Category: General Surgery

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...

Laparoscopic or Open, How can you tell?
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Laparoscopic or Open, How can you tell?

February 6, 2020 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
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Coding for Non-Biological Mesh Placement

January 23, 2020 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...

Coding for ICG Imaging
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Coding for ICG Imaging

December 19, 2019 Question: Can you give guidance on CPT 15860 as it pertains to colorectal surgery? My surgeons have been using this code when they use the isocyanine green fluorescence imaging either with the robot (Firefly) or open (SpyPhi).  They are saying this code is relevant because they are assessing vascular flow in a...

Skin Biopsy Codes
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Skin Biopsy Codes

December 5, 2019 Question: What happened to the skin biopsy codes?  I submitted a claim for 11101 (skin biopsy) and +11101 (additional lesion) and it was denied for “invalid code.” Answer: CPT deleted CPT codes 11100 and +11101, effective 1/1/19, and replaced them with the follow six new codes: 11102 Tangential biopsy of skin (eg,...

Use of a Scribe
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Use of a Scribe

November 14, 2019 Question: We are hiring a scribe for the doctor because it will help improve his documentation.  Is there anything we need to know about how to document this? Answer: Yes, absolutely. This situation should be clearly delineated so a third party reviewer can identify the provider who performed the service, and the...

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