Month: August 2019

Chemical Peel
Post

Chemical Peel

August 22, 2019 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...

Use of a Scribe
Post

Use of a Scribe

August 22, 2019 Question: We are hiring a scribe for the doctor because it will help improve his documentation.  Is there anything we need to know about how to document this? Answer: Yes, absolutely. This situation should be clearly delineated so a third party reviewer can identify the provider who performed the service, and the...

New Patient Visit
Post

New Patient Visit

August 22, 2019 Question: One of our pain management doctors saw a patient in the hospital at the request of the orthopedic surgeon. The patient was discharged and is coming to our office for the first time to see the same physician. Can we bill a new patient visit? Answer: You cannot bill a new...

Code +15777 for placement of a non-biologic implant. Is this the correct code?
Post

Code +15777 for placement of a non-biologic implant. Is this the correct code?

August 22, 2019 Question: I placed a non-biological implant for abdominal soft tissue reinforcement. Can this be coded as +15777? Answer: No. Code +15777 is reported specifically for a biological implant for soft tissue reinforcement implant in breast or trunk only. Code +0437T, a Category III code, is reported for implantation of a nonbiologic or...

How to Communicate More Empathetically
Post

How to Communicate More Empathetically

August 21, 2019 First, let’s clarify our terminology. Many experts distinguish empathy as having two components: 1) affective (experiencing or sharing the other’s feeling) and 2) cognitive (imagining what the other person is feeling yet not experiencing that feeling yourself). Kathleen Bonvicini, EdD, MPH, CEO of the Institute for Healthcare Communication in New Haven, CT...

Microdermabrasion
Post

Microdermabrasion

August 8, 2019 Question: Is the correct code for microdermabrasion 15780 or some other code? Answer: CPT code 15780 (Dermabrasion; total face) is for total face dermabrasion using a tool that penetrates into the dermis.  Microdermabrasion only involves the epidermis, so CPT code 15783 (Dermabrasion; superficial, any site) is the correct code to report for...

Mohs Staging
Post

Mohs Staging

August 8, 2019 Question: My physician performed Mohs surgery on a patient with a basal cell carcinoma on his cheek. He took the first stage with 6 tissue blocks, but does cancer is still evident in the margins based on the mappings. A second stage is removed with 4 tissue blocks. The second stage shows...

How do you define “No Qualified Resident Available”?
Post

How do you define “No Qualified Resident Available”?

August 8, 2019 Question: Our physicians utilize residents during surgery but we have a discrepancy in what is considered a “Qualified Resident”. Some physicians consider a resident qualified to assist day 1 of their residency rotation, while others consider only 4th and 5th year residents as qualified to assist. Can you guide us to documentation...

Skin Biopsy Codes
Post

Skin Biopsy Codes

August 8, 2019 Question: What happened to the skin biopsy codes?  I submitted a claim for 11101 (skin biopsy) and +11101 (additional lesion) and it was denied for “invalid code.” Answer: CPT deleted CPT codes 11100 and +11101, effective 1/1/19, and replaced them with the following six new codes: 11102  Tangential biopsy of skin (eg,...

Reporting a Cholecystectomy and an Umbilical Hernia at the Same Operative Session
Post

Reporting a Cholecystectomy and an Umbilical Hernia at the Same Operative Session

August 8, 2019 Question: If a patient undergoes an open cholecystectomy and has a reducible umbilical hernia repaired during the same operative session, through separate incisions, can both be reported? Answer: Yes, if both procedures were performed through separate incisions both may be reported. Conversely, if both were repaired through the same incision, only the...

Sign up for KZAlertsSign up for KZAlerts

Coding Coaches