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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
Telehealth:
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
ICD-10-CM:
Hasten Your COVID-19 Dx Coding Know-How
Distinguish suspected versus positive cases. Because your surgeons may encounter and tre... Read more
Diagnosis:
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
ICD-10-CM:
Focus Appendicitis Dx Coding
Don't miss pregnancy impact. When your surgeon treats a patient with appendicitis, you ... Read more
HIPAA:
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
E/M:
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