Month: February 2020

Are Pre-Op Visits Billable?
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Are Pre-Op Visits Billable?

February 20, 2020 Question: For patients that are having surgery that day, I’ve been doing pre-op visits that morning (coming in earlier), and not doing a preop visit in clinic the week before surgery. Can I bill a follow up visit for the meeting/note (H&P) that occurs the morning of surgery? Answer: No – a...

Overreading a Diagnostic Imaging Study
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Overreading a Diagnostic Imaging Study

February 20, 2020 Question: I sent a patient out to the hospital for a CT scan and the patient brought in the actual images and the radiologist’s report for me to review. Can I charge 76140 (Consultation on X-ray examination made elsewhere, written report) when I personally interpret those images and write my own report?...

Intraoperative ICG Dye Angiography
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Intraoperative ICG Dye Angiography

February 20, 2020 Question: Can we bill the 92242 for the indocyanine green injection intraoperatively, for example to assess perfusion after a colectomy or other abdominal procedure?  Can we bill for the injection using 15860? Answer: No, this service is included in primary surgery and not separately reported. *This response is based on the best...

Distal Shaft Fracture Diagnosis Code
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Distal Shaft Fracture Diagnosis Code

February 20, 2020 Question: Our surgeon documented the diagnosis as “oblique fracture lower end shaft/diaphysis of radius”. What diagnosis code does KZA recommend based on this documentation? The surgeon and I are not in agreement. I am looking at shaft fracture and the surgeon states it should be an “other physis” diagnosis. Answer: KZA recommends...

Wound Vac Billing
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Wound Vac Billing

February 6, 2020 Question: I’m a general surgeon.  Some of my team are reporting the negative pressure wound therapy codes 97605 and 97606 when applying wound vacs after closing at the completion of their surgical cases.  As a result, I am told by my coders that billing for these wound vacs is not appropriate, since there...

PA Performing Joint Injections
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PA Performing Joint Injections

February 6, 2020 Question: Can our PA perform joint injections for Medicare patients Incident-to the physician? Answer: This depends on the scope of practice for the PA in your state as well as whether the incident-to rules are met. If the physician determines the joint injection is indicate in the plan of care, and it...

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