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nielynco's latest activity
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No, we don't do anything special for robotic surgeries. Modifier 22 is not appropriate just for the purpose of reporting a robotic procedure. -
nielynco replied to the thread Question UHC d and c before hysterectomy.What is your question? Do you not have access to their policy manual?
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nielynco replied to the thread Prenatal care, at-risk assessment.https://dss.mo.gov/mhd/providers/education/health/health10.pdf This link seems to indicate the H1000 can only be billed by an approved provider and as a stand-alone service and not the an E/M.
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nielynco replied to the thread Wiki Intrauterine death 16 weeks, induction.Yes, as at the time of treatment the fetus was dead and retained at the beginning of the procedure.
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nielynco reacted to jkyles's post in the thread Prescription Drug Management - Prenatal Vitamins with
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I don't either. Considering how many questions they still get about it I'm surprised they haven't taken it out. Here is a set of FAQs that includes the guidance re: selecting risk in regards to Rx management on page 5... -
nielynco reacted to csperoni's post in the thread Question Help with DIAGNOSTIC LAPAROSCOPIC CYSTECTOMY, LYSIS OF ADHESIONS with Like.
1) Please remove any PHI in your posting 2) Provider coding is definitely incorrect. 58925 is an open ovarian cystectomy. This surgery was neither open nor a cystectomy. 3) I agree with your coding of 49322. Regarding lysis of adhesions -...
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nielynco replied to the thread Wiki Jada Removal.Let us know how that worked for you.
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nielynco replied to the thread Wiki Cerclage Removal.Per the 2007 CPT Assistant: Question How is the removal of cerclage sutures reported? AMA Comment Cerclage of the cervix during pregnancy is reported by means of codes 59320, Cerclage of cervix, during pregnancy; vaginal, and 59325, Cerclage...
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nielynco replied to the thread Wiki Jada Removal.Not that I could ever find either.
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Hi Cathy, I agree with you that the guideline referenced is only for the delivery charge, and would not be applicable to a subsequent hospital visit. I am now using Z39.2 on the subsequent charges after discussion; although the above referenced...
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If the provider who delivered sees the patient only in the hospital (no office antepartum or postpartum), you would bill 59409 and then subsequent visit(s) and discharge. The admission is included in the work of 59409. I will also add that many...
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I would also bill the significant, and separately identifiable E&M service with -25. You may have some carriers that pay a reduced rate, or even some that may not pay at all. That is part of their policy and/or your contract. However, the...
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nielynco replied to the thread Wiki 76805 versus 76811 ultrasound.I would suggest you read the attached article. It is up to the provider whether they want to perform 76805 and then because of a finding refer the patient for 76811 to an appropriate provider. If the patient is initially being seen by a MFM...
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nielynco replied to the thread Wiki Attempted C-section delivery- Modifier 53 or 52?.I would have to agree that modifier -53 would not be correct in this situation because you are trying to bill a global service, not just the delivery. You could have used -52 and let them know your provider did not do the delivery, but only if...
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nielynco replied to the thread Wiki 76816 vs 76815 ultrasounds.I think 76815 would be the more correct. They are doing it for growth, but no re-evaluating any fetal growth parameters, just amniotic fluid, position and heart rate.