I did a carotid stent but was unable to deploy the embolic protection device. Carotid stent placement was successful with no complications. Since I attempted placement, can I still code 37215?
Category: <span>Coding Coach</span>
Our surgeon performed a bone marrow aspirate from the iliac crest when performing a spinal fusion. The surgeon gave me CPT code 38230, but I am wondering if this is correct. Can you illuminate this for me?
I did a direct laryngoscopy, bronchoscopy and esophagoscopy for tumor staging. Are all three codes billable?
I did a large wound closure of the perineum, buttock and testicles with 5 large separate local flaps (v-y, rotation/advancement and rhomboid). The total area of the defect was very large and required five local flaps for closure. I billed for the 5 flaps separately (14301-59 five times). Medicare paid once for 14031. How do I better bill this large repair to get paid?
Can I bill for programming (e.g., 95974, 95978) when the neurosurgeon dictates in the operative note that the system was “interrogated”?
I saw your Q&As on billing for weekend rounds – they were very helpful. What if my PA makes rounds on a patient, during the global period, that I operated on? The PA was not involved in the surgery and did not bill as an assistant for the procedure. So can my PA bill for weekend rounds? What if it is my neurosurgeon partner’s PA?
Is catheterization separately reported with placement of a carotid stent?
We reported CPT code 63047 with 22633 for a laminectomy, facetectomy, foraminotomy at the same level to Medicare. Both service were performed at L4-5 and well documented according to the CPT rules. We received a denial for CPT code 63047 as inclusive and have tried to appeal, but Medicare will not reverse the denial.
I would like to know the codes I can bill for neural monitoring during a thyroidectomy, mastoidectomy, and parotidectomy cases.
Is it ok to charge the tattooing if it is done before the nipple repair/reconstruction (19350)?