Category: General Surgery

Intraoperative ICG Dye Angiography
Post

Intraoperative ICG Dye Angiography

December 30, 2021 Question: Can we bill the 92242 for the indocyanine green injection intraoperatively, for example to assess perfusion after a colectomy or other abdominal procedure? Can we bill for the injection using 15860? Answer: No, this service is included in primary surgery and not separately reported. *This response is based on the best...

Billing Telehealth by Time
Post

Billing Telehealth by Time

December 2, 2021 Question: Can we bill telehealth visits by time alone? Answer: Telehealth visits can now be billed according to medical decision-making (MDM) or time, so yes, as long as the code indicates it can be a time-based service in the CPT (e.g. 99201-99215). Just make sure to document the exact number of minutes...

Waiving Medicare Cost-share for Telehealth Visits
Post

Waiving Medicare Cost-share for Telehealth Visits

November 11, 2021 Question: I heard that Medicare patients don’t have to pay their deductible or coinsurance if they have a telemedicine visit. Is this true? Answer: Medicare is not waiving deductibles or co-insurance. However, they are allowing providers to do so at their discretion without penalty for telemedicine visits. This means the provider will...

Wound Vac Billing
Post

Wound Vac Billing

October 14, 2021 Question: I’m a general surgeon. Some of my team are reporting the negative pressure wound therapy codes 97605 and 97606 when applying wound vacs after closing at the completion of their surgical cases. As a result, I am told by my coders that billing for these wound vacs is not appropriate, since...

Laparoscopic or Open, How Can You Tell?
Post

Laparoscopic or Open, How Can You Tell?

September 16, 2021 Question: If a code does not specify whether the procedure described is laparoscopic or open, is it acceptable to use it if the procedure was performed laparoscopically? Answer: No. Laparoscopic codes will always have the term “laparoscopic” in the code description. If there is no laparoscopic code for a procedure you performed...

Coding for Non-Biological Mesh Placement
Post

Coding for Non-Biological Mesh Placement

September 2, 2021 Question: How do I report placement of a mesh implant in the abdomen that is not a biological implant and not for an open incisional hernia? Answer: Placement of a non-biological implant in the abdomen is reported with code +0437T Implantation of non-biologic or synthetic implant (eg, polypropylene) for fascial reinforcement of...

  • 1
  • 2
  • 8
Sign up for KZAlertsSign up for KZAlerts

Coding Coaches