ED Coding

Help on how to code ED

Is the ED VISIT coding only 99281 to 99285 when the Physician does perform procedures as well.

IE:Bilateral packing, wound dressing

Would 30901-50 or 97602 be coded in addition to E/M.

Thank you

ED Coding

"history of" coding question

I am trying to find, "History of coronary bypass surgery" and can't seem to find the code. The only code I can find is Z98.89. To me, this code is unacceptable. It is not explaining much at all. Can someone please guide me in the right direction? Thank you so much and good luck to all on this first day of ICD. 10 ! :)

"history of" coding question

Opening for Remote Radiology Coder

We are seeking a full-time, 40 hours per week, radiology coder to join our team. This position is completely remote and you will enjoy the same benefits offered to our on-site coders.

- Paid continued education
- PTO and sick time
- Competitive Hourly wages (not an independent contract position)
- Insurance (Medical, Dental, Vision, Life)
- FSA
- 401K


Job Description:

- Assign accurate ICD-10 and CPT codes to properly identify the procedures performed
- Excellent understanding of medical terminology and anatomy/physiology
- Interacts with coding supervisor regarding billing and documentation policies and procedures as needed
- Maintains strictest confidentiality
- Ability to meet designated deadlines and productivity standards
- Continued education to keep up with all the changes in this industry
- Detailed orientated


Job Requirements:

- Certification: AAPC, AHIMA or RCC
- A minimum of two years Radiology coding experience
- Intermediate computer proficiency
- Excellent communication skills


Email your resume to imoore@pbswest.com with a subject header of "Remote Coding Position."

Opening for Remote Radiology Coder

Subsequent Fracture Care

Chapter 19 in ICD10 indicates that A is used for the initial encounter for active treatment of the fracture. D is to be used for subsequent encounters examples are cast change or additional xrays. Trying to figure out when it changes from active treatment to routine care this is on page 25 of our new books. Any thoughts would be greatly appreciated.

Subsequent Fracture Care

Modifier GY

HAs anyone used this? I received an email and the way I took it was if it is a service Medicare will not cover, but the secondary may and we want it to crossover to the secondary use this modifier. Is that correct? Has it worked? I have never used this and I am not curious.

Dorthi

Modifier GY

Should we use -25, -59 or ????

:confused: I work for a pain management group and we've had the question of what modifier should be used when these codes are being billed together for same DOS........

99213 E/M level
96103 Psych test
36415 Venipuncture

Should we use -25, -59 or ????

Z51.89 PT/OT/ST aftercare codes

What is your understanding when it comes to using code Z51.89 for outpatient PT/OT/ST? I understand it to be unacceptable to use as a principal dx as it does not describe the currecnt illness or injury but it can be used along with a secondary dx. Is that correct?

Z51.89 PT/OT/ST aftercare codes

Strapping code 29540

I found an older post similar to this, but wondering if there might be new information or resources on this subject.
I am confused about what constitutes strapping and what doesn't. From what I've read, ACE wraps can be billed with the strapping code? (Even though the description indicates it's taping).

What about strapping with splinting? Everything I've found indicates you wouldn't do both. I have a group that states a consulting company told them whenever they billed for the splint, they should also billed the strapping code.

Can anyone shed any light on this, or have any reference material on this?

Strapping code 29540

Alpha Gal

Is there anyone on here that knows if there is a code for Alpha Gal in ICD-10?

Alpha Gal

EOP - Extended Outpatient Charges

Does anyone know of a billing code for EOP when billing for SA group therapy?

Thanks in advance!

EOP - Extended Outpatient Charges

open knee osteochondritis lesion fixation

Please help. I am looking for an open procedure code. He started with arthroscopy, but removed the scope and went open.

Incision was made anteromedially and carried down thru the subcutaneous tissues. Down from the capsule, and the lesion involving the medial femoral condyle was easily identified. The lesion was thoroughly probed and demarcated. It was hinged open leaving the lateral aspect of the cartilage intact. An extensive amount of time was spent debriding the lesion & the bony bed back to normal bleeding bone. Fibrous-type tissue was thoroughly removed. Once completed, the area was irrigated. all debris removed. the unstable lesion was reduced. It was then internally fixed with two Biomet SmartNails, placed at different angles and excellent fixation was obtained.

I was thinking 27355 and 27358 ? Please I need suggestions.
Thank you

open knee osteochondritis lesion fixation

Medicare-OV&Chest xray- Nursing Home

:eek:

Has anyone had success getting Medicare to cover the office visit and chest xray required for nursing home admission? Do we appeal with the nursing home's request for services? the diagnosis code we have always used was v70.3 for the visit and screening for tb for the chest xray. Any thoughts/suggestions would be greatly appreciated.

Thanks in advance! :D

Medicare-OV&Chest xray- Nursing Home

Any suggestions for ICD-!0 code

ICD-10 does not have a conversion to the below code. Any suggestions?
Cannot find crosswalk to this code anywhere, or any guidance as to how to denote the 37 weeks or more. We are currently recommending providers to code the medical issues/Symptoms.
Any help appreciated. Thank you

765.29
37 or more completed weeks of gestation

Any suggestions for ICD-!0 code

Help me please

procedures performed:
LHC
LV ANGIO
C. ANGIO
Selective bil renal angio
RT iliac angiography,
RT femoral angio with runoff
DISTAL Abdominal angio with runoff
Primary stenting of mid LC


Access site: Left femoral artery

After informed consent and sterile prep of both groins, the left femoral artery was cannulated with an initial stick and a 6 French sheath placed. Cardiac Cath was initially performed revealing high grade area of stenosis of the circumflex artery in its mid segment. The renal arteries were then selectively cannulated and showed no significant disease. The iliac bifurcation is very acute angle. A Glide wire Advantage wire was needed to cross into the right iliac system. Iliac angiography revealed a severe eccentric stenosis of the common femoral artery which is best seen in the LAO projection. Scattered areas of disease were noted in the SFA and a pressure gradient measurement revealed a pressure gradient is 20 mm across these lesions. Below-knee disease was as described above. The glide catheter was then exchanged for a 6 French pigtail catheter and the AI with runoff revealed high grade disease in the left SFA as above. It was decided to proceed with PCI of the circumflex artery and this was done using a 3.5 EBU guide and 0.14 Run through wire along with Integrity stent with good result. The patient will be referred to vascular surgery for femoral patch angioplasty as this would be his best treatment for the disease he has. Enrollment in a regular exercise program is planned. His left SFA disease is probably amenable PTA and this will be addressed at a later date. At the end of the procedure the left femoral sheath was sewn into place. No obvious complication occurred. The patient left the cardiac catheterization laboratory in stable condition.

Codes I came up with 93458-26, 36252-51, 92928-LC
Here is the confusion with the iliac system, that is not my strong area.
I get confused on cpt codes 36245,36246, and 36247
so after reading through my confusion I say 36247 75710-26

I thank you guys for helping me, I am the only one in my office, so I have no fellow co-workers to ask.

Help me please

Link DIAGNOSIS?

Hi,
I'm still confused when a patient has the following diagnosis of; HTN, DM, AND KIDNEY DISEASES such as; CRD, ESRD, etc.
My question??? if we AUTOMATICALLY LINK the Kidney Disease to HTN AND DM....OR the provider should states, 'DUE TO' or we have to QUERY the provider EVERYTIME?

Thank you

Link DIAGNOSIS?

Mechanical Complication of Pain Pump

Can anyone find a specific code for mechanical complication of a pain pump. The only code I can find is T85.610 for Breakdown (mechanical) of epidural and subdural infusion catheter. But it is not the catheter that is the issue, its the pump itself. I was thinking T85.618A Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts. I hate to use an unspecified code with so many new options. Thanks in advance! :)

Mechanical Complication of Pain Pump

Fee Schedule

Good morning,

We just hired an orthopedic surgeon. Do I base his fee schedule off of MCR and increase by a %? This is the way I set my family practice fee schedule. If so, should I use a higher % than I do for the FP?

Any help is greatly appreciated :)

Thanks
Denise

Fee Schedule

Post Polio ICD10

Can someone tell me what the difference is between B91 Sequelae of poliomyelitis and G14 Postpolio syndrome?

Post Polio ICD10