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Ob-Gyn Coding Alert
Ob-Gyn Coding Alert
Ob Gyn Coding Alert - 2002; Volume 5, Number 12
Dig Up Reimbursement for Lesion Removal
" Because gynecological lesions can appear on several different female genital organs, ...
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CNM Services:
Four Elements Determine When to Bill Medicare Incident-To
With the HHS Office of Inspector General scrutinizing "incident-to" billing, ob-gyn pr...
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More Codes Mean More Options for Reporting Colposcopies in 2003
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic ProceduresCPT 2003's new...
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Beware of Unbundling When Reporting Hysteroscopies
" From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures Although coding...
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What Is Colposcopy?
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures With a clear under...
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Know the Codes for Hysteroscopy
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures Being ...
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When Lap Procedures Become Open,Modifiers Can Help
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures When t...
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Get Paid for Pessary Insertion, But Leave Supply to Patient
You can avoid the pessary pitfalls of low reimbursement and uncertain coding by wr...
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Correction:
Correction:
The February 2002 Ob-Gyn Coding Alert reader question "Coding Ultrasounds" ...
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Reader Questions:
Not All Laparoscopic Hysterectomies Are the Same
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures Question: How ...
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Reader Questions:
Laparoscopic Lysis of Adhesions
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures ...
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Reader Questions:
Payers Rarely Reimburse LUNA Procedures
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures Question: My p...
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Reader Questions:
Avoid Unbundling When Billing for Ovarian Drilling
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures ...
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Reader Questions:
Use Modifier -59 to Code Colposcopy and Biopsy
Question: Should I bill for a colposcopy using 57452* (Colposcopy [vaginoscopy]; [sepa...
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Reader Questions:
LAVH and Excision of Implants Cause Coding Headaches
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Procedures Question: The ph...
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Reader Questions:
Coding for Preoperative Visits
Question: In the July 2002 issue, you state that the pre-op visit is included in the...
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Reader Questions:
History of Uterine Cancer
Question: We see a patient every six months for a history of uterine cancer. We do not...
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Reader Questions:
Ectopic Pregnancy
Question: The ob-gyn treated an ectopic pregnancy, which I coded as 59120-RT (Sur...
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Reader Questions:
Labial Reduction
Question: We have two patients who would like labial reduction because of discomfort. ...
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Reader Questions:
Laparoscopy With Ovarian Cystectomy
From the Ob-Gyn Coding Alert Extra Supplement on Endoscopic Proc...
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You Be the Coder:
Coding Multiple Procedures
Test your coding knowledge. Determine how you would code this situation before looki...
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Ob Gyn Coding Alert - 2002; Volume 5, Number 11
Get Ready for CPT 2003:
New Codes and Revisions Affect Ultrasounds and Other Procedures for Ob-Gyns
CPT 2003 includes many changes for ob-gyn coders, but these have been long-awaited...
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CPT 2003 Alters Surgical Coding, Including Skin Lesion Removal
CPT 2003, which goes into effect Jan. 1, 2003, offers several changes to surgical ...
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CCI 8.3 Adds Injection Codes to Comprehensive Surgical Codes
Correct Coding Initiative (CCI) version 8.3 makes an across-the-board change, bundling 1...
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READER QUESTION:
Ob Epidurals
Question: Our ob/gyn performs his own epidurals for deliveries. How should I code ...
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READER QUESTION:
DEXA Scan and Consultation
Question: Can a physician report a dual-energy x-ray absorptiometry (DEXA) scan and a ...
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You Be the Coder:
Cystectomy Via Laparoscopy
Test your coding knowledge. Determine how you would code this situation before looking...
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Ob Gyn Coding Alert - 2002; Volume 5, Number 10
Get Paid for Services Related to Post-Cesarean Delivery Complications
Although any complications that arise during the global period for postpartum care mus...
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Diagnoses Key to Successfully Coding Concurrent Care
Ob/gyns who bill inpatient hospital visits as concurrent care should emphasize the con...
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Ob/Gyns Can Bill Concurrent Care When Patients Are in ICU
When a patient is in the intensive care unit (ICU), the ob/gyn can still report concurre...
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Checklist for Consultation Versus Referral
There is always confusion regarding consultations versus referrals. Jean Ryan-Niemackl, ...
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Counseling and Coordination of Care:
Counseling and Coordination of Care:
Get the Payment You Deserve for Extra Time Spent With Patients Tracking patient couns...
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Correction
The reader question about attempted cephalic version that appeared in the September 2002...
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Statement of Ownership, Management, and Circulation
...
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Reader Question:
Vulvoplasty
Question: Is there a CPT code for vulvoplasty or labial reduction? The diagnosis is enla...
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Reader Question:
Midwife Care
Question: Our practice's midwife went to the hospital to see an ob patient who had not...
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Reader Question:
Delivery in ED
Question: Our ob patient presented to the hospital, and the nurse delivered the baby wit...
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Reader Question:
Billing for Lab Services
Question: We bill for services on behalf of the lab we use, in addition to our professio...
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You Be the Coder:
Transvaginal Ultrasound
Test your coding knowledge. Determine how you would code this situation before looking a...
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Ob Gyn Coding Alert - 2002; Volume 5, Number 9
ICD-9-CM Changes Make It Easier to Prove Medical Necessity
It's time to revise your patient encounter forms to reflect the upcoming ICD-9 cha...
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Ob-Gyn Codes at a Glance
...
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Clarify Use for Modifiers -51, -58, -59 and -79
" Ob/gyns often perform more than one service or procedure on the same day or during ...
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Coding News Brief:
Menopause Home Test Approved; Docs Can Also Bill
The FDA has recently approved the use of a menopause home test. It is the first in...
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Reader Question:
Colposcopy and New Patient Visit
Question: When a colposcopy is performed at the same time as a new patient visit, ...
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Reader Question:
Attempted External Cephalic Version
Question: How should I code for an attempted (failed) external cephalic version? Doe...
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Reader Question:
E-String Insertion
Question: How should I code for insertion of an E-string? South Carolina Subscriber...
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Reader Question:
Repair for Cystocele
Question: My physician performed a laparoscopic paravaginal repair for cystocele. He...
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You Be the Coder:
Rhogam Injection With Hirsutism
Test your coding knowledge. Determine how you would code this situatio...
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Ob Gyn Coding Alert - 2002; Volume 5, Number 8
Dont Stress When Coding Urinary Incontinence Surgical Procedures
The optimal surgical approach to treatment of stress urinary incontinence (S...
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SUICodes at a Glance
The following chart illustrates other surgical procedures used to treat stress incon...
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CCI Analysis:
8.2 Has Some Changes for Ob/Gyns
New Correct Coding Initiative edits are in effect but the good news is that t...
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Add a New Dimension to Ultrasound Coding
The latest in ultrasound technology 3-D ultrasound is being used to further augm...
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News Brief:
E/M Documentation Guidelines to Be Discarded?
Recently, the AMA announced on its Web site that on May 16, Health and Human Ser...
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Supreme Court Supports Second Healthcare Opinions
About half of Americans with private health insurance have a right to a second o...
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Reader Question:
Incomplete Abortion
Question: A patient had a termination of pregnancy, and then six hours later u...
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Reader Question:
Fetal Pulse Oximetry
Question: If the attending physician performs a fetal pulse oximetry in the hospit...
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Reader Question:
Hysteroscopy
Question: We have a new physician in the practice who wants to start doing hystero...
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Reader Question:
Medical Necessity
Question: Can I bill for all of the following procedures? Laparoscopy with sal...
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Reader Question:
Fractional D&C
Question: The physician performed a fractional D&C and removed three polyps....
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Reader Question:
Epidural
Question: An ob/gyn performed the epidural before delivery because the anesthesiol...
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You Be the Coder:
Admit and Discharge
Test your coding knowledge. Determine how you would code this situation before looki...
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Ob Gyn Coding Alert - 2002; Volume 5, Number 7
Take the Guesswork out of Coding Global Ob Care Packages
The global ob package heads the list of the most frequently billed services in most ob...
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Top-Ten Coding Tips for Ob/Gyn
Ob/gyn coders: There are rules for correct coding and optimal reimbursement that you...
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Size Matters When Coding for Multiple Lesion Removal
Very often, when ob/gyns remove vulvar lesions or warts from a patient, more than one ...
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Reader Question:
Consultation Coding
Question: My physician was called to the operating room to consult on a patient. He to...
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Reader Question:
E/M Levels for Ob
Question: If we bill ob visits separately instead of globally, at what level should th...
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Reader Question:
Informed Consent for Ultrasounds
Question: We do a lot of ultrasounds on non-ob patients when the diagnosis is pelvic p...
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Reader Question:
Cephalic Versions
Question: My physician did a successful external cephalic version on a patient who is ...
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Reader Question:
H.E.L.L.P.and Hospital Transfer
Question: Our patient arrived at Hospital A to deliver her baby, but complications fro...
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Reader Question:
Laparoscopic Lysis
Question: How should I code a laparoscopic lysis of adhesions, a laparotomy with cyste...
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You Be the Coder:
Preoperative Visits
Test your coding knowledge. Determine how you would code this situation before looking a...
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Ob Gyn Coding Alert - 2002; Volume 5, Number 6
Beyond the Basics:
How to Code for Non-Pap and Pelvic Medicare Screening Benefits
Ob/gyn coders frequently discuss the challenges of coding for Medicare screening Pap...
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PFSH:
How Past History Impacts Present Care and Coding
Past, family and/or social history (PFSH) is perhaps more relevant to ob/gyn than an...
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Reader Question:
Cystic Fibrosis Testing
Question: I have heard that the American College of Obstetricians and Gynecologists (A...
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Reader Question:
Prior C-section
Question: If the patient has had a previous cesarean, are regular ob visits coded with...
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Reader Question:
ASCUS Pap
Question: What are the correct ICD-9 codes for 1) atypical squamous cells of undetermi...
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Reader Question:
Surgical Trays
Question: Does Medicare pay for gynecological surgery trays? Where can I find the late...
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You Be the Coder:
Unrelated Complaint
Test your coding knowledge. Determine how you would code this situation before looking a...
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Ob Gyn Coding Alert - 2002; Volume 5, Number 5
Condition-specific Coding Is Vital When You Are Billing for Ultrasounds
Ob/gyn patients undergo ultrasounds for a number of reasons. A physician likely will p...
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ABCs of Biopsies A Diagnostic Coding Primer
Latest Question on CPT Code 58100 for Endometrial Biopsy from Codify's Ask a...
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CMS Clarifies Diagnostic Coding for Q0091
A spate of recent publications that discuss coding for Medicare's G0101 (Cervical or v...
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CCI Brief:
No Changes of Note for Ob/Gyns
CCI 8.1, the latest version of CMS' Correct Coding Initiative, went into effect on Apr...
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Reader Question:
Postsurgical Rupture
Question: How should I code for the repair of a ruptured abdominal wound (in the post-op...
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Reader Question:
Uro-gyno Surgery
Question: How should I code for a total vaginal hysterectomy with bilateral salpingo-o...
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Reader Question:
Fetal Lung Maturity
Question: If a patient is reporting for an amniocentesis to check fetal lung maturity an...
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Reader Question:
Medicare ABN
Question: Where can I find a concise version of a Medicare ABN form? Should we always ...
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You Be the Coder:
Hormone Refills
Test your coding knowledge. Determine how you would code this situation before looking...
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Ob Gyn Coding Alert - 2002; Volume 5, Number 4
Diagnosis Codes and Modifiers Facilitate Billing for Anatomical Anomalies
Ob/gyns occasionally encounter anatomical irregularities that render a patient in...
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Managed Abortion:
Inducement and Complications Can Determine Proper Coding
Ob-gyn coders often report pregnancies that do not carry to term. Specific procedural...
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Correction:
Cord Blood Collection Code
Cord Blood, appearing in Ob-Gyn Coding Alert December 2001, suggests that there is no code...
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Reader Question:
Omental Biopsy
Question: Can I code separately for an omental biopsy when a bilateral salpingo-oophorecto...
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Reader Question:
Modifier -GY
Question: How should new modifier -GY and modifier -GX be used? Michigan Subscriber Answe...
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Reader Question:
Diabetic Mother
Question: My physician performed the delivery only on a high-risk diabetic patient. Should...
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Reader Question:
E/M and Decision for Surgery
Question: A patient reported to the office with a positive pregnancy test and pain and ble...
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Reader Question:
Rhogam Injections
Question: How should we code Rhogam injections?California Subscriber Answer: It d...
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Reader Question:
Billing Multiple Procedures
Question: Can I bill for all of the following procedures together: laparoscopy with salpin...
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Reader Question:
G0101 and Q0091
Question: We charge a set fee for preventive care for every patient, then bill G0101 and...
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Reader Question:
LSO and Arterial Pumper
Question: How should I code laparoscopic left salpingo-oophorectomy (LSO) with ligation of...
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You Be the Coder:
Epidural Codes
Test your coding knowledge. Determine how you would code this situation before l...
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Ob Gyn Coding Alert - 2002; Volume 5, Number 3
Coding for Urogynecological Surgeries Demands Precise CPT Terminology, Documentation
" Urogynecological procedures are performed often in response to complications following ...
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Identifying Procedural Approach Key to Coding Breast Biopsies
Although CPT 2002 introduced specific new codes for fine needle aspiration (FNA), thos...
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News Brief:
President Gives Carriers Extra Year to Comply with HIPAA
Those private carriers that do not recognize CPT, HCPCS or ICD-9 codes will have an extr...
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Reader Question:
Labial Reduction
Question: A 15-year-old patient was diagnosed with clitoromegaly and labial enlargement. A...
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Reader Question:
Intravenous Anesthesia
Question: How should we code for intravenous use of Valium, Lidocaine and Demerol? &n...
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Reader Question:
Non-Medicare Pap Smears
Question: How should I code Pap smears for non-Medicare patients? New Jersey Subscriber &...
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Reader Question:
Medicares High-Risk Categories
Question: Please explain more about coding for Medicare's high-risk categories for scree...
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Reader Question:
Therapeutic Abortion
Question: How should I code a therapeutic abortion for lethal fetal anomalies induce...
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Reader Question:
Loop Procedure
Question: One of our doctors performed a loop electrode excision procedure (LEEP) to rem...
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Reader Question:
External Cephalic Version
Question: My physician performed a successful external cephalic version on a patient who i...
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Reader Question:
Postpartum Repair
Question: A patient was taken to the operating room postdelivery to repair a vaginal sul...
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You Be the Coder:
Bundling Riddle
Test your coding knowledge. Determine how you would code this situation before loo...
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Ob Gyn Coding Alert - 2002; Volume 5, Number 2
Coding for Tubal Ligation and Reversal Tied to Delivery Method, Need for Uterine Implant
Ob/gyn surgeons perform a tubal ligation at the patient's request when she no longer wishe...
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Code for Incident to Ob/gyn Nonphysician Practitioners
The "incident to" rule for nonphysician practitioners (NPPs) can prove challenging to co...
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CCI 8.0:
Bundling Decisions Behind Latest Ob/gyn Edits
Ob/gyn practices will find no surprises or serious reimbursement implications amo...
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Reader Question:
Coding Ultrasounds
Question: We have been using 58340 and 76831 to report sonohysterogram/saline infusion u...
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Reader Question:
Terminated Pregnancy
Question: The patient had a dilation and evacuation (D&E) for an anencephalic fetus at...
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Reader Question:
TAH with Ovarian Cyst
Question: The physician removed a hemorrhagic ovarian cyst during a total abdominal hyster...
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Reader Question:
Fifth-Digit Coding
Question: ICD-9 lists 0 as one of the digits that can be appended to codes related to preg...
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Reader Question:
Attempted Cannulation
Question: The physician performed a diagnostic laparoscopy with chromotubation and a hys...
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Reader Question:
On-Call Physician
Question: Our patients have learned that if they call the on-call physician over the weeke...
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Reader Question:
Admit and C-Section
Question: The patient was admitted to the hospital and had a cesarean section on the same ...
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You Be the Coder:
Bundling Issues
Test your coding knowledge. Determine how you would code this situation before l...
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Ob Gyn Coding Alert - 2002; Volume 5, Number 1
Global Surgical Package Is Spelled Out in New Language by AMA/CPT
In a move to explain what is and isnt included in the global surgical package, CPT 2002 in...
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Difficult Deliveries:
Boosting Reimbursement Does Not Have To Be Complicated
During delivery, or when a patient delivers prematurely, a number of complications can a...
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New J Codes for Contraception Will Change Billing
HCPCS has released two new J codes for contraceptive drugs that will change the way these ...
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News Brief:
ACOG Sets Guidelines for Pregnant Women Exposed to Anthrax
In light of recent anthrax scares, ACOG (the American College of Obstetricians and Gynecol...
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Reader Question:
Ruptured Membranes With TAH
Question: The patient was 23 weeks pregnant with premature rupture of the membranes. She w...
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Reader Question:
Infertility or Well Woman?
Question: A new patient scheduled a well-woman visit, and as the reason for the visit she ...
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Reader Question:
Holiday Reimbursement
Question: Do carriers ever reimburse for the holiday, after-hours codes in addition to the...
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Reader Question:
Unrelated E/M Service
Question: What is the best diagnosis code to use when the gyn-oncologist sees a patient du...
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Reader Question:
Paracentesis
Question: We have a gynecological oncologist on staff who does paracentesis in the office....
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Reader Question:
Preventive Service
Question: We had a new patient scheduled for a well-woman exam, and she arrived at the off...
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You Be the Coder:
Sonograms with Office Visit
Test your coding knowledge. Determine how you would code this situation before loo...
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Available Years:
2002
2001
2000
1999
1998