Author: The Coding Coach (Coding Coach)

Lymph Node Biopsy
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Lymph Node Biopsy

July 9, 2020 Question: I took out 3 deep cervical nodes for biopsy on the left side. Can I bill 38510 x 3? Answer: No – you’d report 38510 once for any number of nodes removed from the same incision. *This response is based on the best information available as of 07/09/20.    

Are Wound Vacs Separately Reportable?
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Are Wound Vacs Separately Reportable?

July 9, 2020 Question: I’m a pediatric orthopedic surgeon.  Some of my team are reporting the NPWT 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 NCCI Standards of Medical Practice edits are being generated. The NCCI guidelines define the...

Removal of sEEG Electrodes
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Removal of sEEG Electrodes

July 9, 2020 Question: I placed subdural stereo-EEG electrodes for epilepsy monitoring. What is the code for removal of these electrodes? I’ve been billing 61880 for removal of each electrode up to 10 or 13 units depending on how many electrodes I remove. My new coder said she’s not sure we are using the correct...

Soft Tissue Tumor Removal
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Soft Tissue Tumor Removal

July 9 , 2020 Question: My physician removed a soft tissue tumor on the patient’s foot measuring 1.2 cm. Documentation indicates subcutaneous. He is coding this as a benign excision and wants to report CPT code 11422. Can you tell me if this is correct? Answer: The correct CPT code to report is CPT code...

Botox and Image Guidance
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Botox and Image Guidance

July 9, 2020 Question: Code 64615 says bilateral for the injection of Botox for chronic migraine. Does that mean we can also bill 95873 twice? Answer: Although not explicitly stated in the name for 95873, CPT gives guidance in parentheses to only code one unit of any guidance code when billing 64515. So you would...

Billing for Vascular Access
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Billing for Vascular Access

July 9, 2020 Question: I’m new to vascular coding, can we bill for vascular access for a catheterization? The provider documents this, so I’m thinking I am missing a code. Answer: No, vascular access itself is not separately billable with a catheterization. However, the provider must document if access was obtained on the same side...

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Coding Coaches