Question: A morbidly obese patient is due for a prostatectomy. Which DRG should he be assigned into? Texas Subscriber Answer: The case is of a prostatectomy in a morbidly obese patient. He has a CC E66.01 (Morbid [severe] obesity due to excess [...]
Question: A patient had an elective abortion elsewhere. She came to our clinic, and the ob-gyn performed a dilation and curettage for retained products of conception that were not completely removed from her previous procedure. Should we consider this a [...]
If you-re only looking at what codes are new, you-re missing vital information Ob-gyn coders, prepare yourselves. You-ve got tons of new ob-gyn-related codes and revisions to learn for 2008. Prepare for the mental shift on Oct. 1 by pouring [...]
Question: The patient delivered on the same day as the following surgery: PREOPERATIVE DIAGNOSIS: Postpartum hemorrhage. POSTOPERATIVE DIAGNOSES: Postpartum hemorrhage with a large amount of clots in the uterus, as well as cervical laceration. OPERATIONS: 1. Exam under anesthesia. 2. [...]
15+% depends on whether you call an evacuation a complication or surgery portion. Avoid denials and accidentally reducing the allowable fee on multiple services by testing your modifier 51 versus modifier 78 savvy with this complicated ob op note. First, [...]
Question: I seem to recall at a recent conference I attended that the speaker said the fifth digit has to be the same for all diagnoses on a delivery. I have one today that has postpartum hemorrhage and a fetal [...]
Question: A patient had an elective abortion elsewhere. She came to our clinic, and the ob-gyn performed a dilation and curettage for retained products of conception that were not completely removed from her previous procedure. Should we consider this a [...]
Question: My ob-gyn admitted a 30-year-old primigravida for elective induction with a ventral hernia. The patient complained of nausea and stopped breathing. She has a history of hypertension, type 2 diabetes, and gastric bypass. The ob-gyn found a placental abruption [...]
Question: An hour after a patient delivered, the ob-gyn performed a limited pelvic ultrasound (US) to verify remains of placenta left behind. Should I code this as an ob ultrasound or non-ob? Kansas Subscriber Answer: You should probably use the [...]
But provider reps frustrated by slow progress.The pace of the Provider Enrollment Chain and Ownership System (PECOS) couldn't get much slower - tens of thousands of providers are still waiting for enrollment or re-enrollment with Medicare.The Centers for Medicare & [...]
