Category: Coding Coach

Takeback to OR
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Takeback to OR

May 19, 2022 Question: I had to take a patient back to the operating room 6 weeks after breast reduction to excise a small dehiscence and close the wound. Can I bill for this? Answer: Yes, you may bill for the service and you’ll need to use modifier 78 (return to the OR for a...

Billing code 36200 with EVAR
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Billing code 36200 with EVAR

May 19, 2022 Question: I’m confused about how to code the catheterization with the new EVAR codes. We still do a bilateral catheterization of the aorta. Can we code 36200 bilaterally? Answer: The new EVAR codes, updated and completely changed in 2018, bundle the aorta catheterization with the main body placement, so 36200, non-selective arterial...

Inpatient E/M Coding
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Inpatient E/M Coding

May 19, 2022 Question: I did an inpatient consultation and coded 99253 (non-Medicare). I did not need to follow the patient so I signed off. They asked me to re-consult a week later.  What is the code for a re-consult? Answer: There are no specific E/M codes for an inpatient re-consultation.  You’ll use the subsequent...

ER Visit Coding
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ER Visit Coding

May 5, 2022 Question: What code do use when our pain doctor sees a patient in the emergency department for a consultation at the request of the ED physician? Our pain doctor treated the patient and discharged the patient from the ED. Answer: Since the patient was not admitted your physician to the hospital you...

Grafts/Implants
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Grafts/Implants

May 5, 2022 Question: I know in years past from attending KZA/ AAOS workshops that the instructors taught that bone grafts (CPT code 20900 and 20902) were only reportable if the graft was harvested via a separate incision. Our surgeon recently did an arthroplasty procedure and harvested local bone to fill in bone voids. The...

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Coding Coaches