Category: Coding Coach

EXPAREL Use
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EXPAREL Use

August 6 , 2020 Question: What HCPCS codes can I report when the physician administers EXPAREL after the procedure in the office? I cannot find the code. Answer: Exparel is a nerve block and is sometimes used in the office as part of the surgical procedure and is included in the practice expense for the...

Billing for Lesion Intervention Crossing Territories
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Billing for Lesion Intervention Crossing Territories

August 6, 2020 Question: Our vascular surgeon documented a single intervention for a lesion that crosses the margin between the fem/pop and tibial/peritoneal territories. Should we bill one code or one for each territory? Answer: You would bill one code since a single intervention was performed. *This response is based on the best information available...

Significant Undermining of Free Flap Donor Site
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Significant Undermining of Free Flap Donor Site

August 6, 2020 Question: My doctor documents “significant undermining” to the free flap donor site (radial forearm) for an advancement flap. Can I also code an adjacent tissue transfer code such as 14060 for the closure? Answer: Actually, undermining is not considered an adjacent tissue transfer code (14xxx). CPT guidelines require a secondary defect to...

Sphenopalatine Ganglion Block
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Sphenopalatine Ganglion Block

August 6, 2020 Question: I cannot find a CPT code to report using a device to deliver medication through the nose when a sphenopalatine ganglion block is performed under fluoroscopic guidance for patients with migraine headaches. Can you provide me with the correct CPT code? Answer: There is no specific CPT code that accurately describes...

Spine Fracture Repair and Decompression
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Spine Fracture Repair and Decompression

August 6, 2020 Question: How do I code for repair of a C6-7 fracture/dislocation where I did a laminectomy for decompression to repair the fracture as well as an arthrodesis? Answer: You’ll use CPT 22326 (Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical) for the...

New Patient Visit
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New Patient Visit

July 23 , 2020 Question: Is this a new patient visit? I saw a new patient last week in the ED for a wound infection and reported my service with the ED code 99284. He came into the office today for a new patient office visit. I documented a detailed history and examination and prescribed...

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Coding Coaches