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Outpatient Facility Coding Alert

CPT® Coding:
Keep Your UPPP, Pharyngoplasty Coding in Check With These Examples
Learn what to look out for in the documentation. There are plenty of variables to conside... Read more
ICD-10-CM Guidelines:
Bust This Rheumatic Heart Valve Disease Coding Myth
See what pitfalls to avoid when coding heart valve conditions. The world of procedural an... Read more
NCCI Updates:
Acclimate Yourself With These 2019 Integumentary, Cardiovascular Updates
Avoid unnecessary denials by staying on top of some important new hospital and physician e... Read more
You Be the Coder:
Consider Peripheral, Major Veins When Choosing Between 36561, 36571
Question: What is the CPT® code for a left cephalic port-a-catheter placement for a 50-ye... Read more
Reader Question:
Break Down Coding Dynamics for Multi-Sinus Balloon Dilation
Question: How do I code a bilateral frontal sinus balloon dilation and a left sphenoi... Read more
Reader Question:
Check Bilateral Surgery Indicator Before Billing Bilaterally
Question: Can I use modifier 50 when submitting code 17110 if lesions were removed fr... Read more
Reader Question:
Know What Qualifies as Incidental, Separately Billable Intraoperative Appendectomy
Question: While performing an open gallbladder removal, the surgeon noted localized perito... Read more
Get Familiar With Modifier JW Use in OPPS Settings
See how guidelines differ in outpatient facility settings. When billing and reporting for... Read more
Adhere to Rules on Single-View Chest, Abdomen X-Ray Coding Cases
Learn how to navigate between parenthetical notes and other authoritative sources. Someti... Read more
CPT® Coding:
Case Study: Know When to Code Hernia Repair With Colon Resection
Learn the rules for separate services. From a coder's perspective, some of the more chall... Read more
Reader Question:
Consider this C Code for MRI Breast With Contrast
Question: How should I report a magnetic resonance imaging (MRI) scan of the breast with c... Read more
Reader Question:
Report C9749 for Lateral Implant in OPPS Setting
Question: I have a doctor that performed a “placement of bilateral Latera® implants for... Read more
Reader Question:
Make These Considerations When Choosing Vulvar Excision Code
Question: The doctor removed a 10 cm vulvar mass from a patient. The mass was external and... Read more
Reader Question:
Consider Modifier 79 for Unrelated Procedure Within Global Period
Question: The provider performed a debridement endoscopy (31237) at a one-month check-up v... Read more
You Be the Coder:
Check for Specific Criteria on Duplex Scan Reports
Question: On a scrotal ultrasound (US) with duplex scan, the provider docum... Read more
CPT® Case Study:
Break Down Each Step of This Oropharyngeal Resection Procedure
Use all the resources at your disposal to reach the correct coding choice. The process of... Read more
CPT® Guidelines:
Avoid These Pitfalls on 2019 Breast MRI, CAD Combo Coding
Plus, don't let this semantic error send you into a coding tailspin. By this time of year... Read more
ICD-10-CM Coding:
Report External Cause Codes Accurately and Confidently With These Tips
Add clarity and context to your primary diagnoses with external cause codes. Although not... Read more
Reader Question:
Consider CT Shoulder Arthrography, CT Upper Extremity 1 in the Same
Question: What's the CPT® code for a computed tomography (CT) arthrography of the shoulde... Read more
Reader Question:
Check Medicare Criteria for AAA US Screenings
Question: What criteria need to be met in order for a Medicare patient to qualify for an a... Read more
Reader Question:
Note Circumstances of Postop Pain Before Determining Dx Code
Question: A patient is seen by the physician two days following an ethmoidectomy. The pati... Read more
Reader Question:
Know How to Sequence Complication, Condition Codes Properly
Question: How should I code a diagnosis of chronic nasal bleeding following sinus surgery?... Read more
You Be the Coder:
When in Doubt, Use Clinical Responsibility as a Reference
Question: My physician is suggesting that we report code 30117 for the removal of a nasoph... Read more