse applies and sometimes the PA or NP applies. Does it need to say in the physician's notes who applied it and if he...
I have one more question. If the iv's were running on these times:
Zofran 4 mg via IVP in left antecubital from 13:09 - 13:10
NS .9% 1000 via IV bolus in left antecubital from 13:02 -13:34
Could I still code the hydration if it is running at the same time as the zofran?
Thank you. I thought you couldn't have two initials in one line. I was wrong about the hydration though. So if I have hydration also running and it runs over 31 minutes I use the 96361 add on code? The part where I was getting confused was on the time. I thought the time had to be over an...
I need to ask something that I'm confused on. My auditor and I have two different opinions on IV's.
If a patient comes in with flu symptoms and they get:
*
Zofran 4 mg via IVP in left antecubital from 13:09 ? 13:10
NS .9% 1000 via IV bolus in left antecubital from 13:22 ? 14:09
*
Would I code...
Thank you. That was what I was thinking. The part that I was stuck with is can I use the vomiting for the 96360? It doesn't say that the patient was dehydrated anywhere in the chart.
Remote coding
I was just looking into this as well. I have found some companies that say they are reputable. Aviacode, LexiCode, The Coding Network, and Accent US. There were more but those are the ones that I had time to look at. I found them on about.com.
Hi,
I have a patient who came in with abdominal pain and vomiting. They have a IV bolus of Saline in right arm running for 36 minutes and an IVP of Toradol in the left arm. Can someone tell me the correct way to code this?
Thank you,
Saline and Zofran
I have a question on infusions. I code for an urgent care center.
Quite often I run across scenarios like this:
Patient comes in with nausea and vomiting. They give her the following:
20:57 Normal Saline - .9% 1000ml IV Bolus left antecubital
22:00 Completed...
I'm hoping to get a little information. A patient comes in to urgent care with an injury to her little toe. She is xrayed and found to have a fracture. The notes say fracture treated by buddy taping, placed in a post op shoe, and referred over to an orthopedic. So I coded it as:
99203-25
73660...
I took another look at the chart. It says that the IV Saline 0.9% 1000 mL started at 10:35am via IV Bolus and discontinued at 12:42pm. The patient was in for Nausea, Diarrgea, Vomiting, and abdominal pain. If they gave the saline for the above would it have to say specifically for hydration?
I code for an urgent care center. We have a disagreement on how to code something as below:
Patient came in for kidney stone.
IV Saline lock @ 10:34am, Toradol IVP 30 mg @ 10:36am, Discontinue IV @ 12:42pm.
Would appreciate any help. We have looked at all of the search engine websites and we...
I would really love a copy of the cheat sheet as well. If anyone still has this, can you please email me a copy as well. I too have tried to email and the mailbox is full.
Please, please, please send me a copy. ;)
jackielmal@gmail.com
IV Help needed as well
I code for an urgent care center. We have a disagreement on how to code something as below:
Patient came in for kidney stone.
IV Saline lock @ 10:34am, Toradol IVP 30 mg @ 10:36am, Discontinue IV @ 12:42pm.
Would appreciate any help. We have looked at all of the...
The Chem 3 panel contains the following:
GLU, BUN, CRE, UA, CA, ALB, TP, ALT, AST, ALP, TBIL, GGT, AMY.
Then it has separated out QC, HEM 0
Any help you could give me would be greatly appreciated! :)
I would like to know what the difference is between a CMP and a Chem 13. I can find a code for the CMP, but can't find any information on a Chem 13.
Can someone explain what the difference is and if there is a CPT code that covers it?
Thanks!
I'm a little confused on this chart:
Findings:
RIGHT PERCUTANEOUS NEPHROSTOMY AND URETERAL STENTING
CONSCIOUS SEDATION: 1 mg Versed and 200 mcg of Fentanyl given IV
Contrast was injected intravenously for opacifying the collecting system. The collecting system on the right side was not well...