My doctor started a laparoscopic cholecystectomy that had to be converted to open due to significant adhesions. He documented both approaches and the laparoscopic approach took significant time before he had to convert to open. Can both be billed?
Category: CC-General Surgery
What reimbursement should we expect when using the global period modifiers 58, 79 and 78?
I took the General Surgery coding courses you taught in New York at The Cornell Club and believe you have already made a difference in how I code. I have a question. After I see a patient in the office and schedule an elective surgery, I prepare an H&P for this patient to be added to their chart upon admission for the planned elective surgery. A New Patient charge is generated at the office visit. Should there be an additional “new patient admission” charge generated at the time of their admission for the elective surgery, or is that considered part of the New Patient charge at the time of the office visit when the elective surgery was scheduled?
The doctor performed a right inguinal hernia repair followed by a left inguinal hernia repair six weeks later. I know a modifier will be needed on the second surgery but I'm unclear as to which one to use. Is this a staged procedure?
How do I bill for the Bravo placement? I’m coding an EGD with 43235 and the Bravo code, 91035 but getting denied.
I was called into the OR by a urologist who was doing a nephrectomy for a malignancy. He noted a lesion on the spleen I was called in to remove the spleen. Is this co-surgery or assistant surgery?
What is the reimbursement for co-surgery? Is it different for the primary and co-surgeon?
What is the reimbursement for an assistant surgeon using modifier 80? Is the payment different for the primary and the assistant?
Do I have to sign each of my NP’s notes that are reported incident to?
During a lumpectomy, if the results of an axillary lymph node excision and biopsy (38525) lead to an axillary lymphadenectomy (38745), are both codes reported in addition to 19301, the lumpectomy?