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nielynco's latest activity
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These AAPC references are ancient, but I believe they are still accurate... -
58662 Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method This is a laparoscopic code and it is not for lysis of adhesions. Double check the CPT for open lysis of...
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nielynco replied to the thread Wiki Laparoscopy with partial omentectomy and vaginal Cuff repair.I would code this as a diagnostic laparoscopy and an unlisted code for the vaginal cuff repair. There is no code this a laparoscopic omentectomy - partial or complete so it is unlisted and perhaps you can include the work with 49320 adding a...
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nielynco replied to the thread Wiki 99459.No you would not. The code is for practice expense only and so it would only be reimbursed if the practice bore the expense. If you look at the CMS RBRVS data base you will see that the facility indicator column indicates an NA for this code...
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nielynco replied to the thread Wiki Help with ICD code for laceration for both labial and vaginal during delviery.As the patient had both a perineal and vaginal laceration, ICD10 instructs you to use O70.0 instead (see included terms under code O70.0).
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nielynco reacted to csperoni's post in the thread Wiki 38900Intraoperative identification (eg, mapping) of sentinel lymph node(s) with
Like.
Yes, this is absolutely justification for -50. The ICG dye is injected on each side of the cervix so that the mapping itself (represented by 38900) is bilateral. From SGO: How do you code for laparoscopic/robotic sentinel lymph node... -
nielynco replied to the thread Wiki Intrauterine death 16 weeks, induction.59855 would match the work performed. But be sure to also report the diagnosis of fetal death prior to 20 weeks when you submit this code even though the termination would be considered by the uninformed to be "elective."
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nielynco reacted to csperoni's post in the thread Wiki Pelvic Exam under Anesthesia, Vaginal tissue biopsy, vaginal abscess debridement and vaginal packing with Like.
57010 Colpotomy; with drainage of pelvic abscess...
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To me, -52 is not warranted in this scenario. My understanding of -52 is for when the clinician eliminates a portion of a procedure with multiple components, or performs less work than described. I would bill 58562 without modifier.
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nielynco reacted to csperoni's post in the thread Wiki Looking for ASC guidance for GYN Practice with Like.
I don't have specific guidance, but rather some general advice and place to start. 1) This varies A LOT by state. In NY for example, the restrictions are significant about what can and cannot be considered an ASC. You must meet stringent...
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nielynco replied to the thread Wiki vaginal polyp removal.I completely agree with your assessment on this.
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nielynco replied to the thread Wiki Laparoscopic suture ligation.You can't bill a diagnostic laparoscopy and a procedure via the laparoscope as the diagnostic part is inherent in the procedural surgery. Hence, 49320 and 58660 will always be bundled. I agree that 37617 is an open procedure so would not apply...
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99459 goes in the same department as G2211 and causing me more grey hair every day. Some carriers will pay, some will bundle. Some will consider included in preventive, but pay when done with problem oriented visit. Some will pay at 100%...
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What about 59100? Description below: In this procedure, the provider performs a type of cesarean section, or C section, to remove a fetus or hydatidiform mole from the uterus prior to twenty weeks and zero days gestation, but the abdominal and...
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nielynco replied to the thread Wiki 58100 or 57500.I disagree with reporting 57500. You can report 58100-22 if you like, but since this code includes an endocervical biopsy if performed, I doubt you will get paid anything extra. Your documentation supports the EMB with an incidental finding...