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Ob-Gyn Coding Alert
Ob-Gyn Coding Alert
Ob Gyn Coding Alert - 2006; Volume 9, Number 12
Deliver Your Delivery Coding From Claim Mishaps With This Expert Advice
Know what to do when ob-gyn performs c-section for twinsCoding deliveries isn't as easy as...
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NCCI 12.3 Update:
Stay Ahead by Learning Critical Care Edits Now
Find out whether this edit will allow a modifier If you need to report an emergency depar...
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3 Tips Help You Choose Between 99213 and 99214
Never assume certain ob-gyn diagnoses merit high-level E/Ms Your ob-gyn practice is more ...
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LEEP Clarification
We have received comments from several readers about the answer to the Reader Question in ...
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Cutting Edge:
Prepare to Use 82270 Only for Screening FOBTs
Here's why you should avoid reporting 82270 x 3 Medicare released a memo recently that pr...
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Reader Question ~ Apply Counseling, Antepartum Visit Advice
Question: If a patient comes in for an antepartum visit and the provider documents that he...
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Reader Question ~ Possible to Code Post-Op for Hysteroscopy
Question: When a procedure has zero global days (for example, 58558) and we schedule a pos...
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Reader Question ~ Review Postpartum Exam
Question: When we report global ob care, it includes a -postpartum exam.- What is the defi...
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You Be the Coder ~ Broken Toes Don't Mean Pregnancy Complications
Question: My ob-gyn saw a pregnant patient who broke her toe. What diagnosis should I use?...
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Ob Gyn Coding Alert - 2006; Volume 9, Number 11
ICD-9 2007 Update:
Change the Way You Report Pregnancy Complications Now
Oct. 1 is the starting line for new codes--are you ready?The largest update to the ICD-9 c...
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ICD-9 2007 Update:
Learn New Symptom, Testing Diagnoses at Your Disposal
Get ready for 20 new V codes you need to knowIf you forgo learning new codes for urinary s...
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Coding Quiz:
How Much Do You Know About ABNs?
Learn how to use modifiers GA, GY, and GZYou use advance beneficiary notices (ABNs) to let...
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READER QUESTIONS:
Count Oocytes for 89280-89281
Question: Codes 89280 and 89281 don't have a National Correct Coding Initiative (NCCI) edi...
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READER QUESTIONS:
Check Hx of Preterm Labor Against These Dx
Question: I am looking for the correct diagnosis for a pregnant patient who has a history ...
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READER QUESTIONS:
Know How to Code Novasure Procedures
"Question: What is the CPT code for a hysteroscope and Novasure endometrial ablation? Our ...
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READER QUESTIONS:
Base Dx on Path Findings
Question: What diagnosis code should I use for a colpopexy and endometrial biopsy based on...
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READER QUESTIONS:
Avoid 99211 With 90772 at All Costs
Question: If a patient pays for her medicine and goes to the clinic for the nurse to give ...
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You Be the Coder:
Check Status Of Twins After NSVD at 18 Weeks
Question: The patient delivered twin A by normal spontaneous vaginal delivery (NSVD) at 18...
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Ob Gyn Coding Alert - 2006; Volume 9, Number 10
Pick the Perfect Preventive Medicine Counseling Code Every Time--Here's How
Tip: Dont use 99401-99404 if the patient is illIf you-re not reporting preventive me...
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Dodge Modifier 59 Payment Hassles With These 2 Tips
Here's how to avoid putting this modifier on the incorrect code Although you may ...
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Clip and Save:
Approach a Perfect Incontinence Surgery Code With This Chart
Find out which 2 laparoscopic codes you'll useWhen your physician documents female urinary...
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READER QUESTIONS:
Leap to the Right LEEP Code Every Time
Question: When should I use 57522? Our physicians use 57460 and 57461, but one of our new ...
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Clarification
The August 2006 Reader Question -Coding Changes When You Own Equipment- recommended that i...
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READER QUESTIONS:
Stick to Your Primary Dx
Question: The patient had a diagnostic laparoscopy and hysteroscopy. The ob-gyn's pre-op d...
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READER QUESTIONS:
For D&C at 8 Weeks, Check 58120
Question: If a patient came back eight weeks after she delivered for dilation and curettag...
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READER QUESTIONS:
Grab Onto the Global Days Concept
Question: A patient comes in and has 17 lesions treated. I see that 56501 has a global cla...
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READER QUESTIONS:
Avoid Baby ICD-9 Codes in Ob Situations
Question: A patient came in to speak with her primary-care physician (PCP) regarding the f...
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READER QUESTIONS:
Code Ectopic Pregnancies Easily With This Advice
Question: My ob-gyn did a diagnostic laparoscopy, an exploratory laparotomy, and a cornual...
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You Be the Coder:
Itemized Deliveries for MFMs
Question: How should I properly bill for deliveries for our maternal fetal medicine (MFM) ...
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Ob Gyn Coding Alert - 2006; Volume 9, Number 9
Learn to Identify Regular Versus Detailed Ob Ultrasounds and Code Them Correctly
Find out what indications and documentation you need for each type of procedure If you-re...
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Red Alert:
Discard Modifier 25 When Minor Procedure Lacks a Global Period
Tip: Get to know your minor procedures- global days Just because auditors are targetin...
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Unlock Coding Secrets To Female UI Surgical Procedures
Choose 1 code for sling procedures, no matter what type The causes of female urinary inco...
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Reader Questions:
Nurse Delivery Needs Modifier, Global Code
Question: When the nurse delivers the baby because the ob-gyn is in the next room doing an...
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Reader Questions:
When Injury Is Ob, Use 59899
Question: Our ob-gyn repaired a vaginal laceration for a patient who is two weeks postpart...
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Reader Questions:
Make Sure You've Got Well-Documented Adhesions
Question: My ob-gyn performed an -operative laparoscopy adhesiolysis, abdominal myomectomy...
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Reader Questions:
Weigh In on Ob Patient Admissions
Question: Is there a certain number of inpatient admission days for delivery patients that...
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Reader Questions:
Take Your ROS Up a Notch
Question: What is meant by the review of systems (ROS) levels?California Subscriber Answe...
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Reader Questions:
Observation Stay Consult? Choose 99241-99245
Question: How should I code a consult my physician performed for a patient who was in an o...
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You Be the Coder:
Q0091 and Preventive Services
Question: Should Q0091 be bundled with preventive services? We started billing Q0091 in No...
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Ob Gyn Coding Alert - 2006; Volume 9, Number 8
Stay on the Cutting Edge:
The New FDA-Approved HPV Vaccine -- What You Need to Know to Code It Correctly
Find out which E/M code most payers won't separately reimburse If your ob-gyn practice is...
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Your Top-6 NCCI Questions Answered
Learn the 1 new ob-gyn-related version 12.2 edit that could affect you If you-re still un...
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Your Ob-Gyn's E-Mails Can Add $25 to Your Bottom Line
Find out if your payer is among those reimbursing 0074T If your ob-gyn interacts with pat...
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Reader Questions:
Master Medicare Supervision Levels
Question: Would you explain the -physician supervision of diagnostic services- section of ...
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Reader Questions:
Stay Consistent With ICD-9 Rules
Question: I have a dictation that states the patient was having vagina irritation, no abno...
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Reader Questions:
Coding Changes When You Own Equipment
Question: We are considering purchasing a hysteroscope for our offices. But if a patient h...
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Reader Questions:
Provide Personal, Family History V Codes
Question: I-m not sure what the difference is between personal and family history V codes....
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Reader Questions:
How to Report an ED Visit During Pregnancy
Question: A pregnant patient presents in the emergency department (ED) during her pregnanc...
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You Be the Coder:
The Global Ob Package -- Where to Start
Question: Would you please explain -global-? Many of my co-workers feel that submitting th...
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Ob Gyn Coding Alert - 2006; Volume 9, Number 7
Wondering When to Start the Ob Record? Take This 6-Question Challenge
Hint: You must code what you know at the end of the visit Coding for the clinical diagnos...
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Report 2 Same-Day E/Ms And Get Paid -- Here's How
Caution: Be on the lookout for E/M descriptors that say -per day- If a patient presents ...
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Prop Up Your Prolapse Claims Using Location and Approach
You can report mesh with some prolapse procedures -- learn which ones If you-re con...
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3 Ways to Wrestle With Recent CMS Releases
Warning: Missing the surrogate UPIN change guarantees denialsYou-ve made it through half t...
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Reader Questions:
Evaporation Equals Fulguration
Question: One of our physicians performed an -evaporation of endometriosis.- This was done...
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Reader Questions:
Choose 79 or 59 for Postpartum Tuba
Question: Why is 58605, postpartum tubal, listed as a separate procedure? Is it supposed t...
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Reader Questions:
How to Code New Slingplasty Procedure
Question: Can 57282 (Colpopexy, vaginal; extra-peritoneal approach [sacrospinous, iliococc...
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Reader Questions:
Look to 99050, Not 99052, for After-Hours Emergency
Question: My ob-gyn returned to the office at midnight to see a patient for an after-hours...
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Reader Questions:
Incidental Procedure May Mean E/M Only
Question: I am having trouble finding a code for cauterization of a vaginal polyp with sil...
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Reader Questions:
2 Options for Burch Procedure With Hysterectomy
Question: Should I code a Burch procedure with a supracervical hyster-ectomy with 58152? W...
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You Be the Coder:
Find Out if Ob-Gyn Must Document HPI
Question: If a nurse documents the history of present illness (HPI) in her notes and the o...
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Ob Gyn Coding Alert - 2006; Volume 9, Number 6
NCCI 12.1 Update:
Stay Ahead of the Game by tactics to make claims indisputable
Refresh your modifier 59 tactics to make claims indisputableThankfully, you-re not as load...
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Excise Your Ovarian Cyst CPT Concerns With Expert Advice
Bonus: Here's the documentation you need for cyst removalsCoding for the removal/exc...
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Quick Tips:
How to Keep Well-Woman Exam Claims Squeaky Clean
Say goodbye to your confusion over screening guidelinesTo code a well-woman exam correctly...
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READER QUESTIONS:
Determine Your Dx After Cancer Surgery
Question: When can we bill a visit after a surgery for cancer? Our understanding is that w...
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READER QUESTIONS:
Uncover the DaVinci Code
Question: Our physicians are now using the DaVinci robot for laparoscopic procedures. How ...
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READER QUESTIONS:
Preventive Codes in Lieu of S0612 a Good Thing
Question: What is G0145 for, and do all carriers accept the code? Also, does everyone get ...
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READER QUESTIONS:
3 Methods Substantiate Modifier 25 Claim
Question: A consultant suggests that we use two-entry documentation for encounters that in...
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READER QUESTIONS:
Check Your Modifier Combination
Question: My doctor did a TAH/BSO on a patient. The general surgeon did a colectomy and co...
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READER QUESTIONS:
Locate Your Adhesions
Question: I have a repeat c-section that includes lysis of adhesions. My ob-gyn's notes st...
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READER QUESTIONS:
Don't Leave Telephone Codes off the Hook
Question: Due to the large volume of non-emergent calls our ob-gyns receive after 10:00 p....
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You Be the Coder:
How to Split Your Ob Charges
Question: One private practice's ob-gyn sees a patient for all of her antepartum visits, w...
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Ob Gyn Coding Alert - 2006; Volume 9, Number 5
Master Twin-Delivery Coding With This Modifier Know-How
Find out how to report twin deliveries when they occur on different datesWhen your ob-gyn ...
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Mind These Modifier 22 Do's And Don'ts
Make the most of the extra time your ob-gyn spends with a patientConvincing your carr...
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4 Surefire Tactics Will Cut Down On Ob-Gyn Appeals
Hint: Get acquainted with your carriers' LCDsYou can't always count on CPT guideline...
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Correction
The reader question -Ask, Was the Ob-Gyn Immediately Available?- in the April 2006 Ob-Gyn ...
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READER QUESTIONS:
Which ICD-9 Codes You Should Use for US
Question: I-m trying to settle a problem. What is the basic diagnosis code everyone uses f...
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READER QUESTIONS:
Consider a High-Cure-Rate Tumor Benign
Question: The pathology report came back as -Serous tumor of low malignant potential (atyp...
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READER QUESTIONS:
Find Out if Clomid Pregnancy Is High-Risk
Question: Should a pregnancy that was achieved on Clomid be coded as high risk?California ...
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READER QUESTIONS:
Code Flu Shots Separate From Global OB
Question: A patient came in for an obstetric revisit and received a flu shot. What is the ...
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READER QUESTIONS:
Update Your Fecal Occult Guidelines
Question: Does anyone bill G0107 with Medicare's annual G0101 and get paid for it? I was t...
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READER QUESTIONS:
Coding Q0091? Why Not G0101, Too?
Question: How can I get paid for a new patient office visit if I am also billing Q0091 to ...
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READER QUESTIONS:
Examine the Gender Barrier When Coding
Question: The patient was a 17-year-old female with incomplete androgen insensitivity synd...
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READER QUESTIONS:
Decide Whether to Code Global
Question: Can we bill 59425 and 59426 even though we are planning on delivering the baby (...
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You Be the Coder:
Counseling During a Global Period
Question: I have a physician who wants to bill for inpatient daily care (99231-99233) afte...
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Ob Gyn Coding Alert - 2006; Volume 9, Number 4
Ante Up the Number of Visits When Reporting Only Antepartum Care
Heads up: You'll find 3 options for reporting these servicesWhen your ob-gyn perform...
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Clip-and-Save Chart:
Your 1 Stop to Benign Ovarian Cyst Diagnosis Coding
Tip: An endometrial cyst is also known as a chocolate cystNext time your pathology re...
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Put Your Pre-Op Exams Under The Microscope
You could be missing out on $200 a weekIf you rely on office visit codes (99201-99215) for...
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READER QUESTIONS:
Avoid Canceling Out With ICD-9 Codes
Question: Can I report the following CPT and ICD-9 codes together? 58262 with 618.3 ...
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READER QUESTIONS:
How to Report Induction With Cervidil
Question: One doctor performed the delivery, and another doctor gave me a slip for decreas...
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READER QUESTIONS:
Separate CPT and ICD-9 in Your Mind
Question: The patient had an exploratory laparotomy and surgical debulking of ovarian canc...
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READER QUESTIONS:
Report Diagnosis Known at Last Visit
Question: Which ICD-9 code should I use when a finding of squamous cell metaplasia without...
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READER QUESTIONS:
Use 58145 for Transvaginal Myomectomy
Question: The ob-gyn performed a transvaginal myomectomy. He did not use an operative hyst...
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READER QUESTIONS:
Look for Site for Botox Injections
Question: Can I use 64614 for a pelvic neuro-muscular Botox injection?Vermont Subscriber ...
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READER QUESTIONS:
Incomplete Abortion? Report E/M With Treatment
Question: While in the emergency department (ED), our gynecologist saw a 17-year-old patie...
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READER QUESTIONS:
Ask, Was the Ob-Gyn Immediately Available?
Question: If the ob-gyn has to leave the room for a few minutes during an E/M service perf...
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READER QUESTIONS:
Hysteroscope Removal Doesn't Matter During the Same Session
Question: The ob-gyn performed a hysteroscopy with dilation and curettage (D&C) and th...
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You Be the Coder:
Laparoscopic Supracervical Hysterectomy
Question: Is there a CPT code for laparoscopic supracervical hysterectomy? North Carolina ...
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Ob Gyn Coding Alert - 2006; Volume 9, Number 3
NCCI 12.0 Update:
Careful When Reporting Laparoscopic Enterolysis -- 44180 Sits in Both Column 1 and Column 2
Remember: Check your modifier indicator before tacking on modifier 59If you-ve acquainted ...
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3 Questions Solve Your IM Injection Challenges
If the ob-gyn isn't present, revert to a nurse visit, CPT says CPT 2006 injection ...
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Follow This Action Plan for Flawless FOBT Coding
Hint: Use 82272 for analysis of in-office single-specimen collection Beginning Jan. 1, yo...
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Water Down These Hydration/Injection NCCI 12.0 Edits
Hint: Look to modifier 25, not 59, to bypass E/M and injection edits When your ob-gyn pr...
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Reader Questions:
No Need for Ob-Gyn's Presence on TC/26 Code
Question: We-re charging for a fetal non-stress test (NST). Is it OK if the ob-gyn was not...
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Reader Questions:
Keep Track of Your Ob-Gyn's Approach
Question: My ob-gyn's op note says that he used a Veress needle to create a pneumoperitone...
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Reader Questions:
Paratubal Cyst Not Equal to an Ovary
Question: I found two different codes, 58661 and 58662, for paratubal cyst done lapa...
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Reader Questions:
E/M May Be the Answer to BCP for Acne
Question: When a patient receives birth control pills (BCP) because her dermatologist want...
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Reader Questions:
Don't Confuse Modifiers 52 and 53
Question: One of my ob-gyns attempted a hysteroscopy with dilation and curettage (D&C)...
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You Be the Coder:
Cervical Polyp Removal During Gyn Exam
Reviewed on April 21, 2015 Question: During an annual gynecological exam, the physic...
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Ob Gyn Coding Alert - 2006; Volume 9, Number 2
Coding Case Study:
Knock Out These 3 Challenges for Endometrial Cancer Surgery
Hint: Find out whether your ob-gyn performed a limited or complete lymphadenectomy If you...
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Pick the Correct E/M Modifier Every Time -- Here's How
Make the most of your claim using this modifier decision-maker tool When your ob-gyn prov...
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ICD-9 Quiz:
3 Scenarios Show You How to Code for HIV Patients
Warning: Do not report HIV codes unless it's confirmed If your ob-gyn practice sees a pat...
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Coding For Success:
Maximizing E/M Revenue
Presented by Jim Collins, CPC, CHCC The following supplement to Ob-Gyn Coding ...
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Reader Questions:
Check With Payers for Urodynamic Testing
Question: Whenever we submit our billing for urodynamic testing, our payers ask us to subm...
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Reader Questions:
Use 57130 for Transection of the Vaginal Septum
Question: My ob-gyn performed a hymenectomy along with removal of the vaginal septum. Shou...
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Reader Questions:
Straighten Out Modifiers 52 and 53
Question: The ob-gyn cancelled a surgical procedure prior to anesthesia induction due to t...
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Reader Questions:
Find Husband's RH Antibody Test Code Here
Question: What would be the best code to use for a husband coming in to test for his RH an...
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Reader Questions:
1 Code Can Encompass a Complex Procedure
Question: The patient wanted to terminate her pregnancy at 20 weeks. On the op notes, our ...
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Reader Questions:
Pair Off Modifiers 58 and 24
Question: Fifteen days after her delivery, the ob-gyn admitted a patient to the hospital b...
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You Be the Coder:
Vaginal Cuff Repair
Question: One of our ob-gyns performed an examination under anesthesia, exploratory laparo...
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Ob Gyn Coding Alert - 2006; Volume 9, Number 1
Start and Finish Your Pessary Coding With This Solid Strategy
Find out if your ob-gyn did a refitting at the time of a pessary insertionIf you think 571...
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Coding Case Study:
Test Your E/M Savvy and Destroy Downcoding for Good
Checking both the 1995 and 1997 guidelines can make a differenceIf you-ve been relying on ...
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Here's How to Differentiate 99213 and 99214
1 more HPI and 1 PFSH element could bump that visit up a levelIf you document everything y...
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Coding Quiz:
Answer 3 Questions to Bolster Your Biopsy Coding Efficiency
Learn how CPT 2006 changes the way you report endometrial biopsies Are you sure you-re get...
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See How Your Biopsy Coding Measures Up
The number of biopsy units doesn't always go by the number of samplesSee how your answers ...
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READER QUESTIONS:
Look to Similar Codes When You Have None
Question: How should I report manual evacuation of blood clots to treat a postpartum hemor...
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READER QUESTIONS:
Append CR for Katrina Service
Question: Are there special rules for coding ob-gyn services for Hurricane Katrina evacuee...
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READER QUESTIONS:
Retained Products of Conception Not a Complication
Question: A patient had an elective abortion elsewhere. She came to our clinic, and the ob...
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READER QUESTIONS:
Hymenectomy Can Be Part of Surgical Approach
Question: One of our providers performed a hysteroscopy dilation and curettage for removal...
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READER QUESTIONS:
Fixate on Fifth Digit for Ob Codes
Question: Would the correct ICD-9 code for pulmonary edema, four days postpartum, be 674.5...
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You Be the Coder:
How to Code Pap Smears During Pregnancy
Question: I have a question regarding new pregnant patients: I know to use the new code V7...
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