Author: The Coding Coach (Coding Coach)

Coding 23395 for Pectoralis Muscle Repair
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Coding 23395 for Pectoralis Muscle Repair

December 3, 2020 Question: Someone told us to bill 23395 for repairing the pectoralis muscle after removing breast implants. Here’s the common scenario: Removal of old bilateral breast implants with capsulectomies Repair of pectoralis muscle with re-attachment to chest wall Creation of pre-pectoral pocket with acellular dermal matrix Placement of bilateral breast implants for reconstruction...

Stent vs. Embolization or Both
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Stent vs. Embolization or Both

December 3, 2020 Question: If the surgeon uses a covered stent and performs an embolization on a patient with a pseudoaneurysm, can we bill for both the stent and removal of the embolus? Answer: If a covered stent is deployed as the sole management of an aneurysm, pseudoaneurysm or vascular extravasation, then the stent deployment...

Paring or Cutting
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Paring or Cutting

December 3, 2020 Question: I am new to Dermatology coding and need some help. The previous coder told me for CPT 11055 (paring or cutting) that if more than one is removed we bill the codes 11055 and 11056?  My physician removed 4 calluses by cutting and I billed CPT 11055 and 11056. The claim...

Removal of CP Angle Meningioma
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Removal of CP Angle Meningioma

December 3, 2020 Question: What’s the best way to code a retrosigmoid approach and removal of a meningioma at the cerebellopontine angle? Should I use 61519 or 61520? Answer: CPT 61520 (Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor) is more accurate since it better describes the location of the...

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