Category: Coding Coach

Coding for REBOA
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Coding for REBOA

September 5, 2019 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...

Neurostimulators
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Neurostimulators

September 5, 2019 Question: Can we bill implantation of a trial neurostimulator (63650) with CPT code 95970 for the electronic analysis at the same time? Answer: Per CPT guidelines in 2019, Electronic analysis (95970) at the time of implantation is not separately reported. In addition, test stimulation to confirm correct target site placement of the...

Multiple Laminectomies to Place a Spinal Cord Stimulator
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Multiple Laminectomies to Place a Spinal Cord Stimulator

September 5, 2019 Question: I billed 63655 (Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural) twice because I did laminectomies at T9, T10 and T11. I billed 63655 and 63655-59 but only 63655 was paid. Can you help me appeal? Answer: Actually, no we can’t help. CPT 63655 includes any number of levels of laminectomies...

Coding Debridement with Grafts
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Coding Debridement with Grafts

September 5, 2019 Question: When can I report a debridement in addition to a graft?  I performed a simple debridement with a full thickness graft of the trunk and reported 15200 and coded also for the debridement, but my coder told me I could not report the debridement.  When can I report debridement separately? Answer:...

Incident-To Billing
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Incident-To Billing

September 5, 2019 Question: Our physicians have instructed us to bill under a physician’s NPI number for all Advanced Practitioners (PA’s and NPs) for all patients for Medicare as we follow incident-to billing. We have been submitting claims for all new and established patient visits regardless of whether there is a physician in the office....

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Coding Coaches