Hint: Treatment documentation is key. One of the most common areas of confusion when it comes to oncology coding is when to report a patient’s malignancy as active or personal history. Here are some great tips to help you correctly [...]
Prep now to hit the ground running on Oct. 1, 2024. The Centers for Medicare & Medicaid Services (CMS) unveiled the 2025 ICD-10 changes on July 9, 2024. The changes include 252 codes added, 36 existing codes deleted, and 13 [...]
Question: Patient had LEEP for CIN 3 yesterday. Started bleeding around 6 pm last night and changed pad per hour overnight. Presented to ED early this AM. In ED, was found to have oozing from cervix and MD called our office. [...]
Question: My provider performed a bone density screening on a post-menopausal woman who has no symptoms of osteoporosis. If she doesn’t have symptoms, how do I report the encounter? Is she even eligible for the screening? Michigan Subscriber Answer: For encounters where [...]
Question: I’m looking for some guidance on coding of GBS bacteriuria in a pregnant patient. Here’s the note: Visit Notes: Patient denies leakage of fluids (LOF), viable birth (VB). Reports good fetal movement (GFM) and having contractions (CTX) but nothing worth [...]
Question: What is the appropriate anesthesia procedure code and modifiers for Dr. Jones, and what is the appropriate anesthesia procedure code and modifiers for the CRNA? Anesthesiologist: Dr. Jones CRNA: Milton Gage Anesthesia: General Diagnosis: Bleeding, post-operative transurethral resection of bladder [...]
Question: If our ob-gyn suspects a vaginal infection when a patient presents for her annual gynecological exam and therefore orders a wet mount, how should I code it? If the Pap returns with inflammatory cells and the physician orders another [...]
Don’t mess up this condition of payment. Smart home health agencies will lower their denial rates — and reimbursement losses — by targeting claims’ biggest threat: the face-to-face encounter. New medical review results from HHH Medicare Administrative Contractor Palmetto GBA [...]
More areas may be without service than you realize. Home health and hospice agencies have known it for years, but the problem is finally getting more widespread notice — a critical shortage of nurses and aides to provide care in [...]
Question: What’s the difference between G0141 and 88141, and when should we use one code over the other? Texas Subscriber Answer: Both codes describe physician interpretation of an abnormal Pap smear: G0141 (Screening cytopathology smears, cervical or vaginal, performed by automated system, [...]
