Ob-Gyn Coding Alert
Modifiers Make the Difference for Twin Amnio
Question: What is the correct way to code amniocentesis for twins? Should I use 59000 with a 2 multiplier? Similarly, how should I report 76946 for ultrasonic guidance? Ohio Subscriber
Answer: If the ob-gyn inserts the needle for the amniocentesis twice, you should report 59000* (Amniocentesis; diagnostic) twice. Append modifier -59 (Distinct procedural service) to the second code. If the physician inserts the needle only once, report 59000 appended with modifier -22 (Unusual procedural services). Regardless of the number of needle insertions, the ob-gyn performs ultrasound guidance only once. Therefore, you should code it using 76946 (Ultrasonic guidance for amniocentesis, imaging supervision and interpretation).
Ob-Gyn Coding Alert
- Two Codes Are the Keys to Reporting New Endometrial Ablation Techniques
" New methods for endometrial ablation are here or on the horizon, and although they [...] - Know the Treatment Options for Endometrial Ablation
Knowing the new treatment options for endometrial ablation will allow you to more clearly assign [...] - Clear Up Confusion About Cord Blood Harvesting
Although more and more expectant mothers request that their ob-gyns collect cord blood at the [...] - Reader Question:
Ligation Complicates Laparoscopic LSO
Question: What is the procedure code for laparo-scopic left salpingo-oophorectomy with ligation of an arterial [...] - Reader Question:
Determine Each Aspect of Multiple Procedures
Question: How should I code the following: diagnostic laparoscopy open, exploratory laparotomy, excision of left [...] - You Be the Coder:
Modifiers Make the Difference for Twin Amnio
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Reader Question:
Endometrioma Resection Includes Laparoscopy
Question: My ob-gyn performed a laparoscopy, exploratory laparotomy and left ovarian endometrioma resection. Should I [...] - Reader Question:
McCall Coding Presents Options
Question: My ob-gyn performed a vaginal hysterectomy with anteroposterior repair, McCall culdoplasty and perineorrhaphy. How [...] - Reader Question:
Exact Coding Is Key for Multiple Procedures
Question: The physician performed an exploratory laparotomy with lysis of adhesions, left ureterolysis, and left [...] - Reader Question:
Preventive Care Codes Include Counseling
Question: A patient came in for her annual exam and spent additional time with the [...] - Reader Question:
One Visit Does Not Equal Global Ob
Question: We have an ob patient who had only one visit with our physician before [...] - Know Your Endometrial Terminology
The following definitions are found in Stedman's Medical Dictionary (Lippincott, Williams and Wilkins Publishers, 2002). [...] - Clarification:
Using Vital Signs for Examination or Review of Systems
A few readers have asked for clarification of a coding tip that appeared as part [...]
