What is an appropriate “source” for a consult? I asked at a recent workshop and the instructors did not have an answer.
Month: March 2016
If I see a new patient for a general plastics issue, then they come back to me for a hand issue two months later, can I bill as a new patient visit the second time?
What codes are used for revision of an upper extremity bypass graft?
What is the difference between a minor and major procedure?
We used an outside coding consulting company (not yours!) to review some notes. They told us we could bill 76998-26 for intraoperative ultrasound when we also bill for a brain tumor removal (e.g., 61510, 61512). We tried it on a couple of claims and we were paid. But now one of the insurance companies is requesting a refund. Should we return the payment? It wasn’t very much money. But if they want the money back, it makes me think we shouldn’t have billed it. But that coding company said we could!
If I see a new patient (9920x) for an ear problem, then they come back to see me for chronic sinusitis a year later, can I bill as a new patient visit (9920x) the second time or is it an established patient (9921x)?
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?
I understand that arterial stenting in the lower extremities is coded based on vascular territory; the iliac, fem-pop and tibial-peroneal territories. Do these same territories apply for venous stenting in the lower extremities?
What code should I use for excision of a “dog ear” of the reconstruction flap that was done at the same time as the second stage of breast reconstruction?
Does use of a tissue adhesive “count” as a layer for the laceration repair codes?