Ob-Gyn Coding Alert
Consult CPT Errata and Update Your Manual
Question: The inside cover jacket of my CPT manual says that the definition for modifier 22 is -unusual procedural services.- I thought this changed last year. Has the AMA changed the definition again? South Carolina Subscriber Answer: You are correct that the definition of modifier 22 should not be -unusual procedural services-. The correct definition is -increased procedural services.- Visit the American Medical Association (AMA) Web site to review all the CPT 2009 errata information. Navigate to www.amaassn.org/ama/pub/category/3896.html and click on -Corrections in CPT 2009.- Good practice: Have your CPT manual on hand and go through it, marking all of the fixes directly in your manual so that you-re sure to be working with the most correct, most up-to-date information when you-re coding procedures. The answers for Reader Questions and You Be the Coder provided by Melanie Witt, RN, CPC, COBGC, MA, an ob-gyn coding expert based in Guadalupita, N.M.
Ob-Gyn Coding Alert
- Focus on Fetal NSTs:
Reporting 59025? Find Out Who Payers Require to Mark the Baby's Movement
Hint: The doctor isn't the answer. Although you have one code -- 59025 -- to reflect a [...] - Warning:
Don't Use 59025 for Labor Checks
Delivery within 24 hours means including service in global fee. Ob-gyns often use a fetal [...] - News You Can Use:
You'll Cheer For This Paravaginal Defect Repair Edit Deletion
Tip: Renumbered CPT codes means realigned CCI edits. With the new year comes a voluminous [...] - You Be the Coder:
Confront This Anthem Ultrasound Denial
Question: I billed 76801 with V72.42 to Anthem and received a denial for -not medically [...] - Collect More for Extensive Adhesiolysis Using This Tool
You can separately report adhesiolysis in only these two situations. If you-re always including lysis [...] - Set Aside 10 CPT Codes to Report Adhesiolysis
Although ob-gyns generally deal with lysis of adhesions in only four sites, CPT provides ten [...] - READER QUESTIONS:
How to Report Nitrazine Smear
Question: The ob-gyn performed a Nitrazine smear to check to see if a patient's amniotic [...] - READER QUESTIONS:
Prove Separate Service Before Billing E/M in Global
Question: Our payer is denying a claim involving an E/M and an FNA for an [...] - READER QUESTIONS:
Consult CPT Errata and Update Your Manual
Question: The inside cover jacket of my CPT manual says that the definition for modifier [...]
