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Recent content by nielynco
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Wiki UHC d and c before hysterectomy
What is your question? Do you not have access to their policy manual? -
Wiki 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. -
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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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 of cervix, during pregnancy, abdominal. The... -
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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 specialist he/she may simply order 76811 based on... -
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 you also intend to provide all the PP care as well... -
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. -
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 modifier -22. We have discussed many times on this... -
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 meaning it is only applicable in a non-facility... -
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). -
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." -
Wiki vaginal polyp removal
I completely agree with your assessment on this. -
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 here and if the bleeding was noted as a result of...