Month: May 2017

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Exchange of Tissue Expander for Permanent Breast Prosthesis and Fat Grafting

I placed a permanent breast implant after removing a tissue expander including a capsulotomy on the right side. At the same operative session, on the same side, I harvested fat from the thigh (via liposuction) and placed it in to the superior pole breast defect. These are the codes that I have picked: 19340 (immediate insertion of breast implant), capsulotomy (19370), 19380 (revision of reconstructed breast), 11954 (injection of the fat into the breast), 15877 (liposuction of the trunk), and 15879 (liposuction of the lower extremities). Does this seem right?

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Scribe Question

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?

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Scribe Question

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?

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