My doctor did a total thyroidectomy and reimplanted one of the parathyroid glands into the sternocleidomastoid muscle. Can I code 60512 in addition to 60240?
Month: May 2017
Can you help solve a diagnosis coding controversy we have? Occasionally, we have a patient who had a fracture and the Orthopedic Surgeon does the fracture repair. However, the Plastic Surgeon is asked to provide flap coverage to cover the open surgical wounds. What diagnosis codes should we use? I am thinking we use the fracture diagnosis code but we aren’t treating the fracture. Another coder says we should use an unspecified open wound code. We would appreciate your thoughts.
If my physician reports a biopsy on the same date as an intralesional injection (different sites) can I report both codes? Should I use Modifier 59?
Our group is really having a difficult time getting all of the medical record information into the computer. Is it okay to use our PAs and NPs as scribes when they have some down time?
How do I find out if an assistant surgeon or co-surgeon is paid on certain procedures that I perform?
One of our physicians is using a device to deliver medication through the nose when a sphenopalatine ganglion block is performed under fluoroscopic guidance for patients with migraine headaches. Is 64505 appropriate? If not, what code should be used?
A urologist asked me to clear the thrombus and repair the vena cava during a radical nephrectomy for tumor resection. What code should I use?
I code for a neurosurgeon and he insists that I bill the cage code, 22853, for each interspace. However, the CPT book lists as cage(s) therefore our thinking is that no matter how many are placed this code is only allowed one time per surgery. His note states “C3-C4, C4-C5, C5-C6 anterior cervical interbody fusion using PEEK interbody spacers.” So is it 22853 x 1 unit or 22853 x 3 units?
AAPC News – March 2017 by Kim Pollock, RN, MBA, CPC, CMDP CPT® 2017 captures the most up-to-date clinical services for ear, nose, and throat specialists. CPT® 2017 brings several code changes for otorhinolaryngology, a specialty that has seen few, if any, code changes in the past several years. The changes are primarily new codes, with some code...
AAPC News – May 2017 by Kim Pollock, RN, MBA, CPC, CMDP See how spine procedure codes, guidelines, and reporting have changed in 2017. There are many 2017 CPT® code changes pertaining to spine procedures. Here’s a rundown of the most significant changes. Removal of Moderate Sedation Inclusion The moderate sedation symbol (¤) was removed from...