Anesthesia Coding Alert
Which V Code for Biliary Stent Removal?
Question: South Carolina Subscriber Answer: Another option: ICD-9 code V58.75 (Aftercare following surgery of the teeth, oral cavity and digestive system, NEC) is appropriate as well. The ICD-9 codes for disorders of the biliary tract (576.X) fall within the code range indicated for V58.75. Why V codes? All diagnosis codes are used to explain the purpose of an encounter with health services. The first part of the tabular list in ICD-9 (codes 001-999) covers diseases, injuries, and signs and symptoms. The key to using V codes is knowing when an illness exists and when the service is just the follow-up, staged removal of a device, or aftercare for a previous problem. You only code the patient's current diagnosis or the reason for the medical care, which sometimes means using a V code. -- Answers to You Be the Coder and Reader Questions were provided by Scott Groudine, MD, an Albany, N.Y., anesthesiologist; Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CHCO, owner of MJH Consulting in Denver; and Kelly Dennis, MBA, CPC, ACS-AP, with Perfect Office Solutions of Leesburg, Fla.
Anesthesia Coding Alert
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- Gear Up Your Math Skills to Code Anesthesia for Burns Correctly
For burn codes such as +01953, a little TBSA knowledge helps you code.CPT provides three [...] - Report Category III Codes to Boost Future Payment Chances
Be cautious coding intradiscal annuloplasty with 0062TYour natural instinct might be to leave Category III [...] - Pain Management Corner:
Equating Nerve Blocks & Nerve Destruction Causes Trouble
Carefully choose 64470 or 64626 based on MD's documentation.Facet joint injections are anything but a [...] - Bonus 64470-+64476 Tip:
Look for Modifiers on Bilateral Injection Claims
CPT codes 64470-+64476 describe unilateral procedures " the CPT parenthetical note acknowledges there are separate [...] - Reader Question:
Pay Attention to Method of Nerve Block
Question: How should I code a therapeutic nerve block of the femoral nerve when our [...] - Gear Up Your Math Skills to Code Anesthesia for Burns Correctly
For burn codes such as +01953, a little TBSA knowledge helps you code.CPT provides three [...] - Report Category III Codes to Boost Future Payment Chances
Be cautious coding intradiscal annuloplasty with 0062TYour natural instinct might be to leave Category III [...] - Pain Management Corner:
Equating Nerve Blocks & Nerve Destruction Causes Trouble
Carefully choose 64470 or 64626 based on MD's documentation.Facet joint injections are anything but a [...] - Bonus 64470-+64476 Tip:
Look for Modifiers on Bilateral Injection Claims
CPT codes 64470-+64476 describe unilateral procedures -- the CPT parenthetical note acknowledges there are separate and [...] - You Be the Coder:
Include Fluoroscopy for 62263-62264?
Question: Our physician performed peridural adhesiolysis with fluoroscopy, but the separately reported 77003 portion was [...] - Reader Questions:
Pay Attention to Method of Nerve Block
Question: How should I code a therapeutic nerve block of the femoral nerve when our [...] - Reader Questions:
93315 Not Included in Basic Anesthesia
Question: Is transesophageal echocardiography (93315) included in basic anesthesia administration services covered in 00100 and [...] - Reader Questions:
Which V Code for Biliary Stent Removal?
Question: What diagnosis code would be appropriate for the removal of a biliary stent, with [...]
