Month: November 2018

Endoscopic Control of Epistaxis
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Endoscopic Control of Epistaxis

November 29, 2018 Question: We use coding software to help us with modifiers, procedure descriptions, RVUs etc. In the description for 31238 it mentions electrical cautery or laser but we use silver nitrate.  Is this code appropriate to use with use of silver nitrate only? Answer: The official AMA CPT instructions do not specify what...

Code Submission Order on Claims
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Code Submission Order on Claims

November 29, 2018 Question: When we are submitting multiple procedures on a claim, should we submit the CPT codes in the order the procedures were performed, or the most serious findings first, or does it matter? Answer: You should submit codes in descending relative value unit (RVU) order.  If you don’t have software that gives...

Uterine Fibroid Embolization
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Uterine Fibroid Embolization

November 29, 2018 Question: If uterine fibroid embolization is performed bilaterally, through 2 separate catheters, can 37243 be reported twice? Answer: No. embolization is reported by surgical field and the uterus is considered a single surgical field. *This response is based on the best information available as of 11/29/18.

ED Treatment of Fracture by Advanced Practice Provider
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ED Treatment of Fracture by Advanced Practice Provider

November 29, 2018 Question: Our physicians are asking us to report closed treatment without manipulation codes when their Advanced-Practice Provider evaluates a patient with a fracture in the ED, in preparation for definitive care to be done in the operating room the following day.  What services should be coded for the services rendered by the...

Chemical Peel
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Chemical Peel

November 29, 2018 Question: What code should we use for a chemical peel of less than the entire face? Answer: CPT codes 15788 (Chemical peel, facial; epidermis) and 15789 (Chemical peel, facial; dermis) are reported for peels of the entire face.  There is no code for less than the entire face.  When a chemical peel...

Billing an Endoscope Post Colectomy
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Billing an Endoscope Post Colectomy

November 29, 2018 Question: I routinely do a sigmoidoscopy (or other endoscopic procedure) to assess the integrity of the anastomosis after a colectomy.  Can this be billed with a diagnostic scope code? Answer: No, an endoscopy following a procedure (a “completion” endoscopy) to assess results is also not separately reported. *This response is based on...

10 Best Practices for a VIP Event
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10 Best Practices for a VIP Event

November 27, 2018 General information events have become passé and holiday parties are predictable. Patients have been there, done that. Set your practice apart by hosting events that are uniquely themed and offered to a small and thoughtfully chosen group of the practice’s best influencers, referrers, and friends. We refer to these as VIP events,...

Can That Candidate Really Do The Job? Four Ways to Find Out
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Can That Candidate Really Do The Job? Four Ways to Find Out

November 21, 2018 Have you ever hired someone whose professed skill levels during the interview turned out to be lower than you were led to believe? It’s difficult to measure skills and abilities through interview questions alone. Unless you assess candidate skills using objective screening tools, you’ll often be disappointed. Here are 5 ways to...

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