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    Wiki postop colonoscopy and hemorrhoid banding

    I'm really struggling with this type of visit and what the surgeon is picking for the level 99213. Status post colonoscopy with polypectomy and hemorrhoid banding. States that hemorrhoids are significantly improved has no pain from this and no bleeding. I reviewed pathology with patient today...
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    Wiki Follow up after colonoscopy and hemorrhoid banding.

    I'm really struggling with this type of visit and what the surgeon is picking for the level 99213. Status post colonoscopy with polypectomy and hemorrhoid banding. States that hemorrhoids are significantly improved has no pain from this and no bleeding. I reviewed pathology with patient...
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    Wiki Level for Viral URI

    I code for a family health clinic and we obviously see a lot of viral URI being picked by the providers. How are you coding this type of visit when no Rx is given. I feel the URI is 1 self-limited or minor problem... Providers are picking 99213 with no data and we will see this statement a lot...
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    Wiki Tubal Consult Level?

    What level would you go with for the Number and Complexity of problems addressed for a Tubal consult? I can't use the consult codes due to the patients insurance. Patient is new to the surgeon and seen in the office. I'm working the Risk up as a 99204 he talked to the patient about the type...
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    Wiki ? 99214 vs 993XX preventative

    DOS was 2/11/2021 Primary Care Provider XX Accompanied by XX Visit Type: Physical Exam Chief Complaint: Annual PE History of Present Illness: XX year old with hx of celiac disease. had Covid 19 in December and has not felt right since. fatigued a lot . episodes of feeling worse. some abd...
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    Wiki Office visit with EKG?

    Since we own the EKG machine we will bill a 93000 for our commercial insurances. The 93000 is billed when all elements are meet to bill for the interpretation and report. That being said if my presenting problems meet a 99214 and the provider also orders an ECHO, Holter Monitor and the EKG I'm...
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    Wiki packing follow up different providers

    Hello, How are you guys coding ie. 10661 when the I&D is done by Dr A and than follows up the next day for packing with Dr. B. All providers are MD's and work in the same RHC Family Clinic. Dr. B did the next day repack due to Dr. A not working the next day. Since we are an RHC we would code...
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    Wiki Lipoma remove 11406/12031 vs 21552

    I get conflicting information when I read the posts regarding this scenario. Some coder say you automatically code lipomas from the Musculoskeletal system. Others say if the documentation does not state how deep than you code from the Integumentary section. So please give me as much feed back as...
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    Wiki Preoperative visit for Vasectomy

    If the patient comes in for his consult/preoperative visit for vasectomy. Can we bill for this visit since this provider will also be preforming the vasectomy? When I use craneware it shows 55250 having RVU's for the pre op/intra op/post op. This makes me believe the preop visit in the clinic...
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    Wiki Lipoma removals

    Just came back from our coders meeting and this procedure note was discussed. Does the provider need to state ie subcutaneous to bill from the Musculoskeletal section? Or are all lipomas to be coded in the Musculoskeletal section no matter what? PREOPERATIVE DIAGNOSES: 1. Bilateral thigh lipoma...
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    Wiki Removal of Lipomas

    Hello, We have several patients come into our Family Practice clinic for lipoma removals. We just came across an older article from 2014 and just want to make sure this is still correct information. Per this article a lipoma removal procedure code should come from the Musculoskeletal System NOT...
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    Wiki 20551 with US guidance for needle placement 76942

    Hi, I found an article from a source I'm not all that familiar with EmblemHealth. It states 76942 is inclusive with injections 20550-20553. States 76942 will be bundled as inclusive services when rendered with the 20550-20553. My patient has MDCR and the provider wants to bill 20551 and 76942...
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    Wiki Cpt code 29580 strapping unna boot question

    Hello, We have just started this service thru our hospital treatment room. I have a question on how to charge for this service when patient comes in for a scheduled Unna boot change. Sometimes the provider will see the patient prior to the boot being applied by the RN. He will look at the wound...
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    Wiki Question regarding Excision

    You will see below the Office note for the excision. I coded 173.22/11641 is this correct? Not sure if I can code the size of the lesion removed by the way the provider has documented. Patient has recurrent skin lesion right ear after shave excision revealing "squamous proliferation...
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    Wiki Condyloma acuminatum removal

    Provider removes the verrucae with scissors. Not sure how to code this procedure. I'v tried removal/destruction/excision..but not finding anything for removal with scissors??? Thanks Nichole
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    Wiki Medicare and subsequent Obs Care

    I thought Medicare accepted cpt codes 99224-99226 for subsequent obs visits. But the other coder in the hospital thought Medicare didn't accept these codes. Needs some input on this subject please. Thanks Nichole Ramsey
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    Wiki Medicare Blood Work??

    I have been given a very frustrating PI Project. The lab is sending me a list of Medicare Patients that signed an ABN at the time of their blood draw. I am to review the orders to see if the Dx is appropriate for the patient. We have some providers picking V70.0 for everything and some provider...
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    Wiki When to code initial care?

    If a patient comes in to the ED on 9/27 and the PA working the ED admits the patient to the hospital. The hospital will only bill out the ED visit for 9/27 for the the PA 99281-99285. My physician doesn't come in until the next morning 9/28. Would I bill out initial visit or subsequential visit...
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    Wiki Mod 51 versus 59

    When charging out for 45378 colonoscopy and 43235 upper gi endoscopy on the same dos. Do I use mod 51 or mod 59. Some of the coders her say 51 the others say 59. Please help!! Nichole
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    Wiki Inpatient twice in one day by two diff MD's

    Patient was admitted by MD#1 at 8am. MD#2 sees patient at 6:25pm. The only difference in the dx's is MD#2 see's the patient for delirium plus all the other reasons MD#1 say patient for. Is this enough to bill out the visit for MD#2? Nichole:(
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    Wiki Inpatient to Swingbed on same day coding?

    I had a patient as a inpatient from 12/31/2009 to 1/05/2010 d/c at 0850.No documentation for d/c. Status changed to swingbed on 1/05/2010 at 0850. The Swingbed was from 1/05/2010 to 1/07/2010. Provider only saw the patient on 1/7/2010 and this was to d/c the patient. I sent a note to the...
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    Wiki Newborn Care

    Twins were delivered Twin A was admitted and discharge on the same day that required intensive observation. Can I code 99463 for Admit/DC with 99477 for intensive observation care? Twin B was discharged on the 2nd day with the same intensive obersvation care. So can I code 99238 for DC and...
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    Wiki Nursing Service with injection only

    I have a patient coming in for a nursing service injection. Its her own medication. Would it be appropriate to code a 99211 and do I need a modifier for this? Thanks Nichole
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