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    Wiki screening vs diagnostic

    If a patient is seen in hospital for acute diverticulitis and 8 weeks later the provider wants to do a colonoscopy, is this diagnostic? I think it is, the h&P doesnt mention screening just follow up colonoscopy but the providers are putting both screening and diverticulitis as the dx on the...
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    Wiki ERCP with sphincterotomy, dilation, biopsies, and stent placement

    Can someone tell me if I can code both 43277 & 43274? I just started coding these. Informed consent was given. The patient was sedated, intubated, and placed in a semi-prone position on the fluoroscopy table. The duodenoscope was advanced under direct visualization through the mouth to the...
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    Wiki Left tragal cartilage butterfly graft tympanoplasty.

    Can someone tell me if this is 69631 & 21235? INDICATIONS: The patient is an 83-year-old gentleman with a persistent left central tympanic membrane perforation from a previous PE tube site. Attempt at previous fat graft myringoplasty was unsuccessful and the patient presented for repair of the...
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    Wiki central and left sided neck dissection

    thank you for responding
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    Wiki central and left sided neck dissection

    60252 is for a total thyroid, this patient already had the RT side removed
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    Wiki central and left sided neck dissection

    No he did not do a total thyroid, he did a left thyroidectomy 60220, I just didnt post that part. Here is the whole op note: Procedure: left thyroid lobectomy and central neck dissection Anesthesia: GETA Findings: Left thyroid lobe removed intact Left superior parathyroid preserved Left...
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    Wiki central and left sided neck dissection

    1. Left hemithyroid, lobectomy: Benign thyroid lobe with hyperplastic nodule and chronic thyroiditis. Negative for neoplasia. Incidental portion of parathyroid gland (2 mm) tissue present on histologic section. 2. Central neck dissection: One of five lymph nodes containing metastatic...
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    Wiki central and left sided neck dissection

    can someone help with a code? Per OP note: Central and left-sided neck dissection with 3 or 4 small lymph nodes Using the LigaSure some fibrofatty tissue in the left neck and medially over the trachea was taken with care being taken to stay away from the nerve and the presumed left inferior...
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    Wiki 21556 & 13132

    This is the Medicare NCCI policy: Closure/repair of a surgical incision is included in the global surgical package. Wound repair CPT codes 12001-13153 shall not be reported separately to describe closure of surgical incisions for procedures with global surgery indicators of 000, 010, 090, So I...
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    Wiki 21556 & 13132

    Those 2 codes are bundled so I would not bill the complex closure for the same site.
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    Wiki Robotic-assisted palliative gastric bypass.

    Does anyone know how to code this? unlisted? It was for gastric cancer that metastasized.
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    Wiki Endoscopic myringoplasty

    Has anyone ever heard of this and does it change the code? SHould I bill unlisted. Thanks
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    Wiki DL with esophageal dilation

    Patient had a DL with esophagela dilation. Op note states it only viewed upper esophagus. Would this be coded 43220 with mod-52 since the GE junction was not visualized? Any help is appreciated.
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    Wiki 45378/G0121 and use of Z12.11

    Yes you would just use Z12.11
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    Wiki Surgeon called in to explore wound

    Surgeon was called in to make sure there was no rectal injury during a debridement of scrotum. nothing was found. Urologist billed 11004. What can I bill? just consult? I had him document time spent in OR. Thanks
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    Wiki General surgeon called in to explore abdomen during hysterectomy

    Can someone help? Trying to bill for a general surgeon called in to explore for possible rectal injury during hysterectomy. Findings: No evidence of contamination with stool or enteric contents in the abdomen or pelvis Rigid proctoscopy with air insufflation of the rectum on 2 separate...
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