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Ob-Gyn Coding Alert

Gynecology:
Pinpoint Your Pregnant Patient Annual Visit Codes With This Advice
Heads up: Pregnancy won’t always be your primary diagnosis. The starting line fo... Read more
Coding Quiz:
Can You Submit 99000 to Medicare for Repeat Pap Smears? Find Out
Hint: Abnormal versus insufficient cells mean different diagnosis codes. When a patien... Read more
E/M:
Help Yourself to These 4 Handy E/M Coding Tips
Watch for chances to upcode the encounter. When reporting E/M encounters, you might en... Read more
Coding Quiz Answers:
Align Your Answers With These Repeat Pap Smear Coding Solutions
The wrong diagnosis could cost you $44 per patient. Pap smear results can return as ab... Read more
Reader Question:
Review This Well Woman Visit Guideline
Question: You have referenced before the ACOG (American Congress of Obstetricians a... Read more
Reader Question:
Do You Know These ICD-10 Hemorrhage Subtleties? Find Out
Question: There are different families of O codes for hemorrhage (we are comfortabl... Read more
Reader Question:
Check Out 7th Character for Fetus 2 ICD-10-CM Code
Question: Please help me figure out the correct application of the 7th character in... Read more
You Be the Coder:
Code This Ureterolysis Example
Question: I need help with this ureterolysis note. The physician (GYN Oncologist) i... Read more
CPT® 2017:
Get Your First Glimpse of 5 Ob-Gyn Changes Coming Your Way Next Year
Say goodbye to circle-with-dot symbol and hello to separate moderate sedation codes. I... Read more
CCI 22.3:
Did You Implement These New Debridement Edits? Find Out
Tip: Even if the modifier indicator is ‘1,’ you shouldn’t automaticall... Read more
ICD-10:
Medicare's 'Code Family' Clemency Has Ended
Denials could skyrocket if your specificity isn’t up to scratch. So you know CMS... Read more
Reader Question:
Diagnosis for ER Surgery Follow-Up
Question: I need help with a diagnosis for this follow-up visit after surgery in th... Read more
Reader Question:
Get to the Bottom of This Level 5 Audit Situation
Question: I have been asked to get some additional professional input on the way au... Read more
Reader Question:
Find a CPT® Code for Vaginal Removal of Ethibond Suture
Question: Patient had an uterosacral ligament suspension and has developed erosion ... Read more
You Be the Coder:
Highlight Dx For Pregnancy Discovered by Ultrasound
Question: We did a pelvic ultrasound on a patient due to pelvic pain and discovered... Read more
Obstetrics:
5 Questions Clarify What Tubal Ligation Codes To Use When
When your ob-gyn performs this directly after delivery, apply this modifier. Tubal lig... Read more
Gynecology:
Draw the Line Between LEEP Biopsy of Cervix and Conization of Cervix
Reporting 57460 and 57461 means having this in your documentation. If you have a Loop ... Read more
E/M:
Benefit from These 4 Handy E/M Coding Tips or Lose Precious Dollars
Watch for chances to upcode the encounter. When reporting E/M encounters, you might en... Read more
Reader Question:
Break Down This Procedure Into Two Codes
Question: My ob-gyn documented the following procedure: Dilation and curettage/hy... Read more
Reader Question:
Here's How to Follow ICD-10 Instruction Under N76
Question: Code N76 (Other inflammation of vagina and vulva) shows a message in red ... Read more
Reader Question:
Make This CPD versus Failure to Progress Distinction
Question: I want to provide a little more education for my provider. Anytime a moth... Read more
Reader Question:
This Payer's IUD Logic is Flawed -- Find Out Why
Question: When we do an Intrauterine Device (IUD) insertion and removal on the same... Read more
You Be the Coder:
Untangle Drug Use ICD-10 Codes for Pregnant Patients
Question: When is it appropriate to add the O99.32- codes? My physicians are very h... Read more
Zika Update:
Breaking News: Testing for Zika Virus is Now Covered Under Part B
Don’t miss this ICD-10 symptoms and diagnosis coding refresher. As concerns abou... Read more
Op Notes:
5 Easy Steps Will Steer Your Hardest Op Notes into Claim Success
Here’s why “mis-sequencing” your CPT® codes could cost you. An i... Read more
E/M:
Use These Reimbursement Tips, Max Out E/M Visits for Hospital Patients
Learn from these five case scenarios on core inpatient coding. When you perform E/M vi... Read more
Reader Question:
Warning: MDs Not Documenting 58611 Are At Risk
Question: Some of our physicians are lacking, I believe, in their documentation of ... Read more
Reader Question:
Don't Miss This Fluoro Modifier
Question: I’m stumped with whether to add the 74742 to HSGs that are done whe... Read more
Reader Question:
Patient May Be Responsible for Ductus Venous Doppler Payment
Question: We have recently taken on a Maternal Fetal Medicine Physician, and he wan... Read more
You Be the Coder:
Postpartum Problem or Included in Postpartum Care? Find Out
Question: We have a patient that delivered by C/S on 07/13/16. She went to the ER o... Read more
Obstetrics:
3 Questions Clarify Your Confirmatory Visit Claims
If you start the ob record too soon, you’ll miss out on E/M reimbursement. A pat... Read more
ICD-10:
Include Appropriate Diagnosis Codes to Support Coverage for G0475
Here’s what to do for pregnant patients. When reporting G0475 (HIV antigen/antib... Read more
Modifiers:
Timing Plays a Vital Part When Appending Modifier 57
Here’s how this modifier is different from modifier 25. Appending modifiers to y... Read more
Clip 'n Save:
These Pointers Will Keep Your 25, 57 Claims In Line
If the intended procedure has 90 days, then look to this modifier. It’s not unus... Read more
Reader Question:
Seek This Code For Scar Revision
Question: The patient had the following surgery: Total Abdominal Hysterectomy (TAH)... Read more
Reader Question:
Decide if Dyspareunia Injection Was Trigger Point
Question: My doctor injected a local percutaneous injection for dyspareunia. What... Read more
Reader Question:
Use Status Code for Blood Type
Question:  What is the most accurate diagnosis code for Rh negative status during p... Read more
Reader Question:
How to Handle Complications Outside the Global Ob Package
Question: I’ve been asked to compile a list of conditions that would not be c... Read more
Reader Question:
Tech Reports Do Not Constitute Physician Work
Question: For 76805 or any of the other ultrasounds, is there an interpretation req... Read more
Reader Question:
Find Out Which Surgical Assistants Are More Worthwhile
Question: When it comes to assisting (Gyn or C-Section) surgeries — does it m... Read more
Reader Question:
Confront These Incident-To Rules
Question: A gyn patient was seen by a nurse practitioner for an established vaginit... Read more
Reader Question:
Wide Local Excision, Vaporization, clitoral hood adhesiolysis
Question: My ob-gyn documented this: Dx: Multiple Vulvar Lesions: Pt had vulvar b... Read more
Reader Question:
Determine What to Report for Nurse Visits
Question: I have a question regarding Registered Nurse (RN) visits. Can a nurse bil... Read more
You Be the Coder:
Simple Skinning Vulvectomy
Question: My ob-gyn documented the following: Attention was drawn to vagina. The ... Read more
ICD-10:
Familiarize Yourself With These Five Obstetric Areas Changing October 1
You’ll make a new distinction between ectopic and molar pregnancies. Last month,... Read more
Gynecology:
Vexed by Vaginal Cuff Repair Claims? 3 FAQs Will Clarify
Find out what colporrhaphy code you’ll use for an injury repair. The key to codi... Read more
Modifiers:
4 Tips Simplify How You Should Use Modifier 62
Here’s why your documentation needs extra attention. When two surgeons work toge... Read more
Reader Question:
Divide the Line Between Missed, Incomplete Ab
Question: Patient comes into the office for an ob ultrasound and the impression is ... Read more
Reader Question:
High-Risk Medications During Pregnancy, Use These Codes
Question: I need help locating the iCD-10 codes for use of high-risk medication dur... Read more
Reader Question:
Examine This Insertion of Catheter
Question: A physician performed a rectus fascia pubovaginal sling for incontinence ... Read more
Reader Question:
You Need Proof For Modifier 82
Question: Is there a difference in the reimbursement of procedures for modifiers 80... Read more
Reader Question:
Repeat Pap Plus Urinary Tract Infection
Question: A Medicare patient who is high risk due to sexual behavior came in for he... Read more
Reader Question:
Surgery Pre-Work Includes Informed Consent
Question: Patient came in for routine prenatal care visit. She knows she wants a tu... Read more
Reader Question:
Code This Wound Exploration, Fascia Endometrioma Removal
Question: I need help locating the right CPT® code. Procedure: old incision w... Read more
You Be the Coder:
Seventh Character ICD-10 Codes for Ob Patients
Question: When adding the 7th character on OB codes, where it states “0 not a... Read more
ICD-10:
6 Categories Simplify Your Numerous ICD-10 Gynecology Changes
Get ready to specify ovarian cyst laterality in October. Remember how you had thought ... Read more
Obstetrics:
Align Your Your Amnio Claims With Success
Use this one word to choose the appropriate ICD-10, CPT® codes. Looking to improve... Read more
E/M:
Can Your Report Preventive and E/M Services on the Same Day? Find Out
The correct preventive code depends on status and age. When every dollar counts, you n... Read more
Reader Question:
For Modifier 82, You Need Evidence
Question: Is there a difference in the reimbursement of procedures for modifiers 80... Read more
You Be the Coder:
Laparoscopic to Open Procedure for Ectopic Pregnancy
Question: My ob-gyn did a diagnostic laparoscopy, an exploratory laparotomy, and a ... Read more
CCI 22.1:
Highlight These Fibroid Removal, Myomectomy, Colporrhaphy Edits To Avoid Denials
You can potentially appeal denials you received for this revision. April brings more ... Read more
ICD-10 Coding Quiz:
Validate How You Report Z Codes With This 7 Question Challenge
Find out if a Z code can be a primary diagnosis. The Z codes are not only for providin... Read more
Practice Management:
Monitor Claims to Max Out Your Ob-Gyn's Pay
Keep your AR up-to-date. You’re up-to-date on coding changes, you’ve educa... Read more
Reader Question:
Use Autologous Dx for Blood Cord Collections
Question: My ob-gyn saw a patient who had a normal spontaneous vaginal delivery ove... Read more
Reader Question:
No Layered Repair? Then Strike "Complex" from Your Options
Question: My ob-gyn performed an episiotomy revision in the office 8 months after t... Read more
Reader Question:
Can You Choose E/M Code Based on Time Alone? Find Out
Question: If the ob-gyn documents: “Time spent in the evaluation of the patie... Read more
Reader Question:
Control of Bleeding May Not Mean Extra Payment
Question: The ob-gyn performed a LAVH with BSO (uterine weight of 270 grams); the h... Read more
Reader Question:
Code Descrip Includes Minimum Attending Ob Visits
Question: One of our practice’s Fellows sees an ob patient for, say, six pren... Read more
You Be the Coder:
Go Further In-Depth for This Repeat Pap Scenario
Question: On page 30 in the “Validate This Repeat Pap Plus UTI Scenario&rdquo... Read more
Obstetrics:
Expert Advice Will Help Align Your Amnio Claims With Success
Tip: “Polyhydramnios” can make or break your CPT®, ICD-10 codes. If yo... Read more
Gynecology:
Pap Smears With Yearly Physicals? Pay Attention to Payer Particulars
Heads up: Medicare follows its own guidelines, not CPT® rules. If you’re not... Read more
Modifiers:
3 FAQs Will Help You Minimize Making Modifier 22 Mistakes
Find out how much longer a procedure should take. Appending modifier 22 (Increased proced... Read more
ICD-10:
Make Sense of Your Litany of Pregnancy Complication Options
Tip: The majority of your new options specify trimester. No longer should you look to ... Read more
Reader Question:
Using Modifier 82? Have Documentation Ready
Question: Is there a difference in the reimbursement of procedures for modifiers 80... Read more
Reader Question:
Establish These Ectopic Pregnancies Codes
Question: My ob-gyn did a diagnostic laparoscopy, an exploratory laparotomy, and a ... Read more
Reader Question:
Don't Automatically Combine ER and Office Visits
Question: If a patient was seen for an office visit (99214) first and then later on... Read more
Reader Question:
Are Delivery Only Codes Losing You Ethical Money? Find Out
Question: My practice has encountered many situations where a patient comes in and ... Read more
Reader Question:
Validate This Repeat Pap Plus UTI Scenario
Question: A Medicare patient who is high risk due to sexual behavior came in for he... Read more
Reader Question:
Include a Hymenectomy in Surgical Approach
Question: One of our providers performed a hysteroscopy dilation and curettage for re... Read more
Reader Question:
Your Physician's Documentation Can Vary
Question: My ob-gyn reported an established patient office visit code 99214, but th... Read more
Reader Question:
Breastfeeding Counseling? Look to this Diagnosis
Question: My ob-gyn saw a patient who was having problems breastfeeding her infant.... Read more
You Be the Coder:
Retained Products of Conception Do Not Equal Complication
Question: A patient had an elective abortion elsewhere. She came to our clinic, and... Read more
ICD-10:
Explore Your "Exposure for the Zika Virus" Diagnosis Coding Options
Here’s what diagnoses to use for confirmed case ultrasounds. According to the Wo... Read more
News You Can Use:
Add These 2 New HCPCS Codes to Your IUS Options
Delete this old HCPCS code from your potential options. If your practice sees patient ... Read more
Coding Quiz:
Determine When You Can Bill Visits Outside You Global Ob Packages
Key: Was ob-gyn monitoring the pregnancy? Do you know whether you should include or ex... Read more
Subscriber Feedback:
Stay Tuned for News About Vaginal Hysterectomy + Colporrhaphy Edit
The AUGS submitted a letter objecting to this edit. A subscriber recently contacted us... Read more
Reader Question:
ER Admission Matters to POS
Question: My ob-gyn was performing rounds at the hospital. He got a page that an es... Read more
Reader Question:
Count Oocytes to Use 89280-89281
Question: Codes 89280 and 89281 don’t have a Correct Coding Initiative (CCI) ... Read more
Reader Question:
Decipher Column 1, Column 2 CCI Codes
Question: Sometimes I cannot find the two codes I intend to bill in the CCI edits. ... Read more
Reader Question:
Use 58662 For Ovary Part Destruction
Question: Our ob-gyn did a laparoscopy with aspiration of one ovarian cyst and then... Read more
Reader Question:
Reflect Both Unlisted and Listed Laparoscopic Procedures
Question: My physician performed a laparoscopic radical parametrectomy, upper vagin... Read more
Reader Question:
Consider 10021 for FNA Without U/S
Question: My ob-gyn performed the following procedure: Office pelvic ultrasound rev... Read more
Reader Question:
Unnecessary Mod 52 Use Could Subtract From Your Bottom Line
Question: My ob-gyn saw a patient with ovarian cancer. He performed a total ab... Read more
Reader Question:
Follow-Up BC Visits? Decide Between 99401-94404, 99211-99215
Question: Our providers have our patients come back to our ob-gyn office after thre... Read more
You Be the Coder:
Diagnosis for Pre-Eclampsia No Longer Present
Question: How do you code for a postpartum follow-up visit for a patient who had ge... Read more
CCI 22.0:
5 Subtle Ob-Gyn Bundles Highlight Quarter 1 CCI Edits
As always, pay attention to modifier indicators. You won’t have much to apply t... Read more
Obstetrics:
Troubleshoot Twin Delivery Claims By Answering 4 Tough Questions
Here’s what you should do when the babies are born on different days. How should... Read more
ICD-10:
Diagnosis Specifies Whether Amenorrhea Is Primary or Secondary
Plus, don’t miss this news about Excludes1 notes. Amenorrhea refers to the absen... Read more
HIPAA Compliance:
Knowing What Qualifies as a Breach is Key to Avoidance
Fines range from $100 to $1,500,000 so strive for compliance. Often small mistakes won... Read more
Reader Question:
Examine This List of Supplies for 56420
Question: I have a doctor that was wondering if we could code a separate code for c... Read more
Reader Question:
A Laparoscopic A&P Repair is Impossible - Here's Why
Question: The op note states, “Laparoscopic Uterosacral suspension, A&P r... Read more
Reader Question:
Follow the Guidelines For Who Can Do HPI
Question: Are nurses in a doctor’s office allowed to do the HPI, ROS and Asse... Read more
Reader Question:
Calculate Patient's Weeks Gestation
Question: I know that week’s gestation is on prenatal records, but is it... Read more
Reader Question:
Make Sense of Immunization Diagnoses
Question: I’m a bit puzzled with Immunization diagnoses. Prior to ICD-10, we ... Read more
You Be the Coder:
Double Cervices? Have Strong Documentation to Use This Modifier
Question: I have a physician who did two colposcopies of the cervix on a patient wi... Read more
Obstetrics:
Pregnant Patient Annual Visit? Code What You Know By Visit's End
Here are the ICD-10 codes you should be using. The starting line for global maternal c... Read more
Gynecology:
5 Tips Help Manage Your Myomectomy Claims
Heads up: The weight of myomas can matter more than the number of them. Deciding which... Read more
E/M:
Maximize Your Ethical Reimbursement By Focusing on 99211
Meet these 3 criteria, and your claims will have no problem. If your ob-gyn waives cha... Read more
ICD-10:
Prevent Pelvic and Female Genital Organ Pain Diagnosis Mishaps With This Advice
Forget 625.9; you should be using one of two codes instead. Patients often present to... Read more
Reader Question:
How to Report Nitrazine Smear
Question: The ob-gyn performed a Nitrazine smear to check to see if a patient&rsquo... Read more
Reader Question:
More Than 13 Antepartum Visits? Do This
Question: If a pregnant patient has a total of 23 visits due to gestational DM or p... Read more
Reader Question:
MFM Consults In Hospital? Look to Outpatient Codes
Question: We have a few patients that our Maternal Fetal Medicine doctor saw in the h... Read more
Reader Question:
Should You Use Modifier on US Scenario? Find Out
Question: A patient came into the clinic for a routine prenatal visit, and we perfo... Read more
You Be the Coder:
Be Sure To Include How Long Service Took For Modifiers 52, 53
Question: My ob-gyn attempted hysteroscopic D&C but “after 40 minutes of ... Read more