We are getting denials for code 64615 chemodenervation of the facial nerves for migraine headache. Any suggestions?
Month: June 2017
If a patient presents to the office with both AKs and SKs. The doctor destroys 11 AKs and 5 SKs. Are these all reported with 17000-17004 codes?
I did the closure for a patient’s left ear defect after the Moh’s surgeon excised the basal cell carcinoma at the same operative session. I had to remove a little devitalized tissue before closing the wound with a full thickness graft. Can I code both 15260 (full thickness graft) and 11043 (wound debridement)?
Can I bill for taking the patient back to the OR to explore and repair post-op hemorrhage on day post-op? I heard that all complications are included in the payment of the original surgery.
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 is assigned to the PA. Is that correct?
Our spine surgeon recently attended a presentation (not KZA’s which is why I’m questioning the advice!). He said the spine surgeon speaker advised that he could bill a corpectomy code if he documented "scraping or smoothing of vertebral endplates." He told me we had missed out on a lot of reimbursement because I was coding these as a traditional anterior cervical decompression/discectomy and fusion (ACDF) procedure. Was I wrong in how I coded these procedures, and if yes, should I go back and submit a corrected claim?
Can I bill for facial nerve monitoring during a cochlear implant or mastoidectomy procedures?
Our hand surgeon recently took a patient to surgery for what he thought was a cyst in the forearm. After making his incision and exploring the area, the surgeon found an aneurysm in the ulnar artery. He resected the aneurysm and repaired the defect with a vein graft harvested from the arm. We could not find a code for this in the musculoskeletal section of CPT.
My physician treats migraines by using a Q-tip placed in the nose to apply anesthetic topically. How is this coded?
If I undermine the ear to close a keloid defect of can I use the adjacent tissue transfer code 14060?