http://www.supercoder.com/forum/ Supercoder - Ask an Expert?: Recent Topics en Thu, 09 Feb 2012 18:48:21 +0000 http://www.supercoder.com/forum/topic/thrombolysis-coronary-during-lhc-and-intervention#post-11258 Wed, 08 Feb 2012 16:39:03 +0000 suzanne cassimore 11258@http://www.supercoder.com/forum/ <p>Is there a code for performing angiography through existing catheter for follow up. Doc did LHC (<code>93458-26</code>), IVUS coronary (+<code>92978</code>) and Thrombolysis coronary <code>92975</code>. Is <code>75898</code> only for peripheral or can be used for coronary as well?</p> <p>Thank you<br /> Julie Agus </p> http://www.supercoder.com/forum/topic/mohs-surgery-repairs#post-11296 Thu, 09 Feb 2012 17:44:10 +0000 Kathy Foss 11296@http://www.supercoder.com/forum/ <p>Do you know if reimbursement for a repair would reduced when it is reported with the Mohs surgery codes or if it is paid at the regular reimbursement rate?<br /> Thank you in advance for your assistance. </p> http://www.supercoder.com/forum/topic/arthroscopic-shoulder-surgery-coding#post-11295 Thu, 09 Feb 2012 17:36:57 +0000 Sue Bolton 11295@http://www.supercoder.com/forum/ <p><code>29819,29827,29824,29828,29826,29807,29823</code><br /> I am beginner at coding shoulders &amp; not sure if I have coded correctly? Massive rotator cuff tear. Rotator cuff was extesivley scarred down, esp anteriorly involving 3 tendons. Multiple releases anterior &amp; mobilize of posterior cuff tear.Biceps tenodesis. Multiple margin convergence to reconnect anterior part of tear to posterior part of tear. Multiple anchors implanted. SLAP trephination repair superior glenoid after biceps release. Multiple piece of loose body debrided and removed from the joint. Decompression anterior &amp; lateral aspects of acromion out to the AC joint &amp; across the AC joint with modified Mumford with removal of distal inferior clavicle where it was impinging on the cuff. </p> http://www.supercoder.com/forum/topic/laparoscopy-cholecystectomy#post-11294 Thu, 09 Feb 2012 17:15:49 +0000 Jami Deerfield 11294@http://www.supercoder.com/forum/ <p>If the doctor started laparoscopy cholecystectomy then after about 15 mins. decided this was not the best way to go and changed it to an open cholecystectomy. Would I just code 47600, or is there another code I need to have? </p> http://www.supercoder.com/forum/topic/nurse-visit-for-unna-boot#post-11257 Wed, 08 Feb 2012 15:58:53 +0000 Susan Patch 11257@http://www.supercoder.com/forum/ <p>We have a patient coming in several times a week for unna boot changes. Some of these days only a nurse sees him and changes his dressings. If the physician doesn't see the patient, can we charge '29580' or can we only charge '99211'? </p> http://www.supercoder.com/forum/topic/av-optimization-echo-for-biv-icd#post-11292 Thu, 09 Feb 2012 16:23:33 +0000 Jacquelin Underwood 11292@http://www.supercoder.com/forum/ <p>How do I code an echo done at the hospital by cardiologist as an AV optimization study for timing and synchronization of a biV ICD? I think I would need to code a limited echo and device interrogation? Thanks </p> http://www.supercoder.com/forum/topic/new-pft-code-for-2012#post-11275 Wed, 08 Feb 2012 20:45:41 +0000 LINDA HISCOCK 11275@http://www.supercoder.com/forum/ <p>I'M LOOKING FOR THE CORRECT CODE FOR THE PFT FOR 2012 THAT REPLACE CODE 94240.<br /> I'VE BEEN READING IT'S JUST ONE CODE BUT FROM A FEW OF THE ANSWERS ON HERE IT LOOKS LIKE 3-4 CODES COULD BE USED.<br /> THX'S </p> http://www.supercoder.com/forum/topic/venfor-and-normal-saline#post-11098 Wed, 01 Feb 2012 21:01:16 +0000 Caroline DeLaCruz 11098@http://www.supercoder.com/forum/ <p>Can Venofer infusion (96365 &amp; J1756) be billed with saline (96361 &amp; J7050) in an office setting providing the start and end time is documented? Or is the saline considered inculsive and not billed separately?</p> <p>Will appreciate any guidance or coding references.<br /> Thank you,<br /> Caroline </p> http://www.supercoder.com/forum/topic/72110-vs-72114#post-11104 Thu, 02 Feb 2012 13:58:56 +0000 Eunice An 11104@http://www.supercoder.com/forum/ <p>If we performed AP, lateral, flexion, extension, bilateral Oblique and spot L5-S1 views Lumbar spine xray then can we charge 72114?<br /> Thank you! </p> http://www.supercoder.com/forum/topic/take-home-injections#post-9611 Thu, 15 Dec 2011 17:36:22 +0000 Dana Phillips 9611@http://www.supercoder.com/forum/ <p>I work for a urologist that gives patients testosterone and glukor injections to be administered at home. The patient comes to the office to pick these up and the doctor states the place of service is office. The patient actually administers the injections at home. What is the correct place of service? </p> http://www.supercoder.com/forum/topic/multiple-hcpcs-50398#post-11089 Wed, 01 Feb 2012 18:52:00 +0000 Keven Fischer 11089@http://www.supercoder.com/forum/ <p>The patient had bilateral nephrostomy tubes replaced would there be one charge line or two and if two what modifiers would be attached to the HCPCS 50398? </p> http://www.supercoder.com/forum/topic/sleep-study-plus-oxygen#post-11286 Thu, 09 Feb 2012 15:11:44 +0000 yides fuchs 11286@http://www.supercoder.com/forum/ <p>I wonder if you can help me with this Question- -A Patient had to have Oxygen during a Sleep Study can the provider bill for the Oxygen? and if yes which code? </p> http://www.supercoder.com/forum/topic/psoas-hitch#post-11066 Tue, 31 Jan 2012 21:48:48 +0000 David Price 11066@http://www.supercoder.com/forum/ <p>The doctor performed a left distal ureterectomy, partial cystectomy, ureteral reimplantation, psaos hitch.<br /> diagnosis is left distal ureteral tumor.<br /> How do I code this procedure? This is the first I have ever come across this, maybe I am making it to complicated...I tend to overthink it when he has multiple procedures in one setting. </p> http://www.supercoder.com/forum/topic/aortogram-and-removal-of-foreign-body#post-11251 Wed, 08 Feb 2012 00:20:14 +0000 Jami Deerfield 11251@http://www.supercoder.com/forum/ <p>Need help coding this procedure.</p> <p>Procedure performed<br /> Aortogram<br /> Removal of foreign body</p> <p>The bilateral groins were prepped and draped in standard surgical fashion. Attention was placed to the left groin where under ultrasound guidance, the common femoral artery was accessed. A lot of plaque was noted around the vessel. The access was successful, and a micropuncture 5 french sheath is introduced into the patient's groin. It was noted at the time that the end of the micropuncture wire unraveled and sheared off with the remnant left within the iliac and common femoral artery. At that point a wire was introduced in the UF and an aortogram was performed demonstrating complete occlusion of the right common external iliac vessels with reconstitutin of profunda femoral and common femoral artery through collaterals. The patient's right hypogastric is also out. The pelvis is being fed by a large sacral vessel as well as a diseased left hypogastric. A snare was used to retrieve the foreign body which was successfully retrieved. The patient received no heparin during the procedure. </p> http://www.supercoder.com/forum/topic/hidradenitis-of-infra-mammary-fold#post-11283 Thu, 09 Feb 2012 13:04:39 +0000 Lynn Pascoe 11283@http://www.supercoder.com/forum/ <p>Is it appropriate to use a benign lesion excision for the excision of hidradenitis in the area of the inframammary fold ? This is not really a "lesion" per se, but all the information I see resorts to this coding because there is no cpt code for this anatomical area.</p> <p>Please advise,<br /> Lynn </p> http://www.supercoder.com/forum/topic/cpt-code-suture-removal#post-5977 Fri, 05 Aug 2011 15:45:08 +0000 Joel Stern 5977@http://www.supercoder.com/forum/ <p>IS THERE ANY CPT CODE FOR SUTURE REMOVAL?</p> <p>LOOKING FORWARD.</p> <p>THANKS </p> http://www.supercoder.com/forum/topic/administering-lucentis-injections-with-sample-drug#post-9830 Thu, 22 Dec 2011 15:01:57 +0000 Polly 9830@http://www.supercoder.com/forum/ <p>We have two Medicare patients that we have seen for Lucentis injections. We administered sample Lucentis drugs on both patients, i.e. the drug was free to us from a drug rep. We billed the injection code 67028 with info in the claim in regards to the drug being a sample and that we are not billing for it. We did submit the claims to Medicare with the 67028 and the J2788 code, but left the J2788 as a zero charged code. On both lines we indicated in Box 19 that it was a sample drug, hence no invoice amount charged. Medicare is denying the claim each time as NON-COVERED CHARGE. We are billing with the diagnosis 362.02, which to my knowledge is a covered diagnosis for the Lucentis injections. Any ideas on why this is denying by Medicare? </p> http://www.supercoder.com/forum/topic/code-for-bilateral-lumbar-sympathetic-block#post-11279 Wed, 08 Feb 2012 23:32:19 +0000 Amy Poche 11279@http://www.supercoder.com/forum/ <p>I would choose code 64520 but modifier 50 is not allowed with this code. Any idea how to code the procedure below?</p> <p> Using continuous fluoroscopic guidance, a #25-gauge, 4-11/16-inch Quincke tip needle was inserted just inferior to the L3transverse process and advanced superior and lateral to the exiting nerve root to come in contact with the posterolateral aspect of the L3 vertebral body. It was then advanced in contact with periosteum to lie in the anterolateral paravertebral space. Appropriate position was confirmed on AP and lateral projections as well as with the injection of 1 mL of Isovue-M 200 showing characteristic contrast dye spread in the paravertebral space. Following this, a solution of 3 mL of 0.75% Marcaine and 1 mL of betamethasone solution was injected without difficulty. </p> http://www.supercoder.com/forum/topic/frontal-craniotomy-with-menengial-biopsy#post-11278 Wed, 08 Feb 2012 23:09:36 +0000 Ssandra Herron 11278@http://www.supercoder.com/forum/ <p>How to code: Frontal Craniotomy with Menengial Biopsy and Dural repair with a periosteal dural graft, Fibrin glue and Duragen plus sponge. Diagnosis of CNS inflammatory disease. </p> http://www.supercoder.com/forum/topic/newborn-visits-in-physician-office#post-11246 Tue, 07 Feb 2012 21:35:48 +0000 Cyndi Bartkowiak 11246@http://www.supercoder.com/forum/ <p>In our doctor's office, a newborn is seen as a quick assessment within a few days of birth at no charge. The mother returns with the baby at 2 weeks for an exam. Should this be an E&amp;M and should it be established or new? </p> http://www.supercoder.com/forum/topic/what-would-be-the-correct-cpt-codes#post-11242 Tue, 07 Feb 2012 20:32:04 +0000 Mariana valle 11242@http://www.supercoder.com/forum/ <p>PROCEDURE PERFORMED:<br /> Laparoscopic transhiatal esophagectomy and placement of jejunostomy tube.<br /> 43107 and 44015 (43107 is the same code for the same procedure done open) </p> http://www.supercoder.com/forum/topic/alternative-code-for-97039#post-11273 Wed, 08 Feb 2012 20:22:23 +0000 Teela Depena 11273@http://www.supercoder.com/forum/ <p>UHC is denying cpt 97039 as unlisted code &amp; asking to resubmit with appropriate cpt code so can you help me? </p> http://www.supercoder.com/forum/topic/interest-on-clean-claims#post-11238 Tue, 07 Feb 2012 18:50:00 +0000 Teresa Crawley 11238@http://www.supercoder.com/forum/ <p>Can anyone please advise if filing a clean claim that is not processed in a time frame set fourth either by the carrier, contract or based on the time limit for a prompt pay state if interest can be collected from the carrier? </p> http://www.supercoder.com/forum/topic/debridement-and-antegrade-drilling-code-help#post-11271 Wed, 08 Feb 2012 19:58:14 +0000 sandy lukert 11271@http://www.supercoder.com/forum/ <p>Can anyone help me with the code for debridement of the second metatarsophalangeal joint with debridement and antegrade drilling of the second metatarsal head? </p> <p>Diagnosis is avascular necrosis of the second metatarsal head. </p> http://www.supercoder.com/forum/topic/stress-test-interpretation-only#post-11270 Wed, 08 Feb 2012 19:35:20 +0000 Jacquelin Underwood 11270@http://www.supercoder.com/forum/ <p>To bill for 93018, does the dr have to include diagnosis or reason for exam even if he is not the ordering physican? Can we use 93018 to bill for just his interpretation? Thanks </p> http://www.supercoder.com/forum/topic/hcpcs-36569-and-71010-together#post-11235 Tue, 07 Feb 2012 18:06:18 +0000 Keven Fischer 11235@http://www.supercoder.com/forum/ <p>I need to know the interpretation of charging these two together. I am finding varying opinions. Example; the patient was taken to a treatment room where an RN inserted the PICC line. A chest xray was taken to confirm placement. Is the xray bundled into the PICC line hcpcs 36569? </p> http://www.supercoder.com/forum/topic/cci-edit-question-ent#post-11268 Wed, 08 Feb 2012 18:59:36 +0000 Tara Purdy 11268@http://www.supercoder.com/forum/ <p>When is modifier 59 appropriate when billing 69440 and 69660 together? </p> http://www.supercoder.com/forum/topic/allograft-and-autograft#post-11229 Tue, 07 Feb 2012 16:38:34 +0000 Jamie Hallmark 11229@http://www.supercoder.com/forum/ <p>The physician performed procedure 29892 for treatment of osteochondral lesion of the talus, additionally 20900 calcaneal autograft and juvenile chondral allograft implantation with DeNovo. He want to report the allograft implantation with unlisted code 27899. Would the allograft implant be included in the 29892 code and if not could you recommend a comparable code to use for pricing reference? </p> http://www.supercoder.com/forum/topic/physicians-assistants-billing-99304-99306#post-11264 Wed, 08 Feb 2012 18:14:50 +0000 Donna Young 11264@http://www.supercoder.com/forum/ <p>I am receiving denial C0-170 payment is denied when preformed/billed by this type of provider. Per Medicare PA's can not charge inital visit with pos 31 (SNF) provider type 38 (PA). Does anyone have any information on this denial? </p> http://www.supercoder.com/forum/topic/colonoscopy-wbougie-dilation-biopsy#post-11263 Wed, 08 Feb 2012 18:05:30 +0000 Sherry Olson 11263@http://www.supercoder.com/forum/ <p>How would you code this? My doctor did a complete colonoscopy and then pulled the colonoscope back into the rectum. Then he used a 42 French Maloney dilator, passed rectally and dilated the narrowing of the colonic lumen. A rectosigmoid biopsy was also obtained. Per CCI edits 45303 bundles into 45380. Is there another code that more reflects all procedures? </p>