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Ob-Gyn Coding Alert

Hysterectomy Coding, Part 1:
Examining 4 Procedural Factors Will Ensure Your Hysterectomy Claims Are Squeaky Clean
Review where and when you should consider reporting new code 58575. You've got a new hyst... Read more
Obstetrics:
Abolish Amnio Coding Mistakes By Trying Your Hand at This Note
Find out why the term "polyhydramnios" can make or break your CPT®, ICD-10 codes. Imagin... Read more
E/M:
3 ROS FAQ Will Help You 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:
Identify 'Global Days' Like This
Question: Many times we need to know the global days of a procedure to help us decide... Read more
Reader Question:
Location Leads Ovarian Cancer Code Choice
Question: Our surgeon performed an open procedure to "debulk" a tumor by excising a 6... Read more
Reader Question:
Get Clarification on New Code Z36.87
Question: I was hoping I could get some guidance on the new Z36 codes that just went ... Read more
Reader Question:
Isolate This ICD-10 Code for SMA Screening
Question: We are wanting to start spinal muscular atrophy (SMA) screening our patient... Read more
Reader Question:
Fight Your Coding Frustrations with Physicians This Way
Question: I have a doctor that wants to see in writing where she has to document anyw... Read more
Reader Question:
Are Inductions Part of Global to Deliveries? Find Out
Question: If a patient is in the hospital for several days being induced for a delive... Read more
Reader Question:
Grasp How to Code a Cell Graft Hysteropexy
Question: Our physician states he performed a posterior colporrhaphy with enterocele ... Read more
You Be the Coder:
Cervical Laceration Repair
Question: A patient had a vaginal delivery. One hour later she was having a PP hemorr... Read more
CPT® 2018 Update:
Focus on 5 CPT® 2018 Features to Fortify Your Future Ob-Gyn Claims
Again, you need to update how you report flu vaccines. Although CPT® 2018 doesn't bring ... Read more
Coding Quiz:
Elevate Your E/M Coding Expertise By Tackling These 2 Ob-Gyn Scenarios
Higher level E/M codes means more intense documentation requirements. Before you apply a ... Read more
MPFS 2018:
MPFS Targets Telehealth Coding Next Year
Follow proposed Physician Fee Schedule insights for these services. You should expect exp... Read more
Coding Quiz Answers:
Advance Your E/M Skills by Putting Your Answers to the Test
Check out these three options for Scenario 2. After you've read the scenarios carefully o... Read more
Reader Question:
Count Hemostasis As Part of Procedure
Question: Patient is one day post-op for 58548 (Laparoscopy, surgical, with radical h... Read more
Reader Question:
Yes, You Do Need to Think in ICD-10 Codes
Question: I've never really gotten comfortable with ICD-10 and often find myself codi... Read more
Reader Question:
Broken Toes Don't Mean Pregnancy Complications
Question: My ob-gyn saw a pregnant patient who broke her toe. What diagnosis should I... Read more
You Be the Coder:
Surgical Complication Means Appending This Modifier
Question: My ob-gyn had a weekend call. Patient had a laparoscopic supracervical hyst... Read more
Gynecology:
Asking 1 Vital Question Will Prevent Post-Hysterectomy Pap Claim Mistakes
Warning: Be wary of Q0091, G0101 - they generally won't apply. A patient who underwent a ... Read more
Obstetrics:
How to Compile Complication Visits Outside the Global Ob Package
Hint: You can report complications before or after delivery. Did you know you can report ... Read more
Coding Quiz:
Reinforce Your 3-Year Rule Understanding By Following This Advice
Hint: The place of service (POS) won't influence your choice. The first step to consider ... Read more
Reader Question:
Tackle This Hysteroscope With Retained Products of Conception Scenario
Question: We billed a 59820 – DX O02.1. The patient was still bleeding, so we broug... Read more
Reader Question:
Learn if a Nurse Can Request a Consult
Question: I have a provider who documented a consultation note for a patient whom a n... Read more
Reader Question:
Investigate This Incarcerated Uterus Scenario
Question: Patient is 17 weeks and has an incarcerated uterus. Physician was unable to... Read more
Reader Question:
Define These Doppler Echocardiographies
Question: Fetal cardiac evaluation was performed using 2D ultrasound, color Doppler, ... Read more
Reader Question:
Laparoscopic Ovarian Vein Cauterization
Question: I am in need of some assistance with choosing a CPT® code for what the pro... Read more
Reader Question:
Break Down Your Glucose Testing Options
Question: I'm trying to figure out how to bill for this Glucose 2 hour test. I have b... Read more
You Be the Coder:
Highlight These Initial and Follow-Up Ultrasound Codes
Question: What is the CPT® code for initial anatomy ultrasound at 15 weeks gestation... Read more
Obstetrics:
Incorporate Other Complaints to Improve Your Chances With Infertility Visit Claims
Remember to check for the “five R’s” -- reason, request, render, report,... Read more
ABNs:
Updated ABN Form Means It's Time To Test Your ABN Know-How
Confused by modifiers GA, GY, and GZ? Here are your solutions. With CMS updating the Adva... Read more
MACRA Update:
CMS Wants to Reduce Burdens Interfering With Patient Care
Small ob-gyn practices find relief under QPP proposed rule. Maybe you’ve barely dig... Read more
Reader Question:
Match Your Scissor Mesh Revision to a Similar RVU
Question: Patient had a urethral sling, and six months later, she complained in offic... Read more
Reader Question:
Make Sure Your 1995 Guidelines Are Updated
Question: I have a old audit sheet that states for 1995 guidelines, and itstates: Pr... Read more
Reader Question:
Learn the Differences Between Laparoscopic Pelvic Lymphadenectomy Options
Question: I am attempting to understand the issue of laparoscopic pelvic lymphadenect... Read more
Reader Question:
Surrogate Mother Means You Should Submit Your Claim Here
Question: If a surrogate/gestational carrier has insurance with maternity benefits, i... Read more
Reader Question:
Narrow Down Your Coding Options for Debulking Services
Question: Patient with recurrent ovarian cancer with previous TAH/BSO undergoes new s... Read more
You Be the Coder:
For Unlisted Procedures, Your Provider Must Decide Comparison Work
Question: A patient had a primary C-section for breech and fibroids. The C-section wa... Read more
ICD-10 2018:
Check Out These Shiny New Maternal Care, Tubal Pregnancy, and Antenatal Screening Codes
Your ob-gyn’s documentation may, in some instances, need to become more specific. I... Read more
Gynecology:
Declare Victory Over Your Vaginal Cuff Repair Cases With This Tip
Keep modifier 78 handy — you may need it. To select the appropriate code for vagina... Read more
HIPAA:
Control BAA Breach Problems With 3 Tips
Not every associate is a BA. Your ob-gyn practice’s bottom line is on the chopping ... Read more
Reader Question:
Learn When You Should — And Shouldn't — Report 17250 and 57601
Question: When should we bill CPT® code 17250 and CPT® code 57061? Is one of ... Read more
Reader Question:
Have a "Converted" Case? Do This
Question: My provider started out performing a LAVH. The procedure converted to a TAH... Read more
Reader Question:
Consider These Cytotec Scenarios
Question: My ob-gyn prescribed Cytotec vaginal suppositories after he determined the ... Read more
Reader Question:
Check Out This Dermoid Cyst Scenario
Question: Physician performed 49322, and in the process, he determined the cyst was a... Read more
You Be the Coder:
Solve This Subchorionic Hemorrhage Scenario
Question: Patient is 17 weeks and has a “subchorionic hemorrhage.” Do we ... Read more
Breaking News:
For These Ob-gyn Surgeries, Start Reporting Postoperative Visits With 99024
This new rules affects certain state practices reporting certain codes. If you’re u... Read more
Breaking News:
Kyleena IUD Receives a Temporary Q Code Effective July 1
Look for a permanent J code next year. If your ob-gyn is beginning to provide Kyleena (le... Read more
Obstetrics:
5 Scenarios Define the Difference Between NSTs and Labor Checks
Here’s when you should include the NST in the global period or hospital admission. ... Read more
E/M:
Understand NGS Policy Update on Exam Levels
As of July 1, detailed exams will require 6-7 body areas or organ systems. Recently, the ... Read more
Reader Question:
Code This Revision of Female Circumcision
Question: Our ob-gyn documented the following: Findings: On exam under anesthesia, t... Read more
Reader Question:
Ob Patient Was in a MVA? Do This
Question: What is the coding protocol when an ob patient comes in the office to be mo... Read more
Reader Question:
Go In-Depth With Uterine Perforation Repair Scenario
Question: Patient had a D&C for a MAB on 4/11. On 4/17, returned to the ER with f... Read more
Reader Question:
Find Out When a MFM Specialist Can Report 93976
Question: Our Maternal Fetal Medicine (MFM) office wants to charge a 93976 to check t... Read more
You Be the Coder:
When Injury Is Ob, Use 59899
Question: Our ob-gyn repaired a vaginal laceration for a patient who is two weeks pos... Read more
Gynecology:
3 Answers Clear Up Your IUD Coding Issues And Highlight What You Should Ask Your Payers
Put ACOG’s LARC guidance at your fingertips. Many coders confess they’re tear... Read more
Obstetrics:
Coding Quiz: Test Yourself When It Comes to Reporting Pregnant Patient Annual Exams
Be cautious about what you use for your primary diagnosis. To ethically maximize your ob-... Read more
Preventive Services:
Medicare's "Carve Out" Rule Will Help Compute Your Patient's Fee
Do you know which modifier tells Medicare that you know the service isn’t covered? ... Read more
Reader Question:
Antibiotic Injection Service Is Part of Cystoscopy Code 52000
Question: We routinely see patients to give them antibiotics via injection prior to c... Read more
Reader Question:
Routine UAs For All Patients May Mean Denials
Question: Does 99396 include 88150 and 81000, or can I separate these services? Mich... Read more
Reader Question:
Decide Between '95 and '97 Guidelines Case-by-Case
Question: Is it true that we can use either the 1995 or the 1997 documen­tation g... Read more
Reader Question:
No Need for Ob-Gyn's Presence on TC/26 Code
Question: We’re charging for a fetal non-stress test (NST). Is it OK if the ob-... Read more
Reader Question:
Same Day 58661, 58862 Reporting? Check Payer Habits
Question: My ob-gyn’s documentation shows he laparoscopically removed the patie... Read more
You Be the Coder:
Determine Your Dx After Cancer Surgery
Question: When can we bill a visit after a surgery for cancer? Our understanding is t... Read more
MACRA:
Get Up to Speed With Ob-Gyn Quality Reporting With These FAQs
Embrace MIPS as PQRS wanes. If you think that the expiring Physician Quality Reporting Sy... Read more
MACRA:
Identify 24 Quality Measures for Your Ob-Gyn Practice
You’ll see familiar choices from PQRS. Make sure your ob-gyn practice continues to ... Read more
Gynecology:
Align Accurate Diagnoses to Your Repeat Pap Smear Service to Ensure Payment
The wrong diagnosis code could cost you $44 per patient. If your patient’s Pap smea... Read more
Reader Question:
Understand Inpatient Initial Care Codes
Question: Can you use inpatient initial care codes 99221-99223 more than once in the ... Read more
Reader Question:
For Complete U/S, You Need This Documentation
Question: The ob-gyn does an ultrasound and discovers a single intrauterine pregnancy... Read more
Reader Question:
Look Back in Time for This Nexplanon Advice
Question: What code should I bill for Nexplanon?   Nebraska Subscriber Answer:... Read more
Reader Question:
Here's Your Scoop on the 60-Day Overpayment Rule
Question: We’ve heard that CMS says we should return any overpayments to federa... Read more
You Be the Coder:
Here's What Code to Use for LUNA and How to Determine Pricing
Question: What would be the most comparable CPT® code to the LUNA (Laparoscopic u... Read more
CCI:
Apply These Block/Injection and Myomectomy Edits Going Into Effect April 1
Despite the modifier indicator for this edit, you should follow CPT® guidelines. As A... Read more
Obstetrics:
Maximize Your Reimbursement for Multiple Gestations With This Advice
If your ob-gyn delivers multiple babies via c-section, apply this modifier. For patients ... Read more
Telehealth:
Always Ace Coding for Your E/M Telemedicine Services
Don’t forget POS code 02 on your telemedicine claims. With CPT® 2017, you&rsquo... Read more
ICD-10:
7 Examples Demonstrate How You Should Code Zika Virus Situations
Here’s what to do for at risk but asymptomatic patients. Questions continue to abou... Read more
Reader Question:
Confront Your Osteopenia ICD-10 Options
Question: What is the correct ICD-10 for osteopenia in the hips and spine? South Car... Read more
Reader Question:
Highlight CCI Versus CPT® Rules
Question: I used the Correct Coding Initiative (CCI) edits checker tool and entered 2... Read more
You Be the Coder:
Does Repeat Pap Smear Warrant Well Woman Code? Find Out
Question: Our ob-gyn recently performed a repeat Pap smear for a woman as her Pap sme... Read more
Gynecology:
Bust 4 Myths Before Deciding Between a Vulvectomy or Integumentary Code
Incorrectly reporting the wrong code could cost as much as $400 a claim. When your ob-gyn... Read more
Obstetrics:
Here's Why The Term "Polyhydramnios" Can Make or Break Your Amnio Claim
Find out if you can report the ultrasound guidance separately. Suppose the following amni... Read more
ICD-10:
Adjust Your Codes Easily When Dx Changes During Hospital Stay
Educate your physician to keep you in the loop on patients’ development. Just becau... Read more
Reader Question:
Is a Sinus Infection a Pregnancy Related Complication? Find Out
Question: When an ob patient presents to the office for her routine visit and complai... Read more
Reader Question:
You Cannot Report Every Hysteroscopic Code in an Office Setting
Question: We recently started doing diagnostic hysteroscopy in our ob-gyn office. (Th... Read more
Reader Question:
Ask If This Procedure Was For a Bartholin's Cyst
Question: My ob-gyn listed the procedure as perirectal cystectomy and pre op diagnosi... Read more
Reader Question:
Ultrasound Guidance for IUD Removal
Question: When doing an ultrasound guidance “in the office” for an IUD re... Read more
Reader Question:
For Two MDs Performing One Surgery, Submit Two Claims
Question: Two of our doctors assisted each other on one patient’s surgery, and ... Read more
Reader Question:
Find Your Marginal Cord Insertion Dx Here
Question: What would be the correct ICD-10 code to use for marginal cord insertion? ... Read more
Reader Question:
Learn This Diagnosis Code Dance When it Comes to Lab Screenings/Findings
Question: Could you help with the following lab questions? When an ASCUS Pap is re... Read more
You Be the Coder:
Capture This Control of Bleeding Case With Modifiers
Question: Could you help me code this control of bleeding case? Doctor states: &ldqu... Read more
CCI Update:
Implement These Vaginal Mesh, Uterine Fibroid, and Ultrasound Edits Before You Face Denials
Hint: Pay attention to the modifier indicator before applying 59. If you’re feel... Read more
CCI Update:
Get Ready to Strike Out The New Epidural Codes When Reporting Ob-Gyn Procedures
Plus: Here’s why 96377 is an exception. The most recent version of National Corr... Read more
Obstetrics:
Here's What to Do When the Patient Switches Insurance Before Delivery
Investigate how both payers prefer you to report these services. As January 1, 2017 ha... Read more
Reader Question:
Do You Know What Reverse Conization Is? Find Out
Question: I received an op report that states: “Exploratory laparotomy with e... Read more
Reader Question:
Physician Decides How Many Systems are Pertinent
Question: Our ob-gyn has what I think is a bad habit of always marking “all o... Read more
Reader Question:
Comb Through Your Op Report When In Doubt
Question: My ob-gyn performed an anterior colporrhaphy for reduction of cystocele, ... Read more
You Be the Coder:
Zero In on These Dx for Ob Hepatic Function Studies
Question: A physician wants to order hepatic function studies on her OB patient. On... Read more
Lysis of Adhesions:
Before You Apply Modifier 22 to Report Extensive Adhesiolysis, Read This First
Do you know if your documentation has what it takes? Find out. Your fellow coders boas... Read more
Obstetrics:
3 Q&As; Minimalize the Chance for Making Multiple Gestation Coding Mistakes
Coding amniocentesis services for twins? Report this code. Although multiple gestation... Read more
Preventive Medicine:
Pilot Your Preventive Medicine Counseling Codes Towards Success
Tip: Don’t use 99401-99404 if the patient is ill. Fact: You can report preventiv... Read more
Reader Question:
Report This Dx for Postpartum Gestational Hypertension
Question: What ICD-10 code should I report for “Gestational Hypertension, pos... Read more
Reader Question:
Decide Whether 58661 is Unilateral or Bilateral
Question: Our ob-gyn performed 58661 bilaterally. This is a unilateral procedure co... Read more
Reader Question:
Distinguish Between Your PCPs and Ob-Gyns Before Using O Codes
Question: My office has primary care physicians (PCPs) and ob-gyn doctors. We have ... Read more
Reader Question:
Use Unlisted For This Vaginal Cuff Repair
Question: How should I report this? Procedure: “Exploratory laparotomy with r... Read more
Reader Question:
Cystectomy Not Related to Global Ob Care
Question: Doctor performed a right ovarian cystectomy on a 17 weeks pregnant patien... Read more
You Be the Coder:
Repeat Pap For an Ob Patient
Question: On the original ob visit on 9/9/16, the doctor performed the Pap smear, w... Read more