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Wiki Excision of pterygium with ocular surface reconstruction

Hi I'm new to coding this procedure and I wanted to get a second opinion on how I coded this note. I REALLY APPRECIATE ANY FEEDBACK ON THIS NOTE!! The DX is Pterygium I coded 65780 and V2790 The excision of the pterygium without out graft(65420) is inclusive to 65780 Here's the note: After...
- bmkardok
- Thread
- Jul 3, 2017
- Replies: 0
- Forum: Ophthalmology/Optometry
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Wiki Administration code Help

Hi Everyone, The patient comes in complaining of nausea, headache, and weakness. A Sancuso patch is placed to the upper arm and Compazine is given via feeding(PEG) tube. I have never had this type of situation to code. What administration code would be used for a Sancuso patch and also providing...
- bmkardok
- Thread
- Oct 9, 2012
- Replies: 0
- Forum: Hematology/Oncology
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Wiki Clip placement without a breast biospy

Hi Everyone, According to the note below is appears that the surgeon performed an ultrasound guided placement of a clip. Looking back at the patient's history the patient had a core bx on 4/11/12. The clip procedure was performed on 4/30/12. My question is how do I bill for the clip placement...
- bmkardok
- Thread
- Jun 5, 2012
- Replies: 1
- Forum: General Surgery
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Wiki Please help can 47562 and 49585 be billed out together

Thanks. That's what I needed to know.
- bmkardok
- Post #3
- May 25, 2012
- Forum: General Surgery
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Wiki Please help can 47562 and 49585 be billed out together

Hi Everyone, I do not do a lot of hard coding and I am wondering if I am billing this note out correctly. I would appreciate if anyone had advise. PREOPERATIVE DIAGNOSIS: Biliary colic. Umbilical hernia. POSTOPERATIVE DIAGNOSIS: Biliary colic. Umbilical hernia OPERATION: Laparoscopic...
- bmkardok
- Thread
- May 25, 2012
- Replies: 5
- Forum: General Surgery
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Wiki 61020

Hi everyone, Our doctor has started doing procedure code 61020 (Ventricular puncture through previous burr hole) which is a new procedure performed in our office. The insurance companies deny this service because of the place of service; has anyone else had this problem? I can't find...
- bmkardok
- Thread
- Apr 18, 2012
- Replies: 0
- Forum: Hematology/Oncology
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Wiki CPT-4 code for the administration of meds thru G-tube

Hi everyone, I have never had this situation before and I am hoping someone will be able to help me. I have a patient receiving chemotherapy. Because of the side effects of the chemo we administer Emend thru the G-Tube, what CPT code would I use for the administration of this med? I appreciate...
- bmkardok
- Thread
- Mar 8, 2011
- Replies: 0
- Forum: Hematology/Oncology
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Wiki please help:atherectomy/angioplasty help

Thank you all so much. I know it was a long note. Have a great day!!!
- bmkardok
- Post #5
- Sep 28, 2010
- Forum: Cardiology
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Wiki please help:atherectomy/angioplasty help

I have this note that I have coded but I feel as though I am missing something. I'd really appreciate if anyone could look at the note below and give me your opinion. The procedures are all performed percutaneously. I believe that there should be radiology services, but I haven't seen a note...
- bmkardok
- Thread
- Sep 28, 2010
- Replies: 4
- Forum: Cardiology
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Wiki atherectomy, angiogram, and angioplasty help

I have this note that I have coded but I feel as though I am missing something. I'd really appreciate if anyone could look at the note below and give me your opinion. Procedure: Selective left coronary angiogram. Rotational atherectomy(rotablator 1.5mm bur) first marginal of...
- bmkardok
- Thread
- Sep 27, 2010
- Replies: 1
- Forum: Cardiovascular Thoracic
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Wiki Fluoroscopy guidance with port-a-cath placement

Hi Everyone, I have a note and I am not sure if I am coding the claim correctly. This is a new service for me to code and I want to make sure I send the charges out correctly. 36561 76942/26 77001/5926 Service provided in an outpatient hospital setting. Procedure: The patient was brought to...
- bmkardok
- Thread
- Sep 24, 2010
- Replies: 2
- Forum: Hematology/Oncology
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Wiki Testopel pellets

Thank you.
- bmkardok
- Post #3
- Sep 2, 2010
- Forum: Urology
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Wiki Testopel pellets

Hi, I have a doctor that started to perform Testopel pellet insertions. All the insurance companies have denied this service. The patient's have hypogonadism.I am appealing the denials, but I was wondering if anyone else is having this problem. Thanks
- bmkardok
- Thread
- Aug 31, 2010
- Replies: 2
- Forum: Urology
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Wiki coding cpt 4 code 93352 in hospital

Medicare denied because of the place of service. Medicare is stating that the facility provides the contrast so the provider can not bill out 93352. I believe that procedure code 93352 is for the administration of the contrast. I am wondering since the facility provides the contrast does someone...
- bmkardok
- Post #3
- Aug 31, 2010
- Forum: Cardiology
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Wiki coding cpt 4 code 93352 in hospital

Hi everyone, I am having trouble with procedure code 93352. When the service is provided in the hospital it is being denied. When procedure code 93352 is billed in the office we are receiving payment. Does anyone know if there is updated documentation regarding the echocardiogram contrast...
- bmkardok
- Thread
- Aug 26, 2010
- Replies: 3
- Forum: Cardiology
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Wiki Please help code this note.I am new to this and any help would be apprecicated.

Please help me with this op note: The patient was brought to the operating room an placed in the supine position. General endotracheal anesthesia was induced. The lower abdomen, both groins and both lower extremities were prepped to the knee and draped in standard fashion. A vertical incision...
- bmkardok
- Thread
- Jul 21, 2010
- Replies: 1
- Forum: Cardiovascular Thoracic
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Wiki 93015 with 78465, 78478, 78480, and 93306

These services were performed in 2009. I have a practice manager that wants a echocardiogram with a Myoview stress test(the stress test includes the multiple studies SPECT,Myocardial perfusion study with wall motion, and Myocardial perfusion study with ejection fraction) billed out with: A9502...
- bmkardok
- Thread
- Mar 8, 2010
- Replies: 1
- Forum: Cardiology
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Wiki Cystoscopy, replacement of catheter over a wire

Hi, I am hoping that someone can help me with the op note listed below. I coded it one way and the office manager believes that there may be a better way to code this. The patient is a male. Please help. DX: Neurogenic bladder, chronic urinary retention, and multiple urethral false passages...
- bmkardok
- Thread
- Feb 25, 2010
- Replies: 1
- Forum: Urology
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Wiki problems with medicare regarding cpt code 96402

Hi everyone, I am wondering if anyone is having problems with Medicare paying for cpt code 96402(Chemotherapy administration, subcutaneous or intramuscular:hormonal anti-neoplastic)? We are billing for Leuprolide acetate and using cpt code 96402 for the adminstration, but the charge is being...
- bmkardok
- Thread
- Dec 21, 2009
- Replies: 5
- Forum: Hematology/Oncology
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Wiki Vancomycin and Ceftazidime

My provider has started using a couple of new drugs for our office and I am having trouble with Medicare. Does anyone bill out for Vancomycin 1mg/0.1ml and Ceftazidime 2.25mg/0.1ml for the DX of acute endophthalmitis? Has anyone been able to find an LCD or NCD for these drugs? I appreciate any...
- bmkardok
- Thread
- Nov 10, 2009
- Replies: 0
- Forum: Medical Coding General Discussion
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Wiki Angioplasty...need help coding

bcard Looking at the documentation provided I would code this op note like this: 92982 92984 93510/26 93545 Hope this helps.
- bmkardok
- Post #3
- Oct 21, 2009
- Forum: Cardiology