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Ob-Gyn Coding Alert

Dig Up Reimbursement for Lesion Removal
" Because gynecological lesions can appear on several different female genital organs, ... Read more
CNM Services:
Four Elements Determine When to Bill Medicare Incident-To
With the HHS Office of Inspector General scrutinizing "incident-to" billing, ob-gyn pr... Read more
More Codes Mean More Options for Reporting Colposcopies in 2003
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic ProceduresCPT 2003's new... Read more
Beware of Unbundling When Reporting Hysteroscopies
" From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures Although coding... Read more
What Is Colposcopy?
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures With a clear under... Read more
Know the Codes for Hysteroscopy
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures   Being ... Read more
When Lap Procedures Become Open,Modifiers Can Help
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures   When t... Read more
Get Paid for Pessary Insertion, But Leave Supply to Patient
You can avoid the pessary pitfalls of low reimbursement and uncertain coding by wr... Read more
Correction:
Correction:
The February 2002 Ob-Gyn Coding Alert reader question "Coding Ultrasounds" ... Read more
Reader Questions:
Not All Laparoscopic Hysterectomies Are the Same
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures Question: How ... Read more
Reader Questions:
Laparoscopic Lysis of Adhesions
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures ... Read more
Reader Questions:
Payers Rarely Reimburse LUNA Procedures
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures Question: My p... Read more
Reader Questions:
Avoid Unbundling When Billing for Ovarian Drilling
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures ... Read more
Reader Questions:
Use Modifier -59 to Code Colposcopy and Biopsy
Question: Should I bill for a colposcopy using 57452* (Colposcopy [vaginoscopy]; [sepa... Read more
Reader Questions:
LAVH and Excision of Implants Cause Coding Headaches
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures Question: The ph... Read more
Reader Questions:
Coding for Preoperative Visits
Question: In the July 2002 issue, you state that the pre-op visit is included in the... Read more
Reader Questions:
History of Uterine Cancer
Question: We see a patient every six months for a history of uterine cancer. We do not... Read more
Reader Questions:
Ectopic Pregnancy
Question: The ob-gyn treated an ectopic pregnancy, which I coded as 59120-RT (Sur... Read more
Reader Questions:
Labial Reduction
Question: We have two patients who would like labial reduction because of discomfort. ... Read more
Reader Questions:
Laparoscopy With Ovarian Cystectomy
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Proc... Read more
You Be the Coder:
Coding Multiple Procedures
Test your coding knowledge. Determine how you would code this situation before looki... Read more
Get Ready for CPT 2003:
New Codes and Revisions Affect Ultrasounds and Other Procedures for Ob-Gyns
CPT 2003 includes many changes for ob-gyn coders, but these have been long-awaited... Read more
CPT 2003 Alters Surgical Coding, Including Skin Lesion Removal
CPT 2003, which goes into effect Jan. 1, 2003, offers several changes to surgical ... Read more
CCI 8.3 Adds Injection Codes to Comprehensive Surgical Codes
Correct Coding Initiative (CCI) version 8.3 makes an across-the-board change, bundling 1... Read more
READER QUESTION:
Ob Epidurals
Question: Our ob/gyn performs his own epidurals for deliveries. How should I code ... Read more
READER QUESTION:
DEXA Scan and Consultation
Question: Can a physician report a dual-energy x-ray absorptiometry (DEXA) scan and a ... Read more
You Be the Coder:
Cystectomy Via Laparoscopy
Test your coding knowledge. Determine how you would code this situation before looking... Read more
Get Paid for Services Related to Post-Cesarean Delivery Complications
Although any complications that arise during the global period for postpartum care mus... Read more
Diagnoses Key to Successfully Coding Concurrent Care
Ob/gyns who bill inpatient hospital visits as concurrent care should emphasize the con... Read more
Ob/Gyns Can Bill Concurrent Care When Patients Are in ICU
When a patient is in the intensive care unit (ICU), the ob/gyn can still report concurre... Read more
Checklist for Consultation Versus Referral
There is always confusion regarding consultations versus referrals. Jean Ryan-Niemackl, ... Read more
Counseling and Coordination of Care:
Counseling and Coordination of Care:
Get the Payment You Deserve for Extra Time Spent With Patients Tracking patient couns... Read more
Correction
The reader question about attempted cephalic version that appeared in the September 2002... Read more
Reader Question:
Vulvoplasty
Question: Is there a CPT code for vulvoplasty or labial reduction? The diagnosis is enla... Read more
Reader Question:
Midwife Care
Question: Our practice's midwife went to the hospital to see an ob patient who had not... Read more
Reader Question:
Delivery in ED
Question: Our ob patient presented to the hospital, and the nurse delivered the baby wit... Read more
Reader Question:
Billing for Lab Services
Question: We bill for services on behalf of the lab we use, in addition to our professio... Read more
You Be the Coder:
Transvaginal Ultrasound
Test your coding knowledge. Determine how you would code this situation before looking a... Read more
ICD-9-CM Changes Make It Easier to Prove Medical Necessity
It's time to revise your patient encounter forms to reflect the upcoming ICD-9 cha... Read more
Clarify Use for Modifiers -51, -58, -59 and -79
" Ob/gyns often perform more than one service or procedure on the same day or during the... Read more
Coding News Brief:
Menopause Home Test Approved; Docs Can Also Bill
The FDA has recently approved the use of a menopause home test. It is the first in... Read more
Reader Question:
Colposcopy and New Patient Visit
Question: When a colposcopy is performed at the same time as a new patient visit, ... Read more
Reader Question:
Attempted External Cephalic Version
Question: How should I code for an attempted (failed) external cephalic version? Doe... Read more
Reader Question:
E-String Insertion
Question: How should I code for insertion of an E-string? South Carolina Subscriber... Read more
Reader Question:
Repair for Cystocele
Question: My physician performed a laparoscopic paravaginal repair for cystocele. He... Read more
You Be the Coder:
Rhogam Injection With Hirsutism
Test your coding knowledge. Determine how you would code this situatio... Read more
Dont Stress When Coding Urinary Incontinence Surgical Procedures
The optimal surgical approach to treatment of stress urinary incontinence (S... Read more
SUICodes at a Glance
The following chart illustrates other surgical procedures used to treat stress incon... Read more
CCI Analysis:
8.2 Has Some Changes for Ob/Gyns
New Correct Coding Initiative edits are in effect but the good news is that t... Read more
Add a New Dimension to Ultrasound Coding
The latest in ultrasound technology 3-D ultrasound is being used to further augm... Read more
News Brief:
E/M Documentation Guidelines to Be Discarded?
Recently, the AMA announced on its Web site that on May 16, Health and Human Ser... Read more
Supreme Court Supports Second Healthcare Opinions
About half of Americans with private health insurance have a right to a second o... Read more
Reader Question:
Incomplete Abortion
Question: A patient had a termination of pregnancy, and then six hours later u... Read more
Reader Question:
Fetal Pulse Oximetry
Question: If the attending physician performs a fetal pulse oximetry in the hospit... Read more
Reader Question:
Hysteroscopy
Question: We have a new physician in the practice who wants to start doing hystero... Read more
Reader Question:
Medical Necessity
Question: Can I bill for all of the following procedures? Laparoscopy with sal... Read more
Reader Question:
Fractional D&C
Question: The physician performed a fractional D&C and removed three polyps.... Read more
Reader Question:
Epidural
Question: An ob/gyn performed the epidural before delivery because the anesthesiol... Read more
You Be the Coder:
Admit and Discharge
Test your coding knowledge. Determine how you would code this situation before looki... Read more
Take the Guesswork out of Coding Global Ob Care Packages
The global ob package heads the list of the most frequently billed services in most ob... Read more
Top-Ten Coding Tips for Ob/Gyn
Ob/gyn coders: There are rules for correct coding and optimal reimbursement that you... Read more
Size Matters When Coding for Multiple Lesion Removal
Very often, when ob/gyns remove vulvar lesions or warts from a patient, more than one ... Read more
Reader Question:
Consultation Coding
Question: My physician was called to the operating room to consult on a patient. He to... Read more
Reader Question:
E/M Levels for Ob
Question: If we bill ob visits separately instead of globally, at what level should th... Read more
Reader Question:
Informed Consent for Ultrasounds
Question: We do a lot of ultrasounds on non-ob patients when the diagnosis is pelvic p... Read more
Reader Question:
Cephalic Versions
Question: My physician did a successful external cephalic version on a patient who is ... Read more
Reader Question:
H.E.L.L.P.and Hospital Transfer
Question: Our patient arrived at Hospital A to deliver her baby, but complications fro... Read more
Reader Question:
Laparoscopic Lysis
Question: How should I code a laparoscopic lysis of adhesions, a laparotomy with cyste... Read more
You Be the Coder:
Preoperative Visits
Test your coding knowledge. Determine how you would code this situation before looking a... Read more
Beyond the Basics:
How to Code for Non-Pap and Pelvic Medicare Screening Benefits
Ob/gyn coders frequently discuss the challenges of coding for Medicare screening Pap... Read more
PFSH:
How Past History Impacts Present Care and Coding
Past, family and/or social history (PFSH) is perhaps more relevant to ob/gyn than an... Read more
Reader Question:
Cystic Fibrosis Testing
Question: I have heard that the American College of Obstetricians and Gynecologists (A... Read more
Reader Question:
Prior C-section
Question: If the patient has had a previous cesarean, are regular ob visits coded with... Read more
Reader Question:
ASCUS Pap
Question: What are the correct ICD-9 codes for 1) atypical squamous cells of undetermi... Read more
Reader Question:
Surgical Trays
Question: Does Medicare pay for gynecological surgery trays? Where can I find the late... Read more
You Be the Coder:
Unrelated Complaint
Test your coding knowledge. Determine how you would code this situation before looking a... Read more
Condition-specific Coding Is Vital When You Are Billing for Ultrasounds
Ob/gyn patients undergo ultrasounds for a number of reasons. A physician likely will p... Read more
ABCs of Biopsies A Diagnostic Coding Primer
Latest Question on CPT Code 58100 for Endometrial Biopsy from SuperCoder's Ask a... Read more
CMS Clarifies Diagnostic Coding for Q0091
A spate of recent publications that discuss coding for Medicare's G0101 (Cervical or v... Read more
CCI Brief:
No Changes of Note for Ob/Gyns
CCI 8.1, the latest version of CMS' Correct Coding Initiative, went into effect on Apr... Read more
Reader Question:
Postsurgical Rupture
Question: How should I code for the repair of a ruptured abdominal wound (in the post-op... Read more
Reader Question:
Uro-gyno Surgery
Question: How should I code for a total vaginal hysterectomy with bilateral salpingo-o... Read more
Reader Question:
Fetal Lung Maturity
Question: If a patient is reporting for an amniocentesis to check fetal lung maturity an... Read more
Reader Question:
Medicare ABN
Question: Where can I find a concise version of a Medicare ABN form? Should we always ... Read more
You Be the Coder:
Hormone Refills
Test your coding knowledge. Determine how you would code this situation before looking... Read more
Diagnosis Codes and Modifiers Facilitate Billing for Anatomical Anomalies
Ob/gyns occasionally encounter anatomical irregularities that render a patient in... Read more
Managed Abortion:
Inducement and Complications Can Determine Proper Coding
Ob-gyn coders often report pregnancies that do not carry to term. Specific procedural... Read more
Correction:
Cord Blood Collection Code
Cord Blood, appearing in Ob-Gyn Coding Alert December 2001, suggests that there is no code... Read more
Reader Question:
Omental Biopsy
Question: Can I code separately for an omental biopsy when a bilateral salpingo-oophorecto... Read more
Reader Question:
Modifier -GY
Question: How should new modifier -GY and modifier -GX be used? Michigan Subscriber Answe... Read more
Reader Question:
Diabetic Mother
Question: My physician performed the delivery only on a high-risk diabetic patient. Should... Read more
Reader Question:
E/M and Decision for Surgery
Question: A patient reported to the office with a positive pregnancy test and pain and ble... Read more
Reader Question:
Rhogam Injections
Question: How should we code Rhogam injections?California Subscriber   Answer: It d... Read more
Reader Question:
Billing Multiple Procedures
Question: Can I bill for all of the following procedures together: laparoscopy with salpin... Read more
Reader Question:
G0101 and Q0091
Question: We charge a set fee for preventive care for every patient, then bill G0101 and... Read more
Reader Question:
LSO and Arterial Pumper
Question: How should I code laparoscopic left salpingo-oophorectomy (LSO) with ligation of... Read more
You Be the Coder:
Epidural Codes
Test your coding knowledge.  Determine how you would code this situation before l... Read more
Coding for Urogynecological Surgeries Demands Precise CPT Terminology, Documentation
" Urogynecological procedures are performed often in response to complications following ... Read more
Identifying Procedural Approach Key to Coding Breast Biopsies
Although CPT 2002 introduced specific new codes for fine needle aspiration (FNA), thos... Read more
News Brief:
President Gives Carriers Extra Year to Comply with HIPAA
Those private carriers that do not recognize CPT, HCPCS or ICD-9 codes will have an extr... Read more
Reader Question:
Labial Reduction
Question: A 15-year-old patient was diagnosed with clitoromegaly and labial enlargement. A... Read more
Reader Question:
Intravenous Anesthesia
Question: How should we code for intravenous use of Valium, Lidocaine and Demerol? &n... Read more
Reader Question:
Non-Medicare Pap Smears
Question: How should I code Pap smears for non-Medicare patients? New Jersey Subscriber &... Read more
Reader Question:
Medicares High-Risk Categories
Question: Please explain more about coding for Medicare's high-risk categories for scree... Read more
Reader Question:
Therapeutic Abortion
 Question: How should I code a therapeutic abortion for lethal fetal anomalies induce... Read more
Reader Question:
Loop Procedure
Question: One of our doctors performed a loop electrode excision procedure (LEEP) to rem... Read more
Reader Question:
External Cephalic Version
Question: My physician performed a successful external cephalic version on a patient who i... Read more
Reader Question:
Postpartum Repair
Question: A patient was taken to the operating room postdelivery to repair a vaginal sul... Read more
You Be the Coder:
Bundling Riddle
Test your coding knowledge.  Determine how you would code this situation before loo... Read more
Coding for Tubal Ligation and Reversal Tied to Delivery Method, Need for Uterine Implant
Ob/gyn surgeons perform a tubal ligation at the patient's request when she no longer wishe... Read more
Code for Incident to Ob/gyn Nonphysician Practitioners
The "incident to" rule for nonphysician practitioners (NPPs) can prove challenging to co... Read more
CCI 8.0:
Bundling Decisions Behind Latest Ob/gyn Edits
Ob/gyn practices will find no surprises or serious reimbursement implications amo... Read more
Reader Question:
Coding Ultrasounds
Question: We have been using 58340 and 76831 to report sonohysterogram/saline infusion u... Read more
Reader Question:
Terminated Pregnancy
Question: The patient had a dilation and evacuation (D&E) for an anencephalic fetus at... Read more
Reader Question:
TAH with Ovarian Cyst
Question: The physician removed a hemorrhagic ovarian cyst during a total abdominal hyster... Read more
Reader Question:
Fifth-Digit Coding
Question: ICD-9 lists 0 as one of the digits that can be appended to codes related to preg... Read more
Reader Question:
Attempted Cannulation
Question: The physician performed a diagnostic laparoscopy with chromotubation and a hys... Read more
Reader Question:
On-Call Physician
Question: Our patients have learned that if they call the on-call physician over the weeke... Read more
Reader Question:
Admit and C-Section
Question: The patient was admitted to the hospital and had a cesarean section on the same ... Read more
You Be the Coder:
Bundling Issues
Test your coding knowledge.  Determine how you would code this situation before l... Read more
Global Surgical Package Is Spelled Out in New Language by AMA/CPT
In a move to explain what is and isnt included in the global surgical package, CPT 2002 in... Read more
Difficult Deliveries:
Boosting Reimbursement Does Not Have To Be Complicated
During delivery, or when a patient delivers prematurely, a number of complications can a... Read more
New J Codes for Contraception Will Change Billing
HCPCS has released two new J codes for contraceptive drugs that will change the way these ... Read more
News Brief:
ACOG Sets Guidelines for Pregnant Women Exposed to Anthrax
In light of recent anthrax scares, ACOG (the American College of Obstetricians and Gynecol... Read more
Reader Question:
Ruptured Membranes With TAH
Question: The patient was 23 weeks pregnant with premature rupture of the membranes. She w... Read more
Reader Question:
Infertility or Well Woman?
Question: A new patient scheduled a well-woman visit, and as the reason for the visit she ... Read more
Reader Question:
Holiday Reimbursement
Question: Do carriers ever reimburse for the holiday, after-hours codes in addition to the... Read more
Reader Question:
Unrelated E/M Service
Question: What is the best diagnosis code to use when the gyn-oncologist sees a patient du... Read more
Reader Question:
Paracentesis
Question: We have a gynecological oncologist on staff who does paracentesis in the office.... Read more
Reader Question:
Preventive Service
Question: We had a new patient scheduled for a well-woman exam, and she arrived at the off... Read more
You Be the Coder:
Sonograms with Office Visit
Test your coding knowledge.  Determine how you would code this situation before loo... Read more