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    Wiki Coding from Op note Post DX or H and P

    Hello, I work under Practice Management for Facility in Central New York. We code the Pro Fee side for our Providers while RI codes the facility side. There has been much debate over where you code for our surgeries. On the Pro fee side, we are stating that you code from the Post Op dx...
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    Wiki New Pink Highlight for MACRA

    Hello, I was just curious about the MACRA codes in the new ICD 10 CM book from the AAPC. We are an Orthopedic practice in NY and I noticed the Osteo codes are some of the ones highlighted pink. I was just wondering why this is? Also, DM and I10 for hypertension are hightlighted as well...
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    Wiki ICD-10 Coding for Old Meniscal Tears

    Hello, If the provider states patient has an old meniscal tear, do we code M23.2- MMT and S83.2- with a S for the 7th char. for sequela. Is there a proper time when an acute turns to chronic or is this determined by the provider? Thank you for your help.
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    Wiki Foraminal Stenosis

    Help! When coding Foraminal and Neural Canal stenosis the book takes us to M99.8. Are these codes applicable in the Orth. Scope of practice? Thanks ahead of time.
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    Wiki Spinal Stenosis vs Foraminal Stenosis

    Hello, My question is if a provider is stating lumbar stenosis and foraminal stenosis M48.06/M99.83, do you code them both or do you code to the more specific M99.83? Thank you ahead of time for your help.
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    Wiki Spinal Stenosis vs Forminal/Neural Stenosis

    Hello, My question is if a provider is stating lumbar stenosis and foraminal stenosis M48.06/M99.83, do you code them both or do you code to the highest specify M99.83? Thanks ahead of time.
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    Wiki Codes M43.2-

    Hello, I'm coding for an Orthopedics Office and was just wondering if anyone can tell me about code M43.2- for Spinal (Acquired) Fusion NEC. There is an Excludes 1 note stating anklyosis spondylitis (M45.0-) and congenital fusion of spine Q76.4- Excludes 2 is Arthrodesis Status Z98.1 and...
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    Wiki Coding from Pathology Report

    Thank you so much for your replies. Do you know of any Guideline that states to wait for the path. reports? Does the provider make an addendum to his note if the path. report takes a couple of days or more to get the results? thanks again. :)
  9. M

    Wiki Coding from Pathology Report

    This is a two part question: First Question: When coding for a PCP, the doctor would remove a lesion in the office. We would hold that note till pathology report came back, then code the note. Is this the proper thing to do or do we code what is true that day, and code when the patient comes...
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    Wiki Physician office coding

    I know that when I read a physician's documentation I code what is in the assessment only. If the body of the note or the exam portion has something that wasn't in the assessment, I'll ask the physician to take a second look at the note to make sure the finding, such as the lumps, wasn't missed...
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    Wiki Help with op report

    Without knowing the exact date of second surgery, I would say that this is in a global period. The only code that myself and my class could find is the 49520 with modifier 78. Even though this is an exploration type surgery, I couldn't, along with my class find any code for that. Also...
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    Wiki ?????CPT Coding Sequence????

    CPT Sequence When coding a surgery, you will code the primary surgery first. Then any add-on's that apply will come after the primary code. If the pt. had two surgeries done on separate locations, (ex. knee surgery, then ankle) you would code knee first, then ankle with a modifer on the ankle...
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    Wiki ADD Clinic

    I would take anyone's help. I'm a certified coder for a family practice in New York State. My provider would like to start an ADD Clinic. I would love to know how we can get paid for Psychlological Codes 96101-96125. Also, Health and Behavior Assessment codes 96150-96155. I know alot of...
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    Wiki Nerve Conduction Study Coding Help Needed

    Nerve conduction studies If the study is a bilateral, say there's 6 units. Use 6 units, then a BL modifer. I also put a modifer 59 on the 95903 F-wave study. What I have found, is that the 95904 is being paid but for some reason, they are not paying the 95903. I did read that the 95903 is...
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    Wiki Consultation codes and modifiers

    Modifer 32 Thank you everyone for helping me out. That really cleared things up for me. Thanks again:)
  16. M

    Wiki Consultation codes and modifiers

    cpt modifer 32 Can modifer 32 be used for codes 94010-94070 when billing for a medicare physical or for a pt. with COPD? I could find any information on the CMS website and was hoping someone would have an answer.
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