The surgeon repaired an aneurysm in a lower extremity bypass graft through an open approach. Is this coded with an aneurysm code?
Month: April 2017
We submitted an op note at the request of a payer (not Medicare) and they denied the corpectomy code we billed, 63081 with the fusion code, saying the documentation doesn’t support it. Instead, they paid us for 22551. I don’t understand this because my neurosurgeon’s operative note says he did a corpectomy.
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?
We are seeing payers ask for payment back when we use Modifier 80 for assistant surgeon. Is there a reason why they would take the payment back?
Hospitals require that we do an H&P within 30 days of taking a patient to the OR. If this visit is more than 48 hours prior to surgery, is that a billable visit?
When performing a nail biopsy do we use CPT 11100?
A physician in our group is taking the patient to the surgery center for a hip injection using fluoroscopy. We know CPT code 20611 includes ultrasound guidance but is fluoroscopy also considered inclusive? I am looking at CPT code 77002.
Whose NPI number do we bill under when a PA sees the patient in the office under the “incident to” rules for Medicare? We bill under the NPI number of the physician who wrote the original treatment plan for the patient. Is that correct?
Is there a difference in billing and especially reimbursement for a registered nurse FA (first assistant) vs. a formal mid-level provider (PA, etc.)?
What code is reported for a venous angioplasty and stenting in the lower extremity? For example, the left external iliac vein? Would 37221 be appropriate?