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Ob-Gyn Coding Alert

Gynecology:
Here’s How You Can Declare Victory Over Vulvar Lesion Claims
Contemplating an integumentary code? Avoid making this $139 mistake. When you're deciding... Read more
Preventive Medicine:
Use CPT®’s Time Rule for Prolonged Preventive Services G Codes
Hint: You must clinically valid reason for the extra time. If your ob-gyn attempts to bil... Read more
Obstetrics:
Think You Can’t Use Global Codes for Late-Term OB Care Coding? Think Again
Here's why checking payer policies is key. You know that you should report antepartum car... Read more
You Be the Coder:
Hernia Repaired at the Same Time as a Cesarean
Question: Our doctor did a cesarean on a patient and noticed a hernia that he repaired whi... Read more
Reader Question:
When Procedure Converts, Report the Final Code
Question: I know that the code for the treatment of ectopic pregnancy is 59150 when done l... Read more
Reader Question:
MACs May Give You a Deadline Reprieve
Question: We have a few claims under medical review, and when we went to send the backup d... Read more
Reader Question:
Here’s Why the Scar Revision Location Matters
Question: The patient had the following surgery: Total Abdominal Hyster­ectomy (TAH), rig... Read more
Reader Question:
Medical Need Matters Most for Surgical Assistants
Question: When it comes to assisting (Gyn or C-Section) surgeries — does it matter if th... Read more
Reader Question:
Was the Dyspareunia Injection a Trigger Point? Find Out
Question: My doctor injected a local percutaneous injection for dyspareunia. What would b... Read more
Reader Question:
Simplify This Simple Skinning Vulvectomy
Question: My ob-gyn documented the following: Attention was drawn to vagina. The areas of... Read more
Reader Question:
Break Down These Inpatient Initial Care Codes
Question: Can you use inpatient initial care codes 99221-99223 more than once in the same ... Read more
Reader Question:
Sort Through These 2 Hour, 3 Hour Glucose Test Codes
Question: I'm trying to figure out how to bill for this Glucose 2 hour test... Read more
Reader Question:
Code Excised Lesions Based on Diameters
Question: My ob-gyn documented this: Dx: Multiple Vulvar Lesions: Pt had vulvar ... Read more
CCI 25.0:
Adhere to These Active Surgical, Ultrasound, and E/M Edits — Or Face Denials
Note the 58542, 58558 modifier indicator change. As is typical of the first round of edit... Read more
CMS:
CERT Report Says 7.7 Percent of Ob-Gyn Visits Were Paid Improperly
Ob-gyn lab claims have a higher 24.9 percent error rate. Your ob-gyn practice is probably... Read more
Check Out the Coding Errors That CMS Evaluated
CMS identified $31.6 billion in total improper payments among providers during 2018, and b... Read more
Modifiers:
Heads up: RACs List of Open Issues Target Modifier 57
You probably use this modifier now and then – find out what's under review. If your ob-... Read more
Reader Question:
Perfect This Laparoscopic Pelvic Lymphadenectomy Scenario
Question: I am attempting to understand the issue of laparoscopic pelvic lymphadenectomies... Read more
Reader Question:
How to Solve This Cervical Laceration Repair Issue
 Question: A patient had a vaginal delivery. One hour later she was having a PP hemor... Read more
Reader Question:
Butting Heads With Your Physician? Do This
Question: I have a doctor that wants to see in writing where she has to document anywhere ... Read more
You Be the Coder:
Fetus 7th Character for ICD-10-CM Codes
Question: Please help me figure out the correct application of the 7th character in this c... Read more
Obstetrics:
Start the New Year by Perfecting Your Global Maternal Care Packages' Start Date
Hint: You should wait until the next full visit in most circumstances. So your ob-gyn dis... Read more
Gynecology:
Prevail Over These Prolapse Claims by Following 3 Steps
Key: Highlight your ob-gyn's approach. If urogynecology seems like difficult coding terri... Read more
Modifiers:
Knockout Modifier 59 Mistakes Before They Happen
Follow this ob-gyn example to see what's both right and wrong. You've figured out all the... Read more
Reader Question:
End the 99000 Debate Once and For All
Question: Our OB/GYN group is under new management, and our new manager is insisting I can... Read more
Reader Question:
Don't Let Holiday Scheduling Put a Damper on Your Spirit
Question: Our six-clinician practice closes on major holidays, but we still have a rotatin... Read more
Reader Question:
Remember the Overpayment Clock Ticks Is Ticking
Question: If we realize we've received overpayments from CMS, what are the rules for retur... Read more
Reader Question:
Improve Your Coding Health with This New Flu Vaccine
Question: It seems like every year the AMA adds yet another CPT® code for a flu vaccine. ... Read more
Reader Question:
Look to Code First Note in This Type 2 Diabetes/UTI Encounter
Question: What is the correct way to code for type 2 diabetes and a urinary tract infectio... Read more
You Be the Coder:
Locate Your Leukorrhea Code In the ICD-10 Manual
Question: Is N98.8 the best ICD-10 code to report for leukorrhea? SuperCoder Subscriber ... Read more