We are having a discussion in the office about the correct way to code chronic sinusitis of multiple sinuses in our office. Some are saying to code each sinus condition separately as they have specific codes for each one, some say to code with the “other code”. Who is correct?
Month: March 2017
My physician excised a malignant skin lesion from the left cheek measuring 2.0 cm. The defect was repaired with a rotational advancement flap with total primary and secondary defect area of 4.75 sq cm. I submitted my claim with CPT 14040 (advancement flap), 12052-51 (repair), and 11642-51 (malignant lesion excision). My claim was denied. Did I code this correctly?
I’m new to neurosurgery coding and notice a big problem with denials. Medicare doesn’t pay us on 20930 and 20936. I’ve been appealing but don’t seem to have any success. Can you help?
In my office, we use a PA as a scribe for new patient office visits for our doctors. We have an electronic medical record and the scribe signs in under her own name when she begins notating for the doctor. What is the correct way to notate in the medical record that the PA is only acting as a scribe and not performing the service personally?
I am confused how to submit the following code combination to Medicare. The surgeon documented a right shoulder injection with US guidance (CPT code 20611) and a left knee injection without US guidance (20610). I know the codes are inclusive to each other and want to make sure I submit the claim correctly. I am sometimes confused when I should use modifier 59 and wonder if this is a situation where the modifier 59 is the most specific modifier.
If I do a percutaneous biopsy with ultrasound imaging of one lesion, but don’t place a localization device, what code should I use?
Are we able to report CPT code 20660 for the application of cranial tongs during an anterior cervical discectomy and fusion procedure? The surgeon documented the tongs were applied and removed during the operative case.
My doctor started a laparoscopic cholecystectomy that had to be converted to open due to significant adhesions. He documented both approaches and the laparoscopic approach took significant time before he had to convert to open. Can both be billed?
Can we code for fluoroscopic guidance (77002) for an injection into the hip bursa (20610)?
If my surgeon repairs an incarcerated inguinal hernia with mesh on an adult, what code do I use to report the mesh?