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General Surgery Coding Alert

Update E/M 2021:
Focus on MDM and Time Next Year
Learn new and established office patient code changes. You and your surgeons will need to... Read more
Master New Guidance for COVID-19 Telehealth Exceptions
Don't miss POS detail. During the public health emergency (PHE) related to the COVID-19... Read more
Bilateral Basics:
Do This Before Appending Modifier 50
Tip: Start with the descriptor. When your general surgeon performs a bilateral surgery,... Read more
You Be the Coder:
Watch NCCI Edits for EGD Case
Question: Our surgeon performed an EGD with lesion ablation. The op note also documents th... Read more
Reader Question:
Does New Practice Nix Established Patient?
Question: When a physician joins a new practice and sees patients from the former practice... Read more
Reader Question:
Update Modifier CR Use
Question: I've heard we are supposed to be using modifier CR on COVID-19 related claims. C... Read more
Reader Question:
Laser Focus Reason for Visit
Question: A patient presented in the surgeon's office for an evaluation of a suspected her... Read more
Hasten Your COVID-19 Dx Coding Know-How
Distinguish suspected versus positive cases. Because your surgeons may encounter and tre... Read more
Put ‘Signs and Symptoms’ Coding in its Place
Overcome four falsehoods that hamper your reporting. When you face a case report with n... Read more
CERT Report:
Highlight General Surgery ‘Improper Payments’
E/M leads coding trouble spots. Even if your surgeons strive for excellent documentation ... Read more
You Be the Coder:
Distinguish LEEP Procedures
Question: Our surgeon performed a colposcopy and used a loop electrocautery excision of ce... Read more
Reader Question:
Don’t Miss Common Duct Exploration
Question: The op note for a laparoscopic cholecystectomy documents visualizing the cystic ... Read more
Reader Question:
Bundle Hernia Repair
Question: Our surgeon performed a laparoscopic liver biopsy, and during closure, the surge... Read more
Reader Question:
Exercise Caution When Changing Documentation
Question: When we see that documentation doesn't match a code choice, we usually go b... Read more
Integumentary Procedures:
3 Tips Guide Coding for Skin Substitute Grafts
Grasp measurement rules. Replacement material, graft size, multiple wounds … all these ... Read more
Focus Appendicitis Dx Coding
Don't miss pregnancy impact. When your surgeon treats a patient with appendicitis, you ... Read more
Hone Your Breach Compliance Know-How
Planning can reduce consequences. Even a minor breach of patient protected health informa... Read more
Reader Question:
Critical Care is Unscheduled
Question: When our surgeon rounds on a patient in the critical care unit, can we use the c... Read more
Reader Question:
Properly Sequence External Cause
Question: When and how should we use external cause codes? SuperCoder Subscriber Answer:... Read more
You Be the Coder:
Learn Catheter Placement Basics
Question: We have a new surgeon in our practice who specializes in vascular surgery, and I... Read more
CPT® 2020:
Clarify AFG Breast Reconstruction
15771, +15772 stand alone. If your surgeon uses autologous fat grafting (AFG) for breast ... Read more
Evaluation and Management:
Prepare for 2021 E/M Changes That Will Affect Your Surgery Practice
Grasp now and then with case example. How your surgeons report outpatient E/M services is... Read more
Post-Op Period:
3 Tips Ensure Perfect Modifier 78 Claims
Distinguish 58, 79. When your surgeon performs a procedure during the postoperative perio... Read more
Reader Question:
Pick Specific Dx Code for HIT
Question: Our surgeon performed a venous thrombectomy for a patient with a diagnosis of he... Read more
Reader Question:
Details Guide Esophageal Dilation Case
Question: How should we code the following esophageal dilation case that includes both a b... Read more
You Be the Coder:
Avoid 51 Modifier
Question: Our surgeon performed a percutaneous breast biopsy, placing a marker and using s... Read more
Integumentary System:
4 FAQs Focus Skin Biopsy Coding
One trick keeps multiple biopsy claims clean. A year into the skin biopsy-code overhaul, ... Read more
Case Study:
Break Down Esophageal Case for Appropriate Code(s)
Prosthesis placement is just one step. When your surgeon faces an encounter layered with ... Read more
Master Critical Care Guidelines for Clean Claims
Time is on your side. When your surgeon treats a patient who is in critical condition, yo... Read more
Reader Question:
Find the Missing ‘Payable Diagnoses’
Question: We've always turned to our Medicare contractor's LCDs to find a list of payable ... Read more
Reader Question:
Wait for It — Final Dx
Question: Our surgeon excised a “lump” from a patient's right forearm based on a reque... Read more
You Be the Coder:
Don’t Miss Laparotomy Pay
Question: Our surgeon returns a patient to the OR four days following an open partial cole... Read more
CPT® Update:
Renew Vascular Coding Know How for 2020
Check out codes for pericardiocentesis and more. Keep your circulatory claims in tip-top ... Read more
2020 MPFS:
See How Final Rule Affects Your General Surgery Practice
Follow care-management modifications. E/M coding and payment updates lead the charge of M... Read more
Physician Fee Schedule:
Countdown to E/M Overhaul
The Medicare Physician Fee Schedule (MPFS) final rule contains no surprises regarding when... Read more
Reader Question:
Avoid Elliptical Measure for Lesion Excision
Question: Last month you answered a reader question about coding malignant lesion excision... Read more
Reader Question:
Factor Time Into Online E/M
Question: How should we report online E/M service in 2020 if it's true that CPT® is delet... Read more
Reader Question:
Protect ePHI
Question: Our office wants to use electronic faxing for medical records, and we want to kn... Read more
You Be the Coder:
Code to Capture Screening Intent
Question: While performing a screening flexible sigmoidoscopy, the surgeon detected and re... Read more