mercredi 22 juillet 2015

Foreign body removal, no incision, modifier 52?

Hello! This is my first post :)

I have a question regarding 10120 foreign body removal. I am aware that the description of this code includes an incision. My practice has told me that I can code 10120 with a modifier 52 when no incision is made, but there is a foreign body removal. Could someone clarify the use of modifier 52 and if this is appropriate in this situation? Here is the documentation that I'm questioning:

"Left foot: hardened skin with black center. Started washing foot with sure cleanse and gauze; black center washed out and it was a splinter, patient tolerated well."

Thanks in advance.


Foreign body removal, no incision, modifier 52?

Modifier 25 w/ 59?

i am billin 99222 w/ a bronch 31624 for inpatient. Does 99222 need modifier 25 ad 31624 need modifier 59?


Modifier 25 w/ 59?

DRG 927, are there guidelines?

Are there any guidelines or global period for billing DRG 927?
Scenerio:
Patient is admitted to the Hospital A's burn unit for 7 days, transferred to another Hospital B for surgery and is there for 3 days, then is transferred back to Hospital A's burn unit for 43 days. Hospital A billed DRG 927 both times, is this allowed?

Thank you.


DRG 927, are there guidelines?

RN, CPC-A seeks entry level opportunities in the DFW area

Hello all! :)

I posted this in my local chapter forum but wanted to post here as well. I am seeking entry level opportunities or externships for medical coding. I passed my exam and am now a CPC-A with a background in nursing. I'm interested in getting my foot in the door with coding. If you know of any positions that are looking for externs or entry level coders, please reply here or through private message. I have an updated resume available along with a Linkedin account. Thank you so much!

Sincerely,
Radha Parikh, RN, CPC-A


RN, CPC-A seeks entry level opportunities in the DFW area

99420 Health Assessment

Hi. Our practice just started billing for the 99420 using a dx code of V79.0 (screening for depression) when a patient completes the depression screening questionnaire. It's an automated coding/billing process and happens even when the patient already has an established depression dx. Any thoughts on this? This is brand new to me and so far all insurances are denying as included in the EM service, which I expected, but nevertheless, it being new to me, I'd love some feedback on it from others who are billing for this service. Thanks!


99420 Health Assessment

Modifier 52 or 53

I have a 2 part question.
Do I use modifier 52 or 53? Do I report CPT 31296 without 50 modifier & then report CPT 31296 again with modifier 52 or 53?
Op note reads as follows:
Doctor preformed CPT 31296 of right side with no problems. The op note sates that attention was turned to the left side there was an unclear path to the frontal sinus. I attempted cannulation, but the patient experienced pain. I therefore elected to stop any further cannulation.
Thank you in advance.


Modifier 52 or 53

Vascular coding - help!

I would appreciate input on how this should be coded:

Operation performed:
1. Exploration of right common femoral artery and preparation for arterial cannulation.
2. Placement of 20-french cardiopulmonary bypass arerial cannula in right iliofemoral segment through the right
common femoral exposed common femoral artery.
3. Removal of right common femoral 20-french arterial cannula and repair of right common femoral arteriotomy.
4. Repair of ascending aortic arch dissection.

There are cosurgeons in this case. One surgeon did the repair of the ascending aortic arch dissection and I used code
cpt 33860.
The rest of the procedures were done by the other surgeon ( 1-3 above)

i appreciate your help.


Vascular coding - help!