Our physician performs Radiofrequency destruction of L2, L3 and L4 paravertebral facet joint nerves using fluoroscopy for pain management. What CPT code should I use?
Month: June 2016
Do I have to sign each of my NP’s notes that are reported incident-to?
What is an appropriate “source” for a consult? I asked at a recent workshop and the instructors did not have an answer.
During a lumpectomy, if the results of an axillary lymph node excision and biopsy (38525) lead to an axillary lymphadenectomy (38745), are both codes reported in addition to 19301, the lumpectomy?
What codes are used for a myelogram? Our schedulers have been told different things, the last being to just use 76000 and that it included the myelo and fluoro regardless of level.
If I see a new patient and during that visit I identify the need for surgery the same day, should I append a Modifier 57 to the E/M service?
Healthcare Business Monthly – June 2016 by Kim Pollock, RN, MBA, CPC, CMDP When do you bill 63056-59 with 22633, rather than 63047-59? A common question among coders and spine surgeons is whether to bill 63056-59 with 22633, or 63047-59. The answer is complex, but CPT® and Medicare guidelines provide essential guidance. Read Full Article
Greenbranch – May/June 2013 Kim Pollock, RN, MBA, CPC Many physicians continue to wrestle with an economy-in-recovery and declining reimbursements. In this business climate, practices can’t afford reimbursement process mistakes and inefficiencies; they’re simply too expensive. Just a few denied surgical claims can cost a practice thousands of dollars. That’s the cost of the annual electronic...
June 9, 2016 Question: I saw a patient on a Friday and scheduled elective surgery for the following Monday. Do I need a 57 modifier on the E/M code I did on Friday? Answer: Modifier 57 is required on an E/M code that is the decision for surgery visit if the visit occurs the day...
As a pain management physician, I perform spinal injections for pain management. What information should be documented in my procedure notes?