Question: A patient presented to their primary care physician (PCP) with left shoulder pain that has persisted for three weeks. The patient attested that they collided with another player and fell during a soccer game three weeks earlier. The PCP [...]
A surgeon’s note requesting POPM could mean the difference between getting paid and not getting paid! If a surgeon places your provider in charge of a patient’s postoperative pain management (POPM), opportunity knocks, but danger lurks. Rightful reimbursement is possible, [...]
2 agencies pay millions in back wages and damages. Wage and hour-based cases continue to stack up against home care providers. January case #1: A federal judge has ordered TriMED HealthCare LLC and its owner Beverly Jordan to pay more [...]
Question: Encounter notes indicate that the provider performed a service for a patient with “CRPS 1, arm.” Which diagnosis code applies? Arkansas Subscriber Answer: Based on the information provided, the correct ICD-10-CM code is G90.519 (Complex regional pain syndrome I of unspecified [...]
Question: Encounter notes indicate that the provider performed an office evaluation and management (E/M) service for an established patient with ‘CRPS 1 arm.’ Total encounter time was 27 minutes and involved low-level medical decision making (MDM). How should I report this [...]
Know how your provider might diagnose, treat these injuries. When your orthopedist treats a patient with a rotator cuff (RC) injury, there will be a lot for the coder to untangle. There will be separate codes for diagnosis and treatment [...]
Question: Our internist performed intradermal injections of botulinum toxin on a patient suffering from primary palmar hyperhidrosis, and I am not sure of the correct CPT® code to use for this service. Would 96372 be appropriate? Or is 64653 a [...]
Question: I am hoping to get some advice coding this surgery. The ob-gyn performed laparotomy, de-torsion left ovary, left ovarian cystectomy, left salpingectomy. For the laparotomy, the ovary had a large cyst and was high in the abdomen. The ovary [...]
Question: Our facility has a debate on when we should assign O99.5- (Diseases of the respiratory system complicating pregnancy, childbirth and puerperium). For example, pregnant patient, 18 weeks, presents with nasal congestion, headache and ear fullness. She denies any cough, [...]
There’s more to coding condition aftereffects that adding a seventh character. Many injuries and illnesses don’t end after their acute phase is over. Some can have aftereffects that can last years or even a lifetime. From a coding perspective, that [...]
