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Coding for New Procedures: Reporting a Percutaneous Tracheostomy vs. a Surgical Tracheostomy

28th March 2012
Sometimes a physician or group comes up with a new way of performing a procedure or service. This new procedure may work well, be more beneficial to patients and, in some circumstances, save money. But, if this service isnt clearly delineated in CPT , ho... Read >
Author: ashu

Coding Case Study: Meet the Challenge of Multicode Shoulder Surgeries

27th March 2012
Complicated arthroscopic shoulder surgeries often result in multiple surgical procedures being performed in the same session. Where it might be easiest simply to match the procedure to the appropriate code, coders need to be aware not only of the codes th... Read >
Author: ashu

When to Use 'Uncertain Behavior Diagnosis Code'?

09th June 2011
You may be in for a great loss if you always use diagnosis code 238.2 while reporting 11100 for a biopsy procedure your surgeon performs. The best way to know when to use the 'uncertain behavior' diagnosis code is understanding what that code descriptor r... Read >
Author: James Smith

Otolaryngolology coding : Four FAQs to help your Cochlear Implant Coding

06th May 2011
Find out why physicians have limited use of available CPT codes While reporting for audiologist's services, do not forget that Medicare prohibits audiologists from billing for treatment services. They're allowed to bill for diagnostic services only. B... Read >
Author: Erin Lang Masercola

Same-Polyp Intervention? Turn to 45383 & 45381

04th April 2011
As a gastroenterology coder, you may find yourself bowled over by coding situations such as these: The olympus scope was passed in the transverse colon. Outstanding prep. The lesion itself was at about 9 centimeter in the rectosigmoid or upper one third o... Read >
Author: James Smith

Glaucoma Screenings: S0620 or G0117 -Which Code to go for?

23rd March 2011
With more than 18 choices to sift through when coding a glaucoma visit, you need these simple guidelines to secure the insurer preferred code that lands payment, and not denial. You have four choices for coding glaucoma exams, depending on the payer, ty... Read >
Author: Erin Lang Masercola

Medicare Essure Procedure Scenario

15th March 2011
Which ICD-9 code would you use here? In a particular scenario, one of our ob-gyns carried out an Essure procedure on a Medicare patient for recurrent situational anxiety of pregnancy. Medicare doesn't compensate for sterilization under this condition. ... Read >
Author: Erin Lang Masercola

Which ICD-9 Code for Medicare Essure Procedure Scenario

04th March 2011
Here's an ob-gyn coding scenario you might run into: "One of our ob-gyns carried out an essure procedure on a Medicare patient for recurrent situational anxiety of pregnancy. What ICD-9 code should I report here?" Medicare doesn't pay for sterilization ... Read >
Author: Erin Lang Masercola

Do You Need To Add a Modifier To One Of The Codes?

01st March 2011
Our center provides DXA screenings to some cancer patients. We have been getting denials from Medicare on those claims where we code both 77080 and 77081. Is it required to add a modifier to one of the codes? Well, it all depends on your payer whether y... Read >
Author: James Smith

CPT Codes 2011: Vaccine Administration with Counseling Code

29th November 2010
You will be able to use medicine series vaccine administration codes on older patients and when a nurse provides the counseling thanks to 2011 CPT codes. Report 90460, +90461 through age 18 As counseling for adolescents can involve as much time as cou... Read >
Author: James Smith

Rid your Ovarian Cyst CPT Confusion

12th October 2010
Coding for the removal/excision, aspiration or drainage of an ovarian cyst does not have to be that difficult. We have broken down each approach to provide you all the tools you need to get your claim right every time. Vital concept: When you are gearin... Read >
Author: James Smith

16 New Specific Codes for Lab Test in CPT 2011

23rd September 2010
Whether it's the three new influenza tests or a specific test for tuberculosis, read on for the inside scoop on upcoming lab code changes. Recently, CMS provided a sneak peak at new lab test codes for 2011. The listing covers CPT codes that the AMA mad... Read >
Author: James Smith

Follow Steps to Boost ICD 9 Coding

18th August 2010
Your CPT codes should always be linked to a proper appropriate ICD-9 code, however, selecting the proper ICD-9 code for presenting problems versus underlying conditions can be challenging. Here are four steps to boost your ICD-9 coding: Step 1: Depend on... Read >
Author: James Smith

Attend Otolaryngology coding conferences

09th July 2010
Otolaryngology coding conference If you are stumped while coding a tympanoplasty with mastoidectomy, you are not alone as with the list of similar-looking codes, anyone could get turned around. The important thing is memorizing which codes represent a wa... Read >
Author: Julia Rose

Get All Information on Cpt Codes Online

01st July 2010
A patient entered the emergency department with severe abdominal pain. The physician who was attending it diagnosed it as appendicitis, and considered it to be an emergency case. But still the patient was admitted and was in observation for 40 minutes bef... Read >
Author: James Smith
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