Month: May 2021

Denial of 15839 with 19342
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Denial of 15839 with 19342

May 13, 2021 Question: My doctor performed 19342 (exchange of larger implant to smaller implant), 15771 (grafting of autologous fat) and 15839 (excision of excessive skin). We were denied for 15839 and I have sent a corrected claim with updated diagnosis codes for 15839 but the claim was again denied. Can you help please? Answer:...

Co Surgeon or Assistant?
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Co Surgeon or Assistant?

May 13, 2021 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...

Bone Cyst Tibia and Fibula
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Bone Cyst Tibia and Fibula

May 13, 2021 Question: Our surgeon documented an excision and curettage of a bone cyst from the tibia and the fibula near the ankle joint. I am looking at CPT code 27635 and wondering if this is the correct code and if I report it once or twice. Answer: CPT code 27635 (Excision or curettage...

Adjacent Tissue Transfer
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Adjacent Tissue Transfer

May 13, 2021 Question: My physician and I are in a disagreement regarding a malignant lesion excision performed with an ATT.  She performed a malignant lesion excision along with the ATT which is  7cm on the arm.  She wants to code both the excision of the malignant lesion and ATT.  I think we should only...

Coding for REBOA
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Coding for REBOA

May 13, 2021 Question: What is REBOA and how is it coded? Answer: REBOA is used in trauma for patients that are rapidly bleeding from injuries to the chest, abdomen or pelvis. A flexible catheter is placed in the femoral artery, advanced to the aorta and a balloon is inflated at its tip. This stops...

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