Month: February 2019

Tame Time Thieves with a Schedule Czarina
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Tame Time Thieves with a Schedule Czarina

February 19, 2019 Many people in your office have access to the appointment schedule. But who really “owns” it? Who is responsible for making sure it goes off without a hitch every day? If the answer is “no one,” you need a Schedule Czarina. Someone who is empowered to review the schedule at least two...

Consultation Request
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Consultation Request

February 14, 2019 Question: Would you mind giving your two cents?  I saw a patient from urgent care yesterday with no formal referral order put in.  But the patient says they sent her over and the Urgent Care nurse practitioner note says “follow up” with our service in the plan. My billers are telling me...

Peritoneal Catheter Placement
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Peritoneal Catheter Placement

February 14, 2019 Question: I placed the peritoneal catheter for a neurosurgeon placing a V-P shunt. Do I code 49419, insertion of peritoneal catheter? Answer: No, you are a co-surgeon with the neurosurgeon. Code 62223, creation of a ventriculo-peritoneal shunt, include both the neurosurgeon’s portion of placing the ventricular catheter and your portion of placing...

Fascia Lata Graft Denials
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Fascia Lata Graft Denials

February 14, 2019 Question: We routinely bill 69631 (tympanoplasty) and 20922 (temporalis fascia graft).  We’ve been paid but now we’re being asked to give money back.  Can you help? Answer: A thigh fascia lata graft was not harvested to support 20922.  Rather, if a temporalis fascia graft is harvested through a separate skin incision then...

Arthrocentesis with Fluoroscopy
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Arthrocentesis with Fluoroscopy

February 14, 2019 Question: When I perform a hip injection using CPT 20610 and I use fluoroscopic guidance can I report the injection and the fluoroscopy? Answer: You may report the injection 20610 and the fluoroscopic guidance using CPT 77002 (Fluoroscopic guidance for needle placement). *This response is based on the best information available as...

Suture Removal
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Suture Removal

February 14, 2019 Question: We had a patient come into our office to have their sutures removed from a hand laceration repaired by someone else. The patient was hurt while out of state on vacation and couldn’t have the sutures removed while away; the original provider performed a layered repair. The problem is the patient...

Pilonidal Cyst Removal and Repair
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Pilonidal Cyst Removal and Repair

February 14, 2019 Question: If one of our doctors removes a complex pilonidal cyst that requires a rhomboid flap repair, is the repair part of the code 11772 for complicated excision of the pilonidal cyst?  I did not think so, but I know that each procedure includes the approach, the definitive, and closure, so now...

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