Month: July 2019

Questions Your Governance Agreement Should Answer
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Questions Your Governance Agreement Should Answer

July 31, 2019 An effective governance agreement is a directive for how a practice group’s Board of Directors is comprised and operates, and the level of authority it and its members have. It’s essentially a blueprint for the way a practice polices itself. Effective agreements include policies, rules, cultural norms, and accountability standards and can...

The Beauty of a Post-Op Kit for Elevating the Patient Experience
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The Beauty of a Post-Op Kit for Elevating the Patient Experience

July 30, 2019 People love special treatment. It’s the reason 5-star hotels put chocolate on your pillow and high-end salons throw in a scalp massage when you’re being shampooed. Sure, in the realm of plastic surgery, what patients want most are beautiful results. But that doesn’t mean they can’t enjoy the journey. Savvy practitioners provide...

Reporting a Cholecystectomy with a Cholangiogram
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Reporting a Cholecystectomy with a Cholangiogram

July 25, 2019 Question: If a cholangiogram was performed by the surgeon during a cholecystectomy, but the radiologist interprets it, is 47563, Laparoscopy, surgical; cholecystectomy with cholangiography still appropriate? Answer: Yes, the codes “with cholangiogram” are valued for intraoperative physician work, not the interpretation. *This response is based on the best information available as of...

DBS Battery Replacement
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DBS Battery Replacement

July 25, 2019 Question: When our doctors replace a DBS generator because the battery is depleted and they reprogram at the same time, we can bill for the programming, correct? Answer: Yes, you can code for the generator replacement using 61885 (or 61886 if the two leads – right and left – are connected to...

Why Did I Receive This Denial?
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Why Did I Receive This Denial?

July 25, 2019 Question: Our surgeon performed a meniscectomy on a Medicare beneficiary.   During the 2nd post-operative visit, the surgeon started a series of Hyaluronate injections in the operative knee for a diagnosis of osteoarthritis.  The claim form was submitted with a modifier 79 and a diagnosis of osteoarthritis.   Our Medicare carrier denied it as...

Lesion Excision and Repair
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Lesion Excision and Repair

July 25, 2019 Question: I saw a patient for an excision of a squamous cell carcinoma on his chest. The size is 4.2 cm diameter. I know I report 11606 for the lesion excision but I also did an intermediate repair with a layered closure and the side is 6.5cm. Can I bill for the...

Division and Inset of Flap
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Division and Inset of Flap

July 25, 2019 Question: A patient presents for division and inset of a neck-to-ear pedicle flap.  Should we report 15620 or 15630? Answer: The CPT codes reported for the division and inset are chosen by the permanent inset site, not the donor site.  So in your case, CPT code 15630 (Delay of flap or sectioning...

Coding for In-Stent Carotid Stenosis
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Coding for In-Stent Carotid Stenosis

July 25, 2019 Question: How is angioplasty of a previously place carotid stent billed? Answer: For a patient treated with angioplasty for with occlusion in  a previously placed carotid  stent, report code 37246, Transluminal balloon angioplasty, (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit) open or percutaneous, including all imaging...

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