I did an intratympanic steroid injection and coded 69801 and 69433. Medicare paid 69801. Should I appeal the denial of 69433?
Month: April 2016
What is an appropriate “source” for a consult? I asked at a recent workshop and the instructors did not have an answer.
Patient comes in for what they are calling scar revision and the note states that "standing cutaneous excess of the left abdominal scar” was sharply excised. We are billing with a diagnosis of hypertrophic scar (L91.0) and CPT codes of 11406 (excision of benign lesion) and 12034 (intermediate repair) for the procedure. On speaking with a co-worker regarding the note, since I’m new to plastics surgery, we are wondering if we should bill 15830 with 52 modifier because it appears to me that the excess skin is being removed. What do you think?
Since January we have not been able to get code 29875-59 paid. All of our claims are coming back bundled to code 29880. I have submitted the operative reports showing that it was a separate procedure, performed in a separate compartment however our appeals are also being denied. How do you recommend getting the claims processed correctly?
I saw a patient on a Friday and scheduled surgery for that Monday. Do I need a 57 modifier on the E/M I did on Friday?
I performed an ultrasound guided sclerotherapy. What ultrasound code should be used to reflect the guidance?
One of our physicians treats patients using Sphenopalatine however; he is not preforming this as an injection but as a topical anesthetic. What procedure code should I use? I have found a 64505 code, is this correct? Please advise.
Mystery Shopping Results Indicate a Need for Improvement – April 2016 by Karen Zupko and Samantha Lappe After the news of a new, less invasive weight loss option hit the mainstream media last fall, millions of Americans began hearing about the gastric balloon procedure on television and in the news. And it’s likely that a number of...
If I see a new patient and during that visit I identify the need for surgery the same day, can I append a Modifier 57 to the E/M service and get paid?
I was hoping you could answer a quick coding question for me. For example, in bilateral coding a breast reduction (19318) or a TRAM flap (19367), do I put the codes on one line or 2? Example: 19318-50 or 19318 and 19318-50.