Month: August 2018

7 of My Favorite Interview Questions
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7 of My Favorite Interview Questions

August 29, 2018 Good interview questions focus on previous experience and job tasks. Great interview questions go deeper by zeroing in on the characteristics vital to success: curiosity, problem-solving ability, tenacity, and a willingness to learn and grow. Here are a few of my favorites. 1. What do you know about us? With this simple question you...

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Dialysis Circuit Imaging – Part 1

August 23, 2018 Question: What’s included in dialysis circuit imaging? Answer: Dialysis circuit imaging, (36901), begins at the arterial anastomosis (the short segment of the artery that is directly attached to the venous portion of the fistula or graft.) and extends to and includes the right atrium. *This response is based on the best information...

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27095 vs 20610

August 23, 2018 Question: I read with interest your recent Coding Coach on anesthesia related services and CPT codes 27093 and 27095.  If our surgeon performs a hip injection using fluoroscopy should we be reporting 27093 instead of 20610 and 77002-26? We perform these in the ASC. Answer: No, 27093 and 27095 are injection procedures...

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Coding Twist Drill Ventriculostomy with Craniotomy/Craniectomy

August 23, 2018 Question: When is it ok to unbundle 61107 from the craniotomy/craniectomy code? Answer: It is acceptable to report both codes when the ventriculostomy placed via twist drill hole is performed through a completely separate approach/access point from the craniotomy/craniectomy.  For example, you’ve performed a right suboccipital craniectomy and place a left frontal...

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Allergy Injections

August 23, 2018 Question: We are giving 5 allergy immunotherapy injections to a patient. Do we bill 95117 x 5 units? Answer: CPT 95117 is reported once per day, with 1 unit, when 2 or more injections are given.  Do not report more than 1 in the units box on the claim form. *This response...

Sebaceous Cyst Removal
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Sebaceous Cyst Removal

August 23, 2018 Question: We had a patient with a 3.5 cm sebaceous cyst removed from her abdomen.  The physician had to cut into the subcutaneous tissue to remove it.  Should we use a code from the Integumentary section or the Musculoskeletal section to report this removal? Answer: You would report the appropriate code from...

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Tissue Grafting

August 23, 2018 Question: What code do I report when a patient has a previous breast reconstruction (4 months ago) and prevents for a revision.  The physician performed fat injections in both breasts. Answer: You would report CPT code 20926-50 (Tissue grafts, other (eg, paratenon, fat, dermis) or 20926-RT, 20926-LT depending on what your payor...

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NPP Reporting and Claim Form Line 24J

August 23, 2018 Question: How do we know whether to put the NPP (PA or NP) or physician NPI number in box 24J on the claim form? Answer: When services are reported using the Direct billing method, the NPI of the provider performing the services places their NPI number in box 24J.  When services are...

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Is a Suture a Resection?

August 23, 2018 Question: Is a suture repair of the colon considered a resection? Answer: No. Suture repair of the colon (large intestine) is coded as 44604. This might be done for an injury or perforation for disease.  The code include repair of a single or multiple perforation. Resection involves removing a portion of the...

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Refresh your Referral Building

Physicians Practice – August 22, 2018 by Karen Zupko Years ago, a “good referral” was described using the Three A’s of medicine: Availability, Affability, and Ability. A physician striving to build a successful practice was advised to deliver all three. Managed care contracts and narrow networks temporarily stifled traditional referral building. But the patient rebellion...

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