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Ob-Gyn Coding Alert

CPT 2012:
These Deletions Will Impact How You Report Implanon Insertions in 2012
Check out new pathology codes that reflect the tests your ob-gyn can order. If you we... Read more
Don't Forget Printed Additions of 90654, Mod 33
Remember how 90654 (Influenza virus vaccine, split virus, preservative-free, for intraderm... Read more
ICD-10:
Your Leukorrhea Code Will Become a General One in 2013
Don't overlook these Excludes1 notes. If a patient has leukorrhea, she has whitish, yellow... Read more
OIG Report:
Pay Attention to E/M Levels, G Modifiers, and More, OIG Warns
Check your compliance on the areas in the 2012 Work Plan before OIG does.Every practice kn... Read more
Reader Question:
Take This Vaginal Cuff Dehiscence Challenge
Question: My ob-gyn performed a Da Vinci assisted abdominal sacrocolpopexy, and I asked he... Read more
Reader Question:
Examine 57410 vs. 49000 for Exploratory Vaginal Surgery
Question: My ob-gyn performed an exploratory vaginal surgery. The patient was status post ... Read more
Reader Question:
You Won't Find CPT Guidelines For This 59850 Issue
Question: I know to bill 59850 for the delivery of twins (both nonviable) 19-4/7 weeks, bu... Read more
Reader Question:
Retained IUD Diagnosis Changes Based On This Factor
Question: Can I use 996.32 for a retained intrauterine device (IUD)?Nevada SubscriberAnswe... Read more
Reader Question:
Avoid 99211 With 96372 at All Costs
Question: If a patient pays for her medicine and goes to the clinic for the nurse to give ... Read more
Reader Question:
Count Oocytes for 89280-89281
Question: Codes 89280 and 89281 don't have a Correct Coding Initiative (CCI) edit, but pay... Read more
Reader Question:
Simplify This Ectopic Pregnancy Scenario
Question: The patient had a ruptured ectopic pregnancy. The ob-gyn did a laparoscopy. Th... Read more
You Be the Coder:
Repeat Pap Plus Urinary Tract Infection
Question:  A Medicare patient who is high risk due to sexual behavior came in for her... Read more
Gynecology:
Take 5 Steps to Make Myomectomy Mistakes a Thing of the Past
Find out how the weight of myomas can trump the number of them. Deciding which myomectomy ... Read more
Modifiers:
Bust 5 Common Modifier 24 Myths to Ensure Deserved Reimbursement
Hint: Focus on the documentation, not the diagnosis codes. To ensure payment for E/M s... Read more
ICD-10:
Decipher How Dysuria's 788.1 Becomes 2 Codes in 2013
You won't be reporting this condition with F45.8 -- here's why.Dysuria refers to diff... Read more
Coding Quiz:
How Much Do You Know About V Codes? Find Out Fast
Learn when you can use V codes as primary diagnoses The V codes are not only for provi... Read more
Reader Question:
Don't Forget New ICD-9 2012 Codes Start Oct. 1
Question: I know October 1, 2011 is the start date for the latest ICD-9 codes, but I don... Read more
Reader Question:
Highlight This Appendectomy CCI 17.3 Addition
Question: I noticed the Correct Coding Initiative (CCI) version 17.3 came out. Do any of t... Read more
You Be the Coder:
Apply Either Modifier 51 or 59 In This Essure Scenario
Question: The doctor stopped the Essure procedure he was performing in our office. Accordi... Read more
Abortion Coding:
Complete or Incomplete? The Type of Abortion Makes All the Difference
Reviewed on May 20, 2015   If you report the wrong diagnosis code, you may lo... Read more
Know Your Abortion Terminology
With so many different types of abortion, knowing the medical terminology is essential to ... Read more
Pap Smears:
Don't Let Repeat Pap Smear Payment Slip Through Your Fingers
The wrong diagnosis code could cost you $41 per patient.If your patient's Pap smear result... Read more
Evaluation and Management:
Solidify Your Physical Examination Level Know-How With 4 FAQs
Beware the 1995 vs. 1997 guidelines pitfall by choosing just one at a time.When selecting ... Read more
ICD-10:
Prepare to Shift 617 Codes to N80 Codes in 2013
You have reason to rejoice -- here's why.Endometriosis is a benign condition in which... Read more
Reader Question:
Decipher Column 1, Column 2 CCI Codes
Question: Sometimes I cannot find the two codes I intend to bill in the CCI edits. How do ... Read more
Reader Question:
90385 or J2790: Query Payer for RhoGAM® Claim
Question: A patient came into our ob-gyn office just for a RhoGAM® shot and not for ... Read more
Reader Question:
Use Modifier 52 When Whole Delivery Not Performed
Question: We had a doctor that was on call. The husband delivered the patient. Then the do... Read more
Reader Question:
Rely on Mod 22 For Lysis of Adhesions in this Case
Question: My ob-gyn treated a patient with a right tubal pregnancy with hemoperitoneum. ... Read more
Reader Question:
Hint: You Won't Find a Vaginal Dilator HCPCS Code
Question: Our ob-gyn saw a patient complaining of pain during sexual intercourse, and he w... Read more
You Be the Coder:
Ambulance Delivery? Focus on What MD Provides
Question:  One of our ob patients delivered on an ambulance on the way to the hospita... Read more
Lysis of Adhesions:
5 Scenarios Test Your Adhesiolysis Coding Knowledge
Key: Your ob-gyn's documentation must emphasize the unusual difficulty. Last month... Read more
Set Aside 10 CPT® Codes to Report Adhesiolysis
Although ob-gyns generally deal with lysis of adhesions in only four sites, CPT® pro... Read more
Ultrasounds:
Multiple Ob Ultrasounds? Get the Pay You Deserve
Pay attention to this 'separate report' advice. If you're providing more t... Read more
In the Workplace:
Open Physician-Coder Communication Does the Trick
Be aggressive with your procedure/diagnosis queries for the sake of clarity.In diagnosis c... Read more
ICD-10:
Shift 078.11 to A63.0 in October 2013
Here is how you'll find A63.0 in the Alphabetic Index.If you repeatedly report condyloma a... Read more
Reader Question:
649.53, 649.63: Focus On Why The Ob-gyn Did the U/S
Question: My ob-gyn did an ultrasound for an indication of "size less than dates." Should ... Read more
Reader Question:
Resubmit This Claim With Modifier 25
Question:My ob-gyn performed the work described by 76817-26 and99243. However, we received... Read more
Reader Question:
Schedule WWE and E/M Visit on Separate Days
Question:We quite often bill a well woman and sick visit on the same day if the sick visit... Read more
Reader Question:
Watch Out: Delivering MD Should Never Report 59300
Question: My ob-gyn delivers patient vaginally and does an episiotomy repair in the room. ... Read more
You Be the Coder:
Find Your Lap Closure of Enterocele Solution Here
Question: What code should I report for a laparoscopic closure of enterocele?Kentucky Subs... Read more
ICD-9 2012:
Update The Way You Report Cesarean, Vaginal Mesh, Hemorrhagic Disorder Diagnoses
Here's why you can strike 996.39, 631, and V12.2 from your possible coding options.ICD-9 2... Read more
CCI 17.2 Update:
Hold Off Reporting G0438, G0439 With E/M Services Before Reading This
Also, vaginal hysterectomy codes specifying "with repair of enterocele" got common sense b... Read more
News You Can Use:
Administering Hydroxyprogesterone Caproate Injections? Take Note of Q2042
You could start submitting 250 units of this code per weekly dose.If your ob-gyn administe... Read more
ICD-10:
625.3: Get Ready to Specify Dysmenorrhea As Primary, Secondary
One code expands into three more specific options in 2013Dysmenorrhea refers to difficult ... Read more
CORRECTION
In the Ob-Gyn Coding Alert 2011, Vo.14, No. 5 on page 30, there is an error with the Reade... Read more
Reader Question:
Tackle These Struma Ovarii Options
Question: I have a path report stating "right ovary with struma ovarii showing multifocal ... Read more
Reader Question:
Age, Medicare Status Help Decide Pap Test Codes
Question: What CPT® code should we submit for a Pap smear?Rhode Island SubscriberAns... Read more
Reader Question:
Counseling a Family Member? This May Be a No-Charge
Question: A Medicare patient's daughter scheduled an appointment with the family physician... Read more
Reader Question:
Steer Clear of 'Seen and Agreed' Note or Face Denials
Question: Our physician works with residents each year. It's very time consuming, but he d... Read more
You Be the Coder:
Forgo Unlisted Code for Lysis of Adhesions
Question: My ob-gyn documented the following procedure: Intraperitoneal placement was conf... Read more
Gynecology:
3 FAQs Banish Your Coding Vaginal Cuff Repair Frustrations
Find out what colporrhaphy code you'll use for an injury repair.If you're stuck trying to ... Read more
Coding Quiz Part 2:
Find Out When to Bill Visits Inside or Outside Global Ob Package
Tip: Global code means ob-gyn did the delivery and provided all antepartum care.Last month... Read more
ICD-10:
646.83 Explodes Into a Litany of Pregnancy Complication Options
Tip: The majority of your new options specify trimester. No longer should you look to ... Read more
E/M Coding:
Stop Forfeiting Level Four and Five E/Ms With 3 PFSH Tips
Make your physician's job easier by letting the patient or nurse document the history.If y... Read more
Reader Question:
"Extended Visit" Does Not Always Mean 99215
Question: Can I use 99215 for an extended office visit?Kansas SubscriberAnswer: You would ... Read more
Reader Question:
Count Excision As Part of 58150 Under These Circumstances
Question: My ob-gyn performed a total abdominal hysterectomy (TAH) with excision of retrop... Read more
Reader Question:
Make the LEEP Conization, Biopsy Distinction
Question: My ob-gyn performed a LEEP of cervix as an outpatient procedure. Should I code t... Read more
Reader Question:
Don't Count Out Consults Entirely
Question: If our ob-gyn only reviews patient records but doesn't actually examine the non-... Read more
Reader Question:
No Void Leaves a Void in Your Urodynamics Coding
Question: If a patient cannot urinate at the end of the biofeedback, can we charge 51741, ... Read more
Reader Question:
Here's How to Handle Pregnant Patient Insurance Changes
Question: One of my ob-gyn's patients changed her insurance during her pregnancy. I was to... Read more
You Be the Coder:
Confront Early Glucose Testing Diagnoses
Question: At the initial ob visit, my ob-gyn does a hemoglobin A1C on all of our patients.... Read more
Gynecology:
Count Q0091, G0101 Out for Post- Hysterectomy Pap Coding
Hint: Figure out if the Pap smear is diagnostic or screening.Warning: The rules for coding... Read more
ICD-10:
Move from V to Z Codes For Malignant Neoplasm Screenings
Tip: Pay attention to the anatomical area your ob-gyn is screening.In the cover article, y... Read more
Modifiers:
Follow These 4 Tips For Modifier 62 Success
Get a game plan in place for both codes and documentation.When two surgeons work together ... Read more
Coding Quiz Part 1:
You Can Exclude Visits From Global Ob Packages
Key: Was ob-gyn monitoring the pregnancy? Do you know whether you should include or ex... Read more
Diagnosis Coding:
Adjust Your Codes Easily When Dx Changes During Hospital Stay
Educate your physician to keep you in the loop on patients' development.Just because a pat... Read more
Reader Question:
Avoid Appeals 'Form Letters' If You're Hoping for Success
Question: After checking to be sure we haven't made a coding or billing entry error, our p... Read more
Reader Question:
Don't Count Out Consults Entirely
Question: If our ob-gyn only reviews patient records but doesn't actually examine the non-... Read more
Reader Question:
You May Need to Consider 49322 Incidental
Question: Our ob-gyn did a laparoscopy with aspiration of one ovarian cyst and then drille... Read more
Reader Question:
Represent "Look-See" With 49320
Question: The ob-gyn performed a bilateral salpingo-oophorectomy (BSO). This began lapar... Read more
You Be the Coder:
How to Report Pregnancy Patient Transfers
Question: If a patient transfers out prior to delivery, how should I bill for all visits t... Read more
News You Can Use:
57155: Make The Co-Surgery Indicator Shift From "1" to "2"
Two scenarios illuminate when you should and shouldn't append modifier 62.Ob-gyn coders re... Read more
Ob Coding:
Have a V27.2 Claim? Confront These Delivery, Ultrasound Coding Challenges
Scan your physician's note for these clues when reporting 76811, 76812Commercials may clai... Read more
CCI 17.1:
Coding Substance Abuse Screening Separate From E/M Services? Not So Fast
Cystometrograms now include injection codes 64490, 64493.April 1st brought more than pract... Read more
ICD-10:
Fibroids Get a 'D25' Code Treatment in the Future
Match the fibroid's location to code descriptors.If your ob-gyn regularly performs uterine... Read more
Reader Questions:
Unnecessary Modifier 52 Use Could Cost You
Question: My ob-gyn saw a patient with ovarian cancer. He performed a total abdominal... Read more
Reader Questions:
59400, 99214: High Risk Doesn't Mean Complicated Pregnancy
Question:I have been told that when ob patients are high risk, we should bill visits with ... Read more
Reader Questions:
Report What Your MD Performed, Not What He Planned To Perform
Question:My ob-gyn has a patient scheduled for a total abdominal hysterectomy and bilatera... Read more
Reader Questions:
Tack Modifier 52 Onto 58563 In This Scenario
Question: I'm confused about what CPT® code(s) I should submit with the following... Read more
Reader Questions:
No CCI Bundle? Here's Where to Find Modifier Details
Question:Sometimes I cannot find my two-code pairs in the Correct Coding Initiative (CCI) ... Read more
You Be the Coder:
Code This C-Section Scenario With ICD-10
Question:My ob-gyn practice is experimenting with how we'll reporting claims in the future... Read more
Gynecologic Oncology:
Take These 3 Steps to Simplify Endometrial Cancer Claims
Hint: Use a modifier with an existing code to reflect partial work.If your ob-gyn converts... Read more
ICD-10:
Re-Evaluate the Way You Report Abnormal Pap Smear Results
Good news: ASC-US, ASC-H, LGSIL, and HGSIL will have one-to-one matches.When a patient's c... Read more
Modifiers:
New CMS Transmittal Speeds Up Modifier GZ Denials
No more 'complex medical review' for these non-covered services.Most of the time, when Med... Read more
Clip 'N' Save:
Never Get Your "G" Modifiers Confused Again
This chart breaks down who is responsible for the charges.... Read more
Subscriber Feedback:
Clarify This Medicare High Risk Pap Result Requirement
Adhere to standard ACOG, ASCCP, and CMS protocol.A subscriber like you wrote in to the Ob-... Read more
Reader Questions:
Don't Be Surprised By 49322 Denial
Question: My ob-gyn performed a hysteroscopy, dilation and curettage (D&C), NovaSure a... Read more
Reader Questions:
Report 10021 for FNA Without U/S
Question: My ob-gyn performed the following procedure: Office pelvic ultrasound revealed s... Read more
Reader Questions:
Report 58555, 49329 For IUD Outside Uterus
Question: My provider did a diagnostic hysteroscopy, laparoscopic resection of intraabdomi... Read more
You Be the Coder:
You Can Report 44180 With Unlisted Code 58999
Question: My ob-gyn documented the following procedure: Excision granulation tissue vagina... Read more
Gynecology:
58140, 58146: Anatomical Location Is Key For Myomectomy Claims
Discover how the weight of myomas can trump the number of them.Deciding which myomectomy c... Read more
ICD-10:
2013 Brings Straight-Forward Hyperplasia Equivalents But Beware The Same Traps
'Endometrial thickening' doesn't always mean you should report these codes.If the thought ... Read more
Coding Quiz:
59425, 59426: Avoid Leaving Split Antepartum Care Dollars On the Table
Is your ob-gyn providing only 1-3 visits? Here's what you should submit.Don't shortchange ... Read more
Infertility:
Fed Up With Initial Infertility Visit Denials? Symptoms Beyond 628.9 Could Make the Difference
Warning: If you have to ask yourself if your documentation is "ethically" correct, then it... Read more
Reader Questions:
Capture Unlisted and Listed Laparoscopic Procedures
Question: My physician performed a laparoscopic radical parametrectomy, upper vaginectomy,... Read more
Reader Questions:
No Removal? Then You Won't Need a ICD-9 Code
Question: During laparoscopic cauterization of endometriosis, the obgyn discovers a findin... Read more
You Be the Coder:
58565, V25.2: Navigate this Medicare Essure Procedure Scenario
Question: One of our ob-gyns did an Essure procedure on a Medicare patient for recurrent s... Read more
CCI 17.0:
Have a Modifier and Documentation Ready When Reporting E/M and Ob Services Together
Forgo including four fluoroscopy codes, especially when submitting "scopy" procedures. Wit... Read more
News You Can Use:
CMS Tweaks 2011 Conversion Factor But Ob-Gyn RVUs Should Stay the Same
Despite adjusted rate of 33.9764, changed RVUs should ensure that your payments will stay... Read more
ICD-10:
2 Z Diagnosis Codes Will Replace Annual Visit V72.31 Code in 2013
Here's what you should look for in your physician's documentation. When ICD-9 becomes ICD... Read more
Quick Tips:
Untangle Your Well-Woman Exam Coding With This Advice
Say goodbye to your confusion over screening guidelines. To code a well-woman exam correc... Read more
Denials Management:
Crack 4 Common MUE Myths to Avoid Denials
If you ignore the medically unlikely edits, you're asking for a claim rejection. If you'r... Read more
Reader Questions:
Determine What 642 Dx to Use for Pregnancy Hypertension
Question: Patient has chronic hypertension (CHTN) with proteinuria. Blood pressure is sta... Read more
Reader Questions:
Decide Between 99401-94404, 99211-99215 for Follow-Up BC Visits
Question: Our providers have our patients come back to our ob-gyn office after three mont... Read more
You Be the Coder:
Dismiss 58558, 57511 as Nabothian Cyst Cautery Options
Question: The ob-gyn cauterized a Nabothian cyst located just on the surface of the cervi... Read more
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