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Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?

Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?

September 17, 2020 A previous version of this coding coach was incorrect; to view a correct version of that question, please click here. Question: I work with a pain management…
Diagnosis Code Help

Diagnosis Code Help

September 17 , 2020 Question: What diagnosis code should I use for malignant melanoma of the left cheek? Answer: You should report C43.39. Since there is not a specific code…
New 2021 E/M Coding Guidelines

New 2021 E/M Coding Guidelines

September 17, 2020 Question: I just signed up for your 2021 E/M webinar – I’m so excited!   Will these changes apply to inpatient codes too? Answer: Great – I look…
Abdominal Fat Pad Core Biopsy

Abdominal Fat Pad Core Biopsy

September 17, 2020 Question: We did an abdominal fat pad biopsy for primary cutaneous Amyloidosis. Would 49180 or 11104 be the appropriate code for this? Answer: 49180 is for a…
Overreading a Diagnostic Imaging Study

Overreading a Diagnostic Imaging Study

September 17, 2020 Question: I sent a patient out to the hospital for a CTA and the patient brought in the actual images and the radiologist’s report for me to…
Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?

Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?

September 17, 2020 Question: I work with a plastic surgeon and we don’t see many Medicare patients. The plastic surgeon believes the revised 2021 E/M guidelines will not impact our…
Generic Hyaluronic Acid Derivatives

Generic Hyaluronic Acid Derivatives

September 17, 2020 Question: Our physicians are looking at purchasing generic Hyaluronan instead of purchasing the name brand Orthovisc or MonoVisc for example. In doing research, I am not finding…
Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?

Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?

September 17, 2020 Question: I work with an ENT and we don’t see many Medicare patients. The ENT believes the revised 2021 E/M guidelines will not impact our office practice…
Overreading a Diagnostic Imaging Study

Overreading a Diagnostic Imaging Study

September 3, 2020 Question: I sent a patient out to the hospital for a CT scan and the patient brought in the actual images and the radiologist’s report for me…
Trigger Finger Injection

Trigger Finger Injection

September 3, 2020 Question: Which CPT code is used 20550 or 20551 for a trigger finger /A1 pulley injection? Answer: CPT code 20550 defines an injection to a single tendon…
Evaluation and Management Codes 2021 - Do I Have to Use the Revised Guidelines?

Evaluation and Management Codes 2021 - Do I Have to Use the Revised Guidelines?

September 3, 2020 Question: I work with a neurosurgeon and we don’t see many Medicare patients. The neurosurgeon believes the revised 2021 E/M guidelines will not impact our office practice…
Coding a Hand Assisted Laparoscopy

Coding a Hand Assisted Laparoscopy

September 3, 2020 Question: The surgeon described the procedure as a ‘hand assisted laparoscopy”  He brought part of the bowel outside of the body for evaluation.  Does this convert the…
Transforaminal Injection

Transforaminal Injection

September 3, 2020 Question: I am new to pain management coding and have a question. What is the correct way to bill for a transforaminal injection of L3-L4 and L4-5?…
2021 EM Guidelines: Only for Medicare?

2021 EM Guidelines: Only for Medicare?

September 3, 2020 Question: I work with a surgeon and we see just a few Medicare patients. The surgeon believes the revised 2021 E/M guidelines will not impact our office…
Tissue Expander Exchange with Breast Reconstruction Revision

Tissue Expander Exchange with Breast Reconstruction Revision

September 3, 2020 Question: At the time of the second stage tissue expander exchange, my plastic surgeon wants to bill 19380 for either liposuction, removing excess scar tissue, removing redundant…
Actinic Keratoses

Actinic Keratoses

September 3 , 2020 Question: When using liquid nitrogen to for irritated actinic keratoses what CPT codes should I use? I have been using 17110 and my coder told me…
SI Joint Injection Help

SI Joint Injection Help

August 20, 2020 Question: My physician performed an SI joint injection in the ASC under ultrasound guidance and wants to bill 27096 and 76942. Is this correct? The description of…
DIEP Flap – Co-surgeon or Assistant Surgeon

DIEP Flap – Co-surgeon or Assistant Surgeon

August 20, 2020 Question: My Plastic Surgeon is asking about breast reconstruction coding. We use either S2068 and or 19364 depending on the payor. Will these codes allow a co-surgeon…
Laceration and Fracture Repair

Laceration and Fracture Repair

August 20, 2020 Question: My physician is utilizing an open laceration on the patient’s chin for open reduction of a mandibular symphysis fracture and he wants to also charge for…
Stent and Embolization Coil Used In Same Session

Stent and Embolization Coil Used In Same Session

August 20, 2020 Question: The surgeon used a stent and then inserted an embolization coil for an aneurysm. Are both billable? Answer: If the stent is placed to provide a…
Excision and Cryotherapy Same Day

Excision and Cryotherapy Same Day

August 20 , 2020 Question: My physician performed a lesion excision on the scalp which measured 0.8 cm and performed cryosurgery on the neck and destroyed 2 lesions. The lesion…
2021 EM Guidelines: Only for Medicare? 

2021 EM Guidelines: Only for Medicare? 

August 20, 2020 Question: I work with a surgeon and we see just a few Medicare patients. The surgeon believes the revised 2021 E/M guidelines will not impact our office…
VP Shunt Re-programming During a Global Period

VP Shunt Re-programming During a Global Period

August 20, 2020 Question: What if we have to re-program a VP shunt during the global period because the settings need to be adjusted – can we bill for it…
EXPAREL Use

EXPAREL Use

August 6 , 2020 Question: What HCPCS codes can I report when the physician administers EXPAREL after the procedure in the office? I cannot find the code. Answer: Exparel is…
Hartmann or Partial Colectomy

Hartmann or Partial Colectomy

August 6, 2020 Question: My surgeon performed all the components of a Hartmann procedure 44143 but did not create a colostomy. Can we use 44143 with a -52 modifier? Answer:…
Billing for Lesion Intervention Crossing Territories

Billing for Lesion Intervention Crossing Territories

August 6, 2020 Question: Our vascular surgeon documented a single intervention for a lesion that crosses the margin between the fem/pop and tibial/peritoneal territories. Should we bill one code or…
Significant Undermining of Free Flap Donor Site

Significant Undermining of Free Flap Donor Site

August 6, 2020 Question: My doctor documents “significant undermining” to the free flap donor site (radial forearm) for an advancement flap. Can I also code an adjacent tissue transfer code…
Sphenopalatine Ganglion Block

Sphenopalatine Ganglion Block

August 6, 2020 Question: I cannot find a CPT code to report using a device to deliver medication through the nose when a sphenopalatine ganglion block is performed under fluoroscopic…
Spine Fracture Repair and Decompression

Spine Fracture Repair and Decompression

August 6, 2020 Question: How do I code for repair of a C6-7 fracture/dislocation where I did a laminectomy for decompression to repair the fracture as well as an arthrodesis?…
Chondroplasty after a Total Knee Arthroplasty

Chondroplasty after a Total Knee Arthroplasty

August 6, 2020 Question: I am new in orthopaedics and am reviewing an operative note. The patient had a total knee arthroplasty five years prior to this surgery. The patient…
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