White Paper – Winter 2016 by Cheryl Toth, MBA In 15 years of asking more than 2,000 patient care coordinators about the non-financial reasons patients don’t schedule surgery, fear of scarring is consistently ranked as reason number four.1 In fact, it just may be a clandestine objection that’s keeping your patient acceptance rate (PAR) from...
Month: February 2016
If a patient presented with symptoms of a meniscal tear in the right knee, but the type and location were not known without an MRI, would it be correct to report an “unspecified” code for right meniscal tear?
In a recent coding coach, you mentioned that an E/M would be inappropriate with placement of a central line. I’m not sure that is always the case. Can you clarify?
Someone told me to bill an E/M code like 99212 or 99202, instead of 69210 when removing impacted cerumen with instrumentation. What do you think?
There are three new CPT codes our physicians want to use: 64461, 64462 and 64463. What are these codes used for and what are the rules for reporting them?
I still struggle with coding catheterizations with low extremity revascularizations. If I do an aortogram through the same femoral access, can I bill 36200 in addition to my iliac or femoral stent?
My neurosurgeon recently went to a meeting where someone told him that they bill a vertebroplasty (22521) for injection of cement around pedicle screws at the time of placement. They said as long as there is a separate diagnosis of osteoporosis then it’s ok. Is this true?
We have a patient who had bilateral mastectomies and had permanent implants placed several years ago. She now wants smaller implants. I have to get precertification for this procedure and am looking at the CPT codes 19328 (implant removal) and 19325 (breast augmentation) for the procedure. Would that be right?
by Kyle M. Lee Survey finds a smooth road so far On Oct. 1, 2015, the 10th revision of the International Classification of Diseases (ICD) code set was implemented in the United States. This was the largest and most far-reaching change since the adoption of ICD-9 in 1979, and was anticipated to have a profound...
Patient has been seen in office during the global period after a rotator cuff repair for a sprain. No X-rays were taken. Internally we will record 99024. Would we assign Z47.89 or the sprain code to 99024?