Month: January 2019

Ultrasound Guidance with a Carpal Tunnel Injection
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Ultrasound Guidance with a Carpal Tunnel Injection

January 31, 2019 Question: When performing a carpal tunnel injection (20526) using ultrasound, what do I need to document to support reporting 76942? Answer: In order to report ultrasonic guidance using CPT code 76942 a permanent image of the ultrasound must be maintained.  It is recommended that you document the imaging guidance in a separate...

Skin Tag Removal
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Skin Tag Removal

January 31, 2019 Question: One of the doctors removed 4 skin tags by shave, so she wants to code them as shaves of epidermal lesion codes 11300-11313.  Is that correct? Answer: No. The skin tag removal codes 11200-11201 should be reported as they are diagnosis-code specific.  The method of removal is not the driver for...

Co Surgeon or assistant?
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Co Surgeon or assistant?

January 31, 2019 Question: A vascular surgeon is requested to come to the OR to repair a blood vessel that my surgeon inadvertently nicked during a colectomy. Is he a co-surgeon or assistant on the case? Answer: Neither. The vascular surgeon will report his work, repair of vessel, and you will report yours. *This response...

Co Surgeon or assistant?
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Co Surgeon or assistant?

January 31, 2019 Question: A vascular surgeon is requested to come to the OR to repair a blood vessel that my surgeon inadvertently nicked during a colectomy. Is he a co-surgeon or assistant on the case? Answer: Neither. The vascular surgeon will report his work, repair of vessel, and you will report yours. *This response...

Diagnosis Code for Post Op Visits
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Diagnosis Code for Post Op Visits

January 31, 2019 Question: What’s the best way to do the diagnosis coding for postop visits? I mean, does it really matter since we aren’t billing for a visit? Answer: Yes, it is important to accurately code the diagnosis. The ICD-10-CM guidelines for postop/aftercare include the following: If the original diagnosis is trauma (eg, using...

Joint Injection
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Joint Injection

January 31, 2019 Question: We have a non-Medicare patient that brings in her own Viscosupplement drug that she purchases through her drug plan at an outside pharmacy.  We know we cannot bill the drug to the private payors, but want to make sure we are able to report the injection code. Answer: First, please verify...

How to Handle the “Difficult” Patient
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How to Handle the “Difficult” Patient

January 30, 2019 All of us are guilty of “schedule watching”, and some names on the schedule make us shudder. How we handle these “difficult” patients is an indication of the quality of our care. Most people are not difficult, but many of our patients find themselves in difficult situations. It’s important for us to...

Finding the Right Fit: 11 Steps for Smarter Hiring
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Finding the Right Fit: 11 Steps for Smarter Hiring

January 23, 2019 The responsibility to interview and hire new staff can be stressful and time consuming, and the thought of selecting the wrong team member is worrying. Follow these 11 steps to guide your hiring and build an A+ team. 1. Develop a detailed position description and salary range. Before you run an ad...

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