D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC DRG Code 744

Get to know how these new CMS proposed rules might affect your practice. Fee schedule changes to most evaluation and management (E/M) services have been relatively safe from CMS intervention over the past few years. As for 2019, however, it’s [...]

Hint: Proposal causes one pulmonary practice in our sample to lose $93,000 in one year. Pulmonology practices have been able to rest easy during the past few years’ worth of fee schedule changes, but this year may have thrown a [...]

'Uncooperative and obstructive' behavior amps up fine levels. Kickbacks were a defining feature in multiple recent fraud cases centering on Medicare and Medicaid home health services. Take a look at cases spanning the U.S.: In Detroit: Editha Manzano, owner of [...]

Question: What are the correct procedure and diagnosis codes for a single stage reconstruction of the right external auditory canal for congenital atresia?  Louisiana Subscriber Answer:  The correct procedure code is 69320 (Reconstruction external auditory canal for congenital atresia, single stage), [...]

Hint: Watch CCI edits while reporting incision and excision procedures. When your oral surgeon performs any procedures on the frenum, you’ll need to look at the exact anatomical location as you have code choices depending on this. You will also [...]

Tip: You can override the new edits with a modifier in certain circumstances.  If your urologist performs abdominal paracentesis or peritoneal lavage, you’ll have trouble reporting 49082-40984 with many laparoscopic and robotic urological surgery codes, thanks to Correct Coding Initiative [...]

Watch modifier indicator for override options. Your lab faces nearly 75 new edit pairs under the latest Correct Coding Initiative (CCI) update, effective April 1, 2013, even though the number of added pairs is minor, overall. With only 744 new [...]

Profit as much as $100 if you can readily identify 40806's purpose.When coding for frenulum release, the first thing you should do is keep your vocabulary straight. Sometimes, physicians tend to mislabel the procedure on their operative note, so you [...]

Question: What is the correct diagnosis to report for a tegmen defect? Illinois Subscriber Answer: Your best choice is 744.05 (Anomalies of ear causing impairment of hearing; anomalies of inner ear). A tegmen defect can lead to cerebrospinal fluid leakage [...]

Use your coding expertise to solve these movie riddles. Find the missing term and code it.1. This famous book by Robin Cook had people hanging from the ceiling with strings and was made into a movie. _________ 2. Robin Williams [...]