Category: General Surgery

Coding a Diverting Ileostomy with a Low Anterior Resection/Low Pelvic Anastomosis Partial Colectomy
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Coding a Diverting Ileostomy with a Low Anterior Resection/Low Pelvic Anastomosis Partial Colectomy

June 11, 2020 Question: Instead of a colostomy as described in the laparoscopic CPT codes 44208 or the open code, 44146, my doctor does a diverting ileostomy. We have been billing the primary codes 44145 or 44207 and adding the ileostomy code, 44187 if laparoscopic or 44310 if open. Is that correct? Answer: Partial colectomy...

Intraoperative ICG Dye Angiography
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Intraoperative ICG Dye Angiography

May 28, 2020 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 Post Op Visits
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Billing Telehealth Post Op Visits

April 30, 2020 Question: I am trying to find a resource that addresses telehealth billing in the post-operative period.  Is it possible to bill a post-op follow-up telehealth video visit that is reimbursable in the post-operative/global period? Answer: If you are seeing the patient within the global period of a surgery performed by one of...

Billing Telehealth by Time
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Billing Telehealth by Time

April 16, 2020 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 spent with...

Waiving Medicare Cost-share for Telehealth Visits
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Waiving Medicare Cost-share for Telehealth Visits

April 2, 2020 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
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Wound Vac Billing

March 5, 2020 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 there...

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