ED Coding and Reimbursement Alert
Check Place and State for Tumor Code
Question: The physician excised a 2.7-centimeter tumor on a 34-year-old male outpatient. How should I code this scenario, and are there any diagnosis codes that payers tend to look for when reviewing these claims? Michigan Subscriber Answer: It depends on the state of the tumor and in what anatomic site the tumor is located. For a benign tumor, you would report one of the following codes, depending on the tumor's location: If the tumor is malignant, though, you would report one of the following codes:
ED Coding and Reimbursement Alert
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CMS Offers No Breathing Room With ICD-9/HCPCS Transition
Elimination of grace period boxes you in to Oct.1 Set your calendars, practices: CMS isn't [...] - 6 Surefire Tips to Get Your Cerumen Removal Claims Paid
Why you'll get denied if you report 69210 more than once per episode With numerous [...] - Reader Question:
Coding Interpretation of X-Rays
Question: How should I report a scenario in which the physician did not take x-rays [...] - Reader Question:
Consider Added MDM for Young Patients
Question: A 9-month-old child with eyes swollen shut presents to the emergency department. The physician [...] - You Be the Coder:
What Counts as an Incision?
Question: The physician removed an embedded fish hook by cutting the barb with wire cutters [...] - News You Can Use:
Who Will Speak for Your Practice In the EMTALA Advisory Group?
CMS wants viewpoints from patient advocates, hospitals and physicians You could have a hand in [...] - Reader Question:
Check Place and State for Tumor Code
Question: The physician excised a 2.7-centimeter tumor on a 34-year-old male outpatient. How should I [...] - Reader Question:
Count Places, Not People, for ED Services
Question: How should I handle services rendered in the emergency department by non-emergency physicians, when [...] - Reader Question:
John Hancock Might Not Cut It for EKGs
Question: Our doctors are under the impression that since our electrocardiogram (EKG) machine generates a [...] - Reader Question:
Stick Your Neck Out for Correct ROS Choice
Question: Our doctors use the phrase "Neck is supple" all the time in their documentation. [...] - Reader Question:
Don't Let 2nd Service Wrap Into Global Care
Question: I received a denial from Medicare for a patient who had two hip dislocation [...] - Reader Question:
Report E/M Code for Ear Wick
Question: What is the correct code for an ear-wick insertion? Oklahoma Subscriber Answer: Ear-wick insertion [...]
