Append modifier 80 to a procedure code for an assistant surgeon when he assists an operating, or principal, surgeon during an entire procedure.
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You’ll filter through complex documentation on these claims. When choosing an appropriate spinal procedure code, you need to first focus on what the spinal fusion (arthrodesis) is for. Typical procedures include decompression, diskectomy, fracture treatment, and exclusively spinal fusion. The [...]
There’s more to the condition than coding J02.-. Pharyngitis coding seems basic on the surface. When a patient sees your otolaryngologist for a sore throat, you turn to J02.- (Acute pharyngitis) and select the appropriate code from the four subcategories [...]
Question: A patient with congestion, thick nasal drainage, facial pain, and a headache presented to the emergency department (ED), and our physician documented diagnoses of the flu and acute maxillary and frontal sinusitis due to the infection. However, the physician [...]
Hint: You can’t use the code for every EGD procedure. The CPT® code range for esophagogastroduodenoscopy (EGD) procedures is 43235 to 43259; savvy coders know how to find the most precise fit for a patient depending on the specific circumstances [...]
Tip: Check VA financial enrollment, then evaluate billing. If you are treating patients under the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and not receiving reimbursement, ensure electronic funds transfer (EFT) is properly set up [...]
Say goodbye to 99441 through 99443 next year. When CPT® 2025 becomes effective on Jan. 1, 2025, you will see plenty of new evaluation and management (E/M) options. You should also see several minor E/M revisions. Read on to learn how [...]
Knowing your way around the K57.- codes is key. Diverticulosis and diverticulitis have their fair share of similarities: they are both types of diverticular disease, they both involve abnormal pouches in the bowel wall, and their names both measure in [...]
One specialty makes up almost half of the October codes. The October update to Proprietary Laboratory Analyses (PLA) CPT® codes is now in play. Take a little time to see what’s new for labs and which of the 45 additions [...]
Question: I have a provider who was present for a vaginal vacuum-assisted delivery, although they were not the delivering provider. The providers are from two different practices. Are we able to bill for separate delivery of the placenta? AAPC Forum Subscriber [...]
Hint: Do not report modifiers 80 and AS together. Modifiers are important to your medical claims, and an incorrect modifier or inappropriate use of multiple modifiers can result in a claim denial. As a coder, do you know when and [...]
