ICD-9 code 500 for Coal workers' pneumoconiosis is a medical classification as listed by WHO under the range -PNEUMOCONIOSES AND OTHER LUNG DISEASES DUE TO EXTERNAL AGENTS (500-508).
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PROCEDURE: After informed consent was obtained the patient was brought to the operating room and placed on the table. He was given a general anesthetic and left in a supine position. He was prepped... [ Read More ]
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For surgical abortion procedures 59840 or 59841 does it include IM/IV medications or do we bill for each medication. Providers document Modera... [ Read More ]
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For surgical abortion procedures 59840 or 59841 does it include IM/IV medications or do we bill for each medication. Providers document Moderate sedation and then a separate medication list. E... [ Read More ]
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A 15-year-old boy was burned in a fire and assessed to have received burns to 75 percent of his total body surface area. He was transferred to a ... [ Read More ]
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What is pt responsibility: example: Procedure cost is $500 / primary pays $250 and insurance write off is $100 = pt balance $150. Secondary pays pati... [ Read More ]
What is pt responsibility: example: Procedure cost is $500 / primary pays $250 and insurance write off is $100 = pt balance $150. Secondary pays patient (out of network) $250. What is the total pati... [ Read More ]
Before I said anything to my provider I wanted to be sure and have a complete and accurate answer for him. He is a specialist in orthopedics and is only addressing the area of concern in his Exam port... [ Read More ]
I have orthopedic surgeons collecting 300-500 dollars from Medicare and commercial payer patients for 20985 and 0054T because they are non-covered services per Medicare. In reading the descriptions of... [ Read More ]
I think this is so variable and dependent on the type and volume of records to be audited as well as the experience level of the auditor. I would expect a higher number per hour if it was just outpat... [ Read More ]
I had a patient who delivered the first twin vaginal and then there was a shift change and another provider came in and they were having decelerations and the second twin was taken by csection with a ... [ Read More ]
Take this advice, take your breast cancer coding to the next level. In the first article of this two-part series, Halee Garner, CPC, CPMA, CHONC, CCA, CPhT, AAPC Approved Instructor, quality assurance coordinator for Florida Cancer Specialists & Research Institute [...]
Question: Encounter notes indicate that the patient suffered from “altitude-related sleep apnea.” Should I just report an unspecified sleep apnea code for this condition? Colorado Subscriber Answer: There actually is a code for altitude-related sleep apnea: Report G47.32 (High altitude [...]
Relying on the title of your hysterectomy report could spell disaster. Last month, you learned how to handle hysterectomy combinations in the article “Part 2: How to Make Sense of Your Hysterectomy Combo Claims.” This month, you’re going to examine [...]
CMS calls for an overall 1.7 percent payment reduction in 2025 proposed rule released June 26. Medicare officials persist in implementing “deep and destabilizing” cuts for home health agencies in the Centers for Medicare & Medicaid Services latest proposed payment [...]
Follow this decision tree to determine breach reporting. Practices often struggle with determining if a potential breach of protected health information (PHI) requires notification. Oftentimes the size and scope of the violation necessitates the who, what, when, where, and why [...]
And stay alert to these expert billing tips and examples. There are a lot of moving parts to billing for drug use and waste. Fortunately, in her 2024 HEALTHCON session, “Don’t Gamble When Coding Drug Waste,” Stephanie A. Thebarge, CPC, [...]
Follow this decision tree to determine breach reporting. Practices often struggle with determining if a potential breach of protected health information (PHI) requires notification. Oftentimes the size and scope of the violation necessitates the who, what, when, where, and why [...]
The feds are scaling back CERT medical review a bit. The Centers for Medicare & Medicaid Services “will permanently reduce the Comprehensive Error Rate Testing (CERT) program sample size starting with reporting year (RY) 2025,” CMS says in its April [...]
Don’t be so sure that non-solicitation label will save you. Medicare doesn’t have the market cornered on new rules this month. Check out the other significant rules federal agencies have released that may affect how you do business: Non-Competes: On [...]
Latest HIPAA report highlights how practices let PHI fall through the cracks. If your lab is still using the same privacy protection protocols as it did when HIPAA was first enacted in 2003, you could be putting your practice in [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.