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    Wiki 64704 with 25000 - Help!

    DOS 12/12/2023. My provider is billing 64704 with 25000. Payer is BCBS TX. 64704 is being denied due to it being included with 25000. Is there anyway to get this paid or will this always be denied? There are no NCCI edits disallowing the codes to be billed together. When I ran the codes through...
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    Wiki 20610 - Different area, same side - Help!

    Hello! Any help would be greatly appreciated! I've read through several forum questions in regards to billing 20610 multiple times on the same claim because it was performed bilaterally at different areas. I haven't located anything to give me guidance on billing 20610 at different areas but on...
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    Wiki Upper EUS aborted due to sedation instability - Help!

    Can this scenario be coded and billed? Patient was scheduled for an upper EUS in an ASC. The endoscope was not inserted and the procedure was aborted due to the patient having a medical instability in reaction to the sedation medication. The patient coughed and developed laryngospasm.
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    Wiki 82784 - Immunoglobulin - Help!

    Hi! I'm needing some assistance/guidance in how to properly bill 82784. I saw a previous forum post from 2015 with this answer: Are these guidelines current today when billing 82784? We have a provider who billed it as such to Medicare: Line item 1: 82784 - 1 unit Line item 2: 82784-91 - 1...
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    Wiki Post-Op Hemorrhage & Emergency Hysterectomy after C-Section - Help!

    Scenario: Patient had a c-section following a previous c-section. The patient then experienced uterine atony with hemorrhage, provider performed an exploratory laparotomy and placed a B Lynch stitch to suture the uterus. After the B Lynch was placed, the patient returned to the OR again having...
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    Wiki Return to OR after D&C complication - Help!

    Hello! I had previously asked this question back in September, but I'm still stumped and would like some help if anyone knows! 59812 was billed. I attempted to add 59160-78 but from my understanding that is incorrect. Tried using 58120-78 but this is part of 59812 and cannot be used with any...
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    Wiki Intrauterine Fetal Demise - Help!

    I'm stumped on how to code this correctly. I was originally thinking 59821 with O02.1, O42.92, Z3A.19... but 59821 includes D&C and that didn't happen. And after researching and looking at ACOG's resources and reading through different threads on here, I'm now thinking it's the E/M with 59414...
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    Wiki Revised right midfoot arthrodesis help!

    Hello! A doctor did a revised right midfoot arthrodesis, hallux valgus repair, and Akin osteotomy. Would this be coded as 28740-RT and 28298-T5? Any help/advice is much appreciated, thank you!
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    Wiki Same-Day Telemed and Lab Visit? Help!

    Hi there! Can you code for a same-day telemed and lab visit? The patient had a telemed visit (audio and video) and then came in later to perform a urine drug screen in-office and they also sent urine to an external facility. Is it possible to bill a 99214-95, 80305, and 99000? Thanks in advance!
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    Wiki Post C-Section Complication - Help!

    A c-section was performed with sterilization (59510 and 58611). On the same day, the doctor performed an exploratory laparotomy due to suspected hematoma status... large clot, torn left uterine artery, and clot in the broad ligament was found. Can I include 49002-78? Or is this type of...
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    Wiki Return to OR after D&C complication

    Patient underwent a D&C (59812) and then returned to the OR ~1hr later due to copious amounts of vaginal bleeding. Is 59160-78 allowed in this scenario? Or is this complication included with the 59812 90-day global?
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    Wiki Ultrasound Coding - OB vs Non-OB

    A patient who is less than 8 weeks pregnant presented to her PCP with heavy abnormal vaginal bleeding. The PA for the PCP performed a bedside US- no fetal sac seen, uterus no debri, no free fluid seen surrounding. It was coded with 76856, which I don't believe is correct. Would it be 76857...
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