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Code for quality of care, not just reimbursement. According to the Agency for Healthcare Research and Quality (AHRQ), over 2.5 million people in the United States are affected by pressure ulcers each year, with the total annual cost for treatment [...]
Understand why reporting ultrasound guidance is a mistake. When an amniocentesis claim lands on your desk involving polyhydramnios and twin-twin transfusion syndrome (TTTS), do you know what to do? Follow these three steps when coding this amnio procedure and see [...]
Find out if you can report the ultrasound guidance separately. Do you know what to do if you’re presented with an amnio claim that includes a condition called “polyhydramnios?” Find out if your solution matches with this recommendation. Here’s how: [...]
Question: A new patient presents with cervical spinal stenosis at C5-C6 and degenerative disc disease with myelopathy and radiculopathy. After a level-four evaluation and management (E/M) service, the surgeon decides to perform laminectomy on two cervical vertebrae to address the condition. [...]
Question: A new patient presents with cervical spinal stenosis at C5-C6 and degenerative disc disease with myelopathy and radiculopathy. After a level-four evaluation and management (E/M) service, the surgeon decides to perform laminectomy on two cervical vertebrae to address the [...]
Question: Our ophthalmologist diagnosed a patient with monocular esotropia in the right eye, with a V pattern. Can you explain the different types of strabismus and how to figure out which diagnosis code to report in this case? Ohio Subscriber Answer: Strabismus [...]
Question: Which diagnoses support the performance of diagnostic ophthalmic ultrasound with both B- and A-scans, and what diagnosis codes should we report when billing 76510/76512 to help prove medical necessity? Michigan Subscriber Answer: Physicians may use diagnostic ophthalmic ultrasonography with both B- [...]
How much do you recall about recent coding changes? Once you’ve answered the quiz questions on page 3, compare your answers with the ones provided below. Answer 1: On Jan. 1, 2022, CPT® added the following definition of foreign bodies [...]
Time to put these new VWD, HIT, and HUS codes at your fingertips. Changes to the D50-D89 (Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism) code range in ICD-10-CM 2023 are extensive. And Oct. [...]
Question: A patient presents with eye irritation and discharge. After a level-three ED evaluation and management (E/M) service, the provider diagnoses “mucopur. conjunctivitis.” I have found the heading for H10.0- (Mucopurulent conjunctivitis), but I am having trouble zeroing in on the [...]
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