Month: January 2016

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Surviving in an ICD-10 World

by Deborah Grider, CPC, COC, CPC-I, CPC-P, CEMC, CPMA, CCS-P, CDIP Certified AHIMA Clinical Documentation Improvement Practitioner AHIMA-Approved ICD-10-CM/PCS Trainer The past few years we have focused closely on getting ready for ICD-10. In most cases, the transition to ICD-10 was successful. We had a few bumps in the road, but overall, things went well....

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Visceral Angiograms

January 14, 2016 Question: Does visceral angiogram code 75726 include any number of visceral vessels studied? Answer: Code 75726, Angiography, visceral, selective or super selective (with or without flush aortogram) is reported per visceral vessel selectively catheterized and studied.  Each artery, (for example, the superior mesenteric) must be selectively catheterized and the interpretation for each...

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Repair of Nasal Vestibular Stenosis

January 14, 2016 Question: I am trying to come up with the right CPT codes for a repair of nasal vestibular stenosis so we can get it pre-certified. Can you help? Answer: Yes, you are wise to determine the correct codes for pre-certification, otherwise the surgery might not be paid if you billed different codes. ...

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Lysis of Adhesions In the Shoulder

January 14, 2016 Question: We are having a debate in our office we hope you can help unravel. We want to report CPT code 29827 and 29825 together but our Coding Companion states that they are inclusive to each other and are bundled. Our surgeon is questioning the accuracy of this information. Answer: Your surgeon...

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Excision of Skin Lesion

January 14, 2016 Question: I heard you say at a course (you were great, by the way. I learned a lot from you!) that we should wait for a pathology report before billing for excision of skin lesions.  Please explain why.  This may be why I’m not getting paid. Also, when is your next plastic...

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Endoscopic Skull Base Surgery

January 14, 2016 Question: We are thinking about starting an endoscopic skull base surgery program and doing skull base procedures via an expanded endonasal/endoscopic approach. I’ve looked in the CPT book for codes and it looks like CPT 61580-61619 are just what I’m looking for. Is this correct? Answer: That’s great that you’re starting a...

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Dropped Leads, Why They Happen and What to Do About Them

Aesthetic Society News – Winter 2016 by Karen Zupko, President After mystery shopping over 150 aesthetic plastic surgery practices through their websites and by phone, we’ve come up with a pattern of kerplunked leads. Whether the “lead,” (AKA “prospective patient”) calls or writes your office you’ll’ be surprised how many inquiries are not answered or...

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