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Ob-Gyn Coding Alert

Obstetrics:
4 Scenarios Demonstrate How You Should Report Delivery Codes
Prepare for 2014 by examining these ICD-10 diagnoses. If you’re used to reporti... Read more
Urogynecology:
Perfect How You Report Pelvic Floor Rehabilitation Services
Break down how each type of provider should code for PFMR. Before turning to surgical ... Read more
EHRs:
Bust The Bubble On 3 EHR Myths That Could Cost Your Practice Precious Dollars
Warning: Blindly relying on your electronic system could mean payer audits. If you are... Read more
ICD-10:
Effortlessly Transition to Mild Pre-Eclampsia Diagnoses in 2014
Your ob-gyn needs to start documenting the pre-eclampsia severity. Pre-eclampsia is a ... Read more
Reader Question:
Have Proof Ready for Modifier 82 Usage
Question:  Is there a difference in the reimbursement of procedures for modifiers 8... Read more
Reader Question:
6 Questions Assess PHI Risk
Question: I’m always concerned about protecting our patients’ health informa... Read more
Reader Question:
Get Your Ectopic Pregnancies Codes in Order
Question: My ob-gyn did a diagnostic laparoscopy, an exploratory laparotomy, and a cornu... Read more
You Be the Coder:
Find Out if You Can Report 2 Ultrasound Codes
Question: The ob-gyn placed Implanon in 2011. Patient is requesting removal. It has migr... Read more
Gynecology:
Highlight What Ob-Gyn Did in Addition to the Colposcope
These key phrases will help you choose the correct code every time. Your colposcopy co... Read more
CCI 19.3:
You Can Bill a Discharge, E/M Service on the Same Day -- But the Dx Must Be Different
Don’t miss these closure of vesicouterine fistula edits. The last round of Corre... Read more
Modifiers:
4 Tips Help Hone Your Modifier 25 Know-How
Haphazardly using 25 on all claims will lead to payer scrutiny. With payers cracking d... Read more
ICD-10:
Discover How Your 634.0x Codes Will Transform in 2014
Don’t miss this Excludes1 note. A spontaneous abortion is the natural, premature... Read more
Reader Question:
Decide Between Level 3 Versus Level 4
Question:  My ob-gyn documented the following: Established patient CC: Vagina... Read more
Reader Question:
Use This D&C Code For Incomplete Abortion
Question: My doctor saw a patient in the ER for hemorrhage after an abortion at 11 weeks... Read more
Reader Question:
Do This for Excision of Cervical Septum
Question: Patient had a known septate uterus and vagina. After a vaginal delivery, the o... Read more
You Be the Coder:
How to Code Intrathecal Injections During Delivery
Question:  How should I code intrathecal injections done during delivery? I’m... Read more
CPT® 2014:
Fine Tune How You Report Fetal Evaluations, Fluid Collections, and Ablation of Uterine Fibroids
Overlooking 84112, 99170, 15777’s revised descriptors could delay your reimburseme... Read more
Well Visits:
Understand Payer Differences Before Coding Pap Smears With Yearly Physicals
Heads up: Medicare follows its own guidelines, not CPT® rules. If your ob-gyn cond... Read more
Diagnosis Coding:
Blaze a Trail of Medical Necessity And Never Be Denied
Don’t just watch for updates - be sure you select proper 4th, 5th digits If you&... Read more
ICD-10:
Watch For More Specific Counseling for Contraception 'Z' Codes in 2014
Your physician should be documenting what type of contraception being discussed. Patie... Read more
Reader Question:
Answer This Exam By 2 MDs On the Same DOS Question
Question: I have a question about an ob-triage encounter. The patient came in, and Dr. A... Read more
Reader Question:
Don't Let Patients Give You ABN Hassles
Question: We have a patient who came for a bone density scan we knew Medicare wasn&rsquo... Read more
Reader Question:
Consider Block Scheduling to Balance Late Patient Back-Ups
Question: We’ve had a lot of patients showing up late for their appointments recen... Read more
You Be the Coder:
If Ob-Gyn Doesn't Do All the Services, Use 52
Question: The ob-gyn admits a patient in labor, completes the history and exam, and writ... Read more
Gynecology:
Attack the Age-Old "Can I Report Extensive Adhesiolysis?" Question
Follow these 4 tips, and your claim will pass with flying colors If your ob-gyn perfor... Read more
Obstetrics:
Capture Complication Visits In Addition to Global Ob Package With This Advice
Hint: You can report complications before or after delivery. If your ob-gyn provides a... Read more
E/M:
Leave the HPI Details to the Provider, But Leverage Nurse Help When You Can
Identify which portions of the record ancillary staff can capture. Your ob-gyn’s... Read more
ICD-10:
Start Memorizing This Pregnancy Code In Place of V22.2
Don’t overlook this Excludes1 notation. When a patient reports to your practice ... Read more
Reader Question:
Avoid Missing MDM Mistakes
Question: A fellow coder told me that for an established patient, I only need two out of... Read more
Reader Question:
Coding Pap Smears During Pregnancy? Do This
Question: I have a question regarding new pregnant patients: I know to use the  cod... Read more
Reader Question:
How to Code Amnioinfusion With Delivery
Question: Is there any way to report a scalp electrode or amnioinfusion with delivery? ... Read more
Reader Question:
How to Interpret Intrathecal Injections During Delivery
Question: How should I code intrathecal injections done during delivery? I’m confu... Read more
You Be the Coder:
Remove the Mystery from "Repeat Anatomy" Phrase
Question:  My ob-gyn is performing ultrasounds for reasons like “repeat anato... Read more
Obstetrics:
Base Your Pregnant Patient Annual Visit Codes on What You Know at the End of the Visit
You shouldn’t assume pregnancy will be your primary diagnosis. When a patient pr... Read more
Gynecology:
Ask if Post-Hysterectomy Pap Was Diagnostic or Screening
Warning: Be wary of Q0091, G0101 — they generally won’t apply. Warning: Th... Read more
PQRS:
Determine Where Your Ob-gyn Practice Falls in the VBM Penalty Timeline
Your 2014 quality reporting will determine your VBM adjustments for 2016 payments. Jus... Read more
ICD-10:
Discover What Polyuria Will Become in 2014
788.42 transforms into this “other” code. If a patient has polyuria, this ... Read more
Reader Question:
Don't Treat Retained Products of Conception As A Complication
Question: A patient had an elective abortion elsewhere. She came to our clinic, and the ... Read more
Reader Question:
You Can Treat a Hymenectomy As Part of Surgical Approach
Question: One of our providers performed a hysteroscopy dilation and curettage for remov... Read more
Reader Question:
Review Postpartum Exam
Question: When we report global ob care, it includes a “postpartum exam.” Wh... Read more
Reader Question:
Count Oocytes for 89280-89281
Question: Codes 89280 and 89281 don’t have a National Correct Coding Initiative (C... Read more
Reader Question:
Grab Onto the Global Days Concept
Question: A patient comes in and has 17 lesions treated. I see that 56501 has a global c... Read more
You Be the Coder:
Don't Let Patients Give You ABN Hassles
Question: We have a patient who came for a bone density scan we knew Medicare wasn&rsquo... Read more
Gynecology:
3 Documentation Elements Will Help You Declare Victory Over Coding Vulvar Lesion Claims
Find out what a “radical vulvectomy” really means. If you incorrectly ... Read more
Coding Quiz:
Validate How You Report V Codes With This 7 Question Challenge
Find out if a V code can be a primary diagnosis. The V codes are not only for prov... Read more
E/M:
Locate 3 Key Pieces of Critical Information Before Coding Based on Time
Key: Don’t rely on ‘I spent more than an hour with the patient’ provid... Read more
ICD-10:
Break Your 626.9 Unspecified Code Into 2 More Specific Options
Don’t overlook these Excludes notes. Vaginal bleeding other than a normal me... Read more
Reader Question:
Don't Automatically Combine ER and Office Visits
Question: If a patient was seen for an office visit (99214) first and then later on the ... Read more
Reader Question:
Here's What You Need to Report 59025
Question: What do fetal non-stress tests (NSTs) entail? Are reading NSTs for pregnant mo... Read more
You Be the Coder:
Repeat Anatomy
Question: My ob-gyn is performing ultrasounds for reasons like “repeat anatomy.&rd... Read more
Obstetrics:
Troubleshoot Your Pregnant Patient Transfer Claims by Counting Visits
Here’s what to do if you’ve already seen the patient 7+ times. Prepare for... Read more
Gynecology:
Update How You Report Female UI Surgical Procedures With These Fundamentals
If MD does a combined vaginal and abdominal approach to perform a suburethral sling oper... Read more
Tool:
Choose the Perfect Incontinence Surgery Code With This Chart
Do you know the approach? You’re halfway there to the correct CPT® code. Whe... Read more
Success Story:
Persistence Can Turn Those Erroneous V72.32 Denials Around
Check out how you too can pave the way for your fellow coders. Every so often, you may... Read more
ICD-10:
Don't Let Your 2014 "Anxiety" Diagnosis Make You Anxious
You have a one-to-one correlation, but you do have a descriptor change. “Anxiety... Read more
Reader Question:
Check With Your Provider to Price an Unlisted Procedure
Question: My ob-gyn performed a balloon for postpartum hemorrhage.Since the code I would... Read more
Reader Question:
Follow CMS Regs on Documentation Amendments
Question: Where can I find CMS directions regarding amending documentation? Georgia ... Read more
Reader Question:
Your Physician Has Various Ways to Document
Question: My ob-gyn reported an established patient office visit code 99214, but the onl... Read more
Reader Question:
Here's How to Code McCall's Culdoplasty
Question: My ob-gyn performed a laparoscopic uterosacral plication and a High McCall&rsq... Read more
Reader Question:
2 Different Sides Mean Modifiers LT, RT
Question: My ob-gyn performed an exploratory laparotomy, partial left salpingectomy, lef... Read more
Reader Question:
Master Your MTHFR Codes
Question: What is MTHFR, and what codes should I report for it? Kentucky Subscriber ... Read more
You Be the Coder:
D&C and Attempted Hysteroscopy
Question: My ob-gyn documented the following: “Dilation and curettage, attempt... Read more
Gynecology:
Overcome 4 Ovarian Cyst Removal Myths by Highlighting the Approach
Here’s how to potentially add $208 to your bottom line. When an ovarian cyst rem... Read more
Obstetrics:
Hold On to Initial Infertility Visit Dollars With This 2-Part Strategy
Symptoms, not infertility, may help your initial visit claim pass muster. Don’t ... Read more
Modifier 22:
3 FAQs Help You Avoid Making Modifier 22 Mistakes
Find out how much longer a procedure should take. Appending modifier 22 (Increased pro... Read more
ICD-10:
For Pregnancy Outside the Womb, Look to the O00.- Series
A patient can sometimes develop a pregnancy outside the womb (uterus). The fetus cannot ... Read more
Reader Question:
Modifiers Can Help Make Your Case Clearer
Question: The doctor performed a 58565 but was only able to complete the procedure on on... Read more
Reader Question:
Here's How to Calculate Bleeding Control Claims
Question: The doctor did a cerclage removal under anesthesia 59871 for cervical incompet... Read more
Reader Question:
Here's When You Can Report 99211 With No Supervising MD
Question: I have a question regarding registered nurse (RN) visits. Can a nurse bill for... Read more
Reader Question:
Tubal Reversals Don't Always Mean High Risk Pregnancies
Question: I have a question regarding registered nurse (RN) visits. Can a nurse bill for... Read more
Reader Question:
Compare RVUs for C-Sections Versus Vaginal Deliveries
Question: I have a quick question about reimbursements from carriers. I was under the im... Read more
Reader Question:
Combine Same-Day, Same-Patient Inpatient E/Ms
Question: If for a valid reason two of my doctors see the same patient on the same day i... Read more
You Be the Coder:
Second Scan in Trimester? Read This First
Question: Patient had a dating U/S two weeks ago and a 76801 <14 wks was charged at t... Read more
Obstetrics:
Analyze Your Amnio Claims and Adopt These Expert Strategies
Find out why the term “polyhydramnios” can make or break your CPT, ICD-9 cod... Read more
Gynecology:
3 Practical Tips Update How You Report Uterine Tandem Procedures
Use this modifier when radiologists report the same code. Is your ob-gyn working with ... Read more
Unlisted Procedures:
Here's How to Ease Your Unlisted Procedure Coding Process
Key: Reports should use simple, straightforward language. If you’ve ever filed a... Read more
ICD-10:
Adopt This Anemia Diagnosis Code Transformation
Hint: Look elsewhere for anemia due to iron-deficiency. Anemia is a condition that occ... Read more
Reader Question:
Solve This IUD Payer Conundrum
Question: When we do an intrauterine device (IUD) insertion and removal on the same day,... Read more
Reader Question:
Pinpoint the Correct Code for C-Section Wound Seroma
Question: What diagnosis code should I report for “c-section wound seroma?” ... Read more
Reader Question:
Find Out if You Can Report 57800 and 57454 Together
Question: Doctor specifies that the cervical canal has to be dilated (57800) in ord... Read more
Reader Question:
Look at the Larger Picture for Debulking Services
Question: Patient with recurrent ovarian cancer with previous TAH/BSO undergoes new surg... Read more
Reader Question:
Bill Only the Final Converted Procedure
Question: I have an op report that states the ob-gyn did a hysteroscopy, converted to la... Read more
Reader Question:
Count Informed Consent as Surgery Pre-Work
Question: Patient came in for routine prenatal care visit. She knows she wants a tubal l... Read more
Reader Question:
Focus On What Your Ob-Gyn Actually Does
Question: What procedure should I bill when the ob-gyn did a vulvar biopsy? The patholog... Read more
You Be the Coder:
Break Down This Multiple Procedure Surgery
Question: My ob-gyn gave me a case that has me confused, which she did as an inpati... Read more
CCI 19.0:
New Year Brought New CCI Bundles, Many Targeting New CPT® Codes
Pay attention to the modifier indicator to determine which ones you can override and whi... Read more
Diagnostic Tests:
Hone How You Report Hemoccult Tests With This Expert Advice
Why, who, and where work hand-in-hand to point you to the right code. If you want to k... Read more
News You Can Use:
Stop Wondering: Congress Freezes Medicare Pay at 2012 Rates
However, don’t assume your HPSA bonus will continue. As many practices are aw... Read more
ICD-10:
Learning The ICD-10 Equivalent to 256.31 Isn't Premature
Whether patient is symptomatic or asymptomatic makes all the difference. Menopause tha... Read more
Reader Question:
Surgical Complication Means Using This Modifier
Question:My ob-gyn had a weekend call. Patient had a laparoscopic supracervical hysterec... Read more
Reader Question:
Make Sure You Submit Medicare Forms with Modifier 22
Question: What modifier should we submit to Medicare for increased procedural services? ... Read more
Reader Question:
Investigate Whether Flu Shot Has Preservatives
Question: What is the correct CPT® code for flu shots for pregnant patients between ... Read more
Reader Question:
Episiotomy Not Immediately After Delivery? Watch Out for Denials
Question: Patient has perineal scarring after traumatic vaginal delivery repaired with p... Read more
Reader Question:
Use Unlisted Lap Code Even When Another Approach Is Available
Question: My ob-gyn performed a laparoscopic removal of abdominal ob cerclage. Should I ... Read more
You Be the Coder:
G0180, G0181, and G0179 Are For Medicare Patients Only
Question: I have an ob-gyn that is filling out G0180, G0181, and G0179 on a daily, weekl... Read more
Whether the Ob-Gyn Removed the Endocervix Decides Your LEEP Code
Reporting 57460 and 57461 means having this in your documentation. If you have a loop ... Read more
Practice Management:
Time to Re-Enroll Your Gynecologist? You'll Have an Easier Job, CMS Says
You can fax or email the revalidation documents this time around. If your gynecologist... Read more
E/M:
Don't Let 3 EHR Pitfalls Compromise Your E/M Coding
These mistakes may cost your practice money and set you up for payer scrutiny. Many ob... Read more
ICD-10:
Your 640.0x Codes Condense Into a Single Option in 2014
Avoid reporting this ICD-10 code with O00-O08. A threatened abortion is a condition s... Read more
Reader Question:
Find Out if Delivery Only Codes Are Losing You Ethical Money
Question: My practice has encountered many situations where a patient comes in and deliv... Read more
Reader Question:
Intramural Myomas Means Using This Myomectomy Code
Question: What procedure codes should I report for this note? "On 12/20/12, the p... Read more
Reader Question:
Decide Whether the Delivery Is Complicated or Normal
Question: I am looking for some ICD-9 codes for a patient who delivers in a car, home,&n... Read more
Reader Question:
Check RVUs for Draining Fluid from Vaginal Cuff
Question: Does a CPT® code exist for draining fluid from the vaginal cuff? Califo... Read more
You Be the Coder:
These Modifiers Can Now Break CCI Edits
Question: I heard we have new modifiers to override Correct Coding Initiative (CCI) edit... Read more
Obstetrics:
Safeguard Your Split Antepartum Care Reimbursement With Expert Tips
You may have more options than you think. When dividing ob-gyns’ roles with spli... Read more
2013 AMA Symposium Update:
Get the Scoop on Transition Codes, Medicare Rates
Caution: Missing primary care designation could wreck your Medicare pay. 2013 will bri... Read more
E/M Coding:
Implement These 5 Simple Steps to Boost Your E/M Bottom Line
Heads up: Dig past ‘follow-up’ for acceptable chief complaint. E/M coding ... Read more
ICD-10:
Learn This "Late Effects" Change Sooner Rather Than Later
Here’s how to sequence this diagnosis code. When a patient develops a breast abs... Read more
Reader Question:
Fluoroscopy? Don't Bill for Ultrasound Guidance Too
Question: My ob-gyn’s notes state, "The patient’s Nexplanon was unable ... Read more
Reader Question:
Look Into This Laceration Repair Scenario
Question: Patient has a normal spontaneous vaginal delivery (NSVD) with bilateral sulcus... Read more
Reader Question:
Strike Modifier 24 From This Episiotomy Pain Visit
Question: Patient is about 4 weeks postpartum and comes in complaining of pain at episio... Read more
Reader Question:
Check Out These STD Tests
Question: A patient came in for her annual routine exam. While she was in the exam room,... Read more
Reader Question:
Match Injection Code to the Amount
Question: I need help coding an injection of testosterone. The patient received a 100mg ... Read more
Reader Question:
Make These Modifier 52, 53 IUD Distinctions
Question: A patient came in for an intrauterine device (IUD) removal. The ob-gyn made mu... Read more
Reader Question:
A Suspected Problem Means You Should Report V28.82
Question: We have an ob patient that is 21 weeks pregnant that had a transvaginal u... Read more
Reader Question:
Headache Doesn't Always Point to 346.x
Question: A co-worker says we can submit "headache" and "migraine" o... Read more
You Be the Coder:
Straighten Out These Laboratory Issues
Question: When we are billing for a colposcopy with biopsy, we are billing 56820 an... Read more
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