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General Surgery Coding Alert

CPT® 2018:
Upgrade Laparoscopic Esophagectomy Coding Next Year
Look for op note details to choose the right code. If you've been turning to the same unl... Read more
CPT® 2018:
Catch Up to New Category III Code Options
Find new ways to report certain laser scar revisions. An emerging technology for treating... Read more
CPT® 2018:
Change Anticoagulant Management Coding
Don't miss these code addition and deletions. Surgical treatment can be complicated by a ... Read more
HIPAA:
Halt Phishing Vulnerability With These Tips
Yes, this click trick can still reel in your system. If you thought that only high-tech s... Read more
Reader Question:
Step Up ICD-10 Knowledge
Question:  I've never really gotten comfortable with ICD-10 and often find myself cod... Read more
Reader Question:
Find 'Global Days' This Way
Question: Many times we need to know the global days of a procedure to help us decide codi... Read more
Reader Question:
Turn to Paper Claims — For Now
Question: We operate a small surgical practice in a rural area, and we're having problems ... Read more
You Be the Coder:
Distinguish FNA, PNB
Question: I'm trying to code a claim for a "fine needle" prostate biopsy procedure, but I'... Read more
MPFS 2018:
Expect More Changes to Telehealth Coding Next Year
Follow proposed Physician Fee Schedule insights for these services. You should expect exp... Read more
CPT® 2018:
Sneak a Peek at AAA Endovascular Repair Overhaul, and More
Make sure your general surgery practice is ready for new, revised, and deleted codes. Wit... Read more
Coding Quiz:
Try Your Hand at These 3 Op Reports
Then check your answers to hone coding skills. If your general surgeon's op report goes s... Read more
Practice Management:
Ease Patient Requests for PHI With This Form
Let AHIMA guidance help your surgeons. Not only is your general surgery practice required... Read more
Reader Question:
Beware Enterolysis Billing
Question: The surgeon performed an open partial colectomy with anastomosis. During th... Read more
You Be the Coder:
Focus Lap Pelvic Lymphadenectomy
Question: Which group of lymph nodes constitutes a "total pelvic lymphadenectomy" wit... Read more
Modifier 57:
Identify 'Decision for Surgery' to Maximize E/M pay
Case example shows the way. If you hesitate to report modifier 57 (Decision for surgery) ... Read more
Tissue Flaps:
3 Tips Promise Accurate Tissue Transfer Coding
When surgeons create tissue flaps to repair defects created by excision or other injury, c... Read more
ROS FAQs:
Settle Systems Level Before Choosing E/M Code
Document positive or pertinent negative responses. If you don't get the correct count of ... Read more
Reader Question:
Ovarian Cancer Dx Leads Code Choice
Question: Our surgeon performed an open procedure to "debulk" a tumor by excising a 6... Read more
Reader Question:
Radiological Guidance Directs Lap-Band Coding
Question: After the follow-up period and initial adjustments for a lap-band procedure... Read more
Reader Question:
Hacking Not Biggest Security Threat
Question: Can we access our patients' PHI through cloud storage available from our bi... Read more
You Be the Coder:
Capture ERCP Dilation and Stone Removal
Question: During an ERCP procedure, the surgeon removed three stones. How should we c... Read more
GI Procedures:
Follow 4 Steps to Stop Colonoscopy Denials Cold
Know reason, approach, and completion to capture the pay you deserve. Coding and modifier... Read more
2018 MACRA Proposed Rule:
See if Low-Volume Threshold Change Impacts Your Practice
Keep current on QPP proposed rule for quality reporting next year. Medicare's 2018 propos... Read more
Newsbrief:
Watch For Proposed MPFS Surgery Price Changes
Look for tweak to merit-based pay adjustments, too. With CMS's recent release of the prop... Read more
Reader Question:
Observe Payer Rules for FMT
Question: How should we bill for a procedure when our surgeon transplants processed d... Read more
Reader Question:
Abide by CMS 60-Day Rule
Question: Is it true that we have only 60 days to return any overpayments to federal ... Read more
Reader Question:
Zero in on Calculi Dx
Question: When our surgeon removes a kidney stone, what diagnosis code should we repo... Read more
Reader Question:
Take This ROS Tip Post-Hysterectomy
Question: Our surgeon evaluated a patient for surgery for abdominal endometriosis fol... Read more
Reader Question:
Note Time for Discharge Or Lose Pay
Question: We have a surgeon who never documents time for a hospital discharge. How sh... Read more
You Be the Coder:
Code This Lap Chole and Hernia Repair Case
Question: Our surgeon performed a laparoscopic cholecystectomy on a 32-year-old male ... Read more
ICD-10:
Don't Forget: '2018' Dx Revisions Start October 1
Ensure future ‘quality’ pay with accurate diagnoses. Your general surgery pra... Read more
Global Update:
99024 Leads Charge to Capture Postoperative Visits
Reporting is mandatory for few, voluntary for most. When your surgeon sees a traditional ... Read more
HIPAA:
Control BAA Breach Problems With 3 Tips
Not every associate is a BA. Your surgery practice’s bottom line is on the chopping... Read more
Reader Question:
Think 'Foreign Body' for Stent Removal
Question: Our surgeon removed a coronary artery stent through a catheter. Should we b... Read more
Reader Question:
Check Out CMS QPP Tools
Question: We’re very concerned about keeping up with the latest quality program... Read more
You Be the Coder:
Return Payment for PEG Tube Removal Error
Question: Under an internal audit, we identified a claim for an in-office PEG tube re... Read more
Perinephric Surgery:
Spotlight Adrenalectomy Coding With These 3 Tips
Heed ‘separate procedure’ direction. Stumbling into one of the many adrenal-r... Read more
E/M:
Master the Rules for Consultation and Referral Billing
Remember different Medicare rules. If you don’t know the difference between consult... Read more
Prolonged Services:
MUE Takes Back Some Non-Face-to-Face Pay
Limit billed time to 2 hours. If you started taking advantage of billing your surgeon&rsq... Read more
Reader Question:
Hone Your Lesion Shaving vs. Excision Skills
Question: When we bill for a shaving or excision of skin lesion, we’re uncertai... Read more
Reader Question:
Check +11008 Add-On Restrictions
Question: Our surgeon performed a laparoscopic repair of a recurrent reducible incisi... Read more
Reader Question:
Go to 7th Digit for Breast Cancer Diagnosis
Question: The surgeon removed a breast mass from a 42-year-old male. The surgical rep... Read more
You Be the Coder:
Watch Frequency for Colonoscopy Coding
Question: A patient had a screening colonoscopy in which our surgeon found and remove... Read more
Case Study:
Take Aim at Correct Coding for EUS FNA
Don’t unbundle ultrasound, aspiration. When your surgeon preforms certain lower GI ... Read more
CPT® 2017:
Capture Telehealth Pay With New POS and Modifier Labels
Grasp CMS Rules, too. With advancing technology, you might find your surgeons spending mo... Read more
Modifier Basics:
Distinguish 57 and 25 to Avoid E/M Claim Denials
Timing is everything to differentiate these modifiers. When your surgeon performs an E/M ... Read more
Reader Question:
Beware Hernia Mesh Implant Limitations
Question: While performing an open umbilical hernia repair for a 26 year-old patient,... Read more
Reader Question:
Focus Documentation for Bariatric Surgery 'Medical Necessity'
Question: We’re getting denials for bariatric surgery even though the surgeon d... Read more
Reader Question:
Clear Up Appendix B 'Moderate Sedation' Confusion
Question: I’m confused about the moderate sedation changes. My CPT® 2017 Ap... Read more
You Be the Coder:
Code This Esophagectomy Case
Question: The surgeon performed an open esophagectomy of the abdominal esophagus and ... Read more
Correct Coding:
Always Bundling Adhesiolysis? Read This First
Check the site before you use modifier 22. If you follow the coding lore that tells you t... Read more
MACRA:
Focus Quality Reporting for Your Surgeons With These FAQ's
Embrace MIPS as PQRS wanes. If you think that the expiring Physician Quality Reporting Sy... Read more
QPP:
Identify Quality Measures for Your General Surgery Practice
See familiar choices from PQRS. Make sure your general surgery practice continues to get ... Read more
Reader Question:
Capture Multiple Abdominal Procedures
Question: The surgeon performed the following procedure for a patient with an abdomin... Read more
Reader Question:
'Decision for Surgery' Allows E/M
Question: Our surgeon performed a hospital E/M service for patient presenting with na... Read more
Reader Question:
Don't Miss Code For Infectious Agent
Question: A new patient presented with apparently infected sores on lower back and ab... Read more
Reader Question:
Encrypt Mobile Devices or Face ORC
Question: I heard that the Office for Civil Rights can collect damages for lost mobil... Read more
You Be the Coder:
Zero In On Bypass Surgery Details
Question: The surgeon performed an open gastric bypass procedure in which he describe... Read more
CPT® 2017:
Focus Your MOCA Vein Treatments with 36473 and 36474
Learn limitations of two new codes. If your surgeons are using the latest technology for ... Read more
ICD-10 Corner:
Justify GI Surgeries With Accurate 'Abdominal Pain' Reporting
Document carefully to choose the right code. You wouldn’t expect appendicitis in a ... Read more
Compliance:
Establish Overpayment Protocols — And Follow Them
Avoid billing-cycle issues with payers. When the checks cross in the mail and you end up ... Read more
Reader Question:
Measure Lipoma For Accurate Coding
Question: We have an op report for excision of a “subcutaneous mass” of t... Read more
Reader Question:
Specify Approach for Lithotripsy and Stent Codes
Question: Our surgeon performed a stone removal using lithotripsy and also removed on... Read more
Reader Question:
Established Patient Moves With Physician
Question: We have a new surgeon joining our practice next month from a nearby practic... Read more
Reader Question:
Navigate "All Others Negative" ROS
Question: One of our surgeons tends to note “all others negative” in the ... Read more
You Be the Coder:
Spotlight Breast Localization Device Coding
Question: Our surgeon placed localization devices for two lesions in the patient&rsqu... Read more
Endoscopy:
Distinguish Purpose and Payers to Max Out Your Sigmoidoscopy Pay
Prepare for converted cases, too. When your general surgeon performs a flexible sigmoidos... Read more
Prolonged Services:
Grab This Opportunity for Non-Face-to-Face Pay
See a boost for complex or chronic cases. Do your general surgeons sometimes do extensive... Read more
HIPAA:
Help Overcome Roadblocks to Health Information Exchange
Privacy protection is just one aspect of the law. Due to a multitude of state laws and co... Read more
Reader Question:
Watch for Site-Specific I&D
Question: Our surgeon reviewed a 29-year-old female patient with complaints of acute ... Read more
Reader Question:
Consider Options for 'Timely-Filing' Fix
Question: We submitted a claim for a patient who didn’t provide insurance infor... Read more
Reader Question:
Pick Up Supply Pay
Question: A patient presented to our office thinking that she had a broken ankle. Fol... Read more
You Be the Coder:
Spotlight Wound Size for Graft Code
Question: Our surgeon excised a 4.5 cm melanoma with a 2.5 cm margin from a patient&r... Read more
Moderate Sedation:
Missing This CPT® 2017 Change Could Blow Up Your Bottom Line
Make sure to use two codes, when appropriate. If you didn’t notice the small change... Read more
Conscious Sedation:
Capture Pay for Sedation by Surgeon
Bill service as stand-alone code, or with other procedure code. You just read in the prec... Read more
Vascular Services:
Master New CPT® 2017 Codes 37246-37249 With This Angioplasty Q&A
Learn this trick to know which vessels go with which codes. If you’ve already star... Read more
Reader Question:
Document '3-Rs' for Consultation E/M
Question: Is it true that we can never code for E/M “consultations?” Sup... Read more
Reader Question:
Focus Hemorrhoid Codes by Method
Question: Could you please explain appropriate coding for a surgical note describes a... Read more
Reader Question:
Compare 'Cloud' Vs. 'Client Server' Choice
Question: We’re considering going to “cloud” storage for our Electr... Read more
You Be the Coder:
Use Specific Liver Elastography Codes
Question: Sometimes when a physician refers a patient to our surgeon to assess liver ... Read more
CPT® 2017:
Master Dialysis Circuit Intervention With 5 Steps
Don’t get lost in complete coding overhaul. If your general surgeons perform dia... Read more
Terminology:
Study New Guidelines to Discover Dialysis Circuit Designations
Check out code-level notes, too. Despite similarities to previous dialysis circuit gui... Read more
ICD-10:
Drill Down to Details For Intestine and Pancreas Dx Changes
Up your documentation ante to support new ‘fifth digits.’ You should be ne... Read more
ICD-10:
Monitor Your Denials Since Grace Period Ended
Compare results for different payers. Did your general surgery practice lean into the ... Read more
Reader Question:
Find ICD-10 Code by Starting With Indexed Morphology Term
Question: The surgeon removed a mass from the patient’s jejunum. The patholog... Read more
Reader Question:
Capture Cholecystectomy 'Extras'
Question: A surgeon in our practice performed a laparoscopic cholecystectomy. Altho... Read more
You Be the Coder:
Know Size, Location, Depth, Organism for Debridement Case
Question: One of our surgeons treated a patient with an abscessed wound on his left... Read more