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    Wiki ICD10 FOR 85390

    I am unable to located a diagnosis for this CPT. I do not have a referring physician diagnosis. What ICD10 would you assign? Any help appreciated. Thank you Negative for Lupus Like Inhibitor, Negative for lupus inhibitor; Factor deficiency not excluded Interfering substances...
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    Wiki 86077, 86078, 86079

    I am looking for information on how to code 86077 - 86079. Guidelines, assigning ICD10, Etc. Any help appreciated. Thank you
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    Wiki Esophagogastrectomy / pancreaticoduodenectomy

    Does anyone have guidelines for charging out Esophagogastrectomy and/or pancreaticoduodenectomy I have the information in the Pathology Coding Handbook; however, I am looking for more detail. In order to charge out an additional 88305, 88307 or 88309 ( the Handbook states that and additional...
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    Wiki ICD10 question pancreatic intraepithelial neoplasia

    I am looking for help with an ICD10. Pancreas and duodenum, Whipple at the splenic artery : · Treated tumor, 2.3 cm, with no residual invasive adenocarcinoma identified (complete response, score 0) · High grade pancreatic intraepithelial neoplasia present (PanIN-3, high grade) · All margins...
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    Wiki ICD10 SEROSITIS

    What ICD10 would you assign the following: Ileum, colon and appendix, Ileocecectomy Ileum and cecum with extensive and multifocal fibrinopurulent serositis with abscess Any help appreciated!
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    Wiki Regional Lymph Nodes

    What ICD10 would you assign for the Regional Lymph nodes? Pancreas, duodenum, and distal stomach, whipple with en bloc SMV resection: · Residual invasive adenocarcinoma, poorly-differentiated · Tumor extends into superior mesenteric vein, duodenal wall, and pyloric sphincter · Size: 4.5 cm ·...
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    Wiki Phyllodes tumor, low-grade

    Left breast, lumpectomy: Phyllodes tumor, low grade - Is a low grade Phyllodes tumor considered malignant. Any help appreciated. Thank you
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    Wiki Stromal Tumor ICD10

    Final Pathologic Diagnosis A. "Right ovarian cyst", resection: · Sex-cord stromal tumor, consistent with Sertoli-Leydig tumor. Clinical History Pre-op diagnosis: Neoplasm of uncertain behavior of unspecified ovary D39.10. What ICD10 would you assign? Any help appreciated
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    Wiki BREAST CPT

    Clinical History Pre-op diagnosis: BREAST ASYMMETRY BETWEEN NATIVE BREAST AND RECONSTRUCTED BREAST . Final Pathologic Diagnosis A. Right breast mass, history of right breast cancer, excision: Benign skin and breast parenchyma with foreign body giant cell reaction and grossly identified metallic...
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    Wiki ICD10 GASTROESOPHAGEAL

    Clinical History dysphagia, reflux hiccups . Final Pathologic Diagnosis A. Gastroesophageal junction, biopsy: Inflamed columnar/gastric mucosa with reactive changes No Helicobacter type organisms or intestinal metaplasia identified What ICD10 would you assign? Any help appreciated
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    Wiki Amputation ICD10

    Toes, first and second left toes, amputations: First and second toe with ulcer, necrosis, and acute and chronic inflammation What ICD10 would you assign? Any help appreciated
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    Wiki Placenta Diagnosis

    Placenta: Acute chorioamnionitis, intervillous thrombus, 2 vessel cord wityh funisitis, and atypical chorionic villi. Sencond trimester. What ICD10 would you assign? Any help appreciated
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    Wiki CPT question Mandibulectomy

    What CPT would you assign to the following: Neck, right partial pharyngectomy, right neck dissection, right parotidectomy, right partial mandibulectomy. Again, any help appreciated
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    Wiki ICD10 Liver biopsy

    I am looking for help assigning the ICD10 to the following case: Clinical History: Renal transplant evaluation. *Liver biopsy with oral and patchy interface hepatitis (grade 2), consistent with history of active/untreated hepatitis C virus *Fibrous portal expension with focal early portal...
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    Wiki Skin Ulcer

    What ICD10 would you assign to the following: Toe, left second toe proximal bone, amputation: Acute osteomyelitis Skin with focal ulceration and inflammation extending into deep subcutaneous soft tissue Skin and bone resection margins appear viable The...
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    Wiki Appendectomy - well differentiated neuroendocrine tumor

    Appendectomy - well differentiated neuroendocrine tumor What CPT would you assign - 88304 or 88305? Thank you
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    Wiki Anastomosis surgical margins

    How would you code out Specimen B. Specimen A is a resection colon, malignant 88309 Specimen B is a anastomosis surgical margin Any help appreciated
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    Wiki Semen Analysis

    Here is the information that I have available from the report: Semen analysis regards to requistion .... -Semen Volume: 2.5 ml -Sperm count 3750,000,000/ml (high) -Semen pH 8.5 (high) -Motility PR: 70% (HIGH) SPERM MORPHOLOGY Aprpoximately 95% normal forms are identified with no...
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    Wiki Neuroendocrine tumor

    What ICD10 would you assign to: Pancreatic neck mass, Low-grade neuroendocrine tumor. Here are the guidelines I have been given: Any help appreciated. Neuroendocrine tumors are almost always malignant * If graded they are malignant * If malignant look under tumor carcinoid * If...
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    Wiki Professional Liability - Contract Position Question

    I have accepted a job as a contract position for a remote coder. Previously, my employer covered liability. Does anyone know where to purchase Professional Liability for a CPC. Any help appreciated
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    Wiki ICD 10 Question

    What ICD10 would you assign to the following: Any help appreciated. 1. FIBRILLARY GLOMERULONEPHRITIS WITH ACTIVE CRESCENTS AND SEGMENTAL SCLEROSIS (SEE COMMENT) 2. ACUTE TUBULAR INJURY AND INTERSTITIAL NEPHRITIS, LIKELY RELATED TO #1 3. ARTERIAL AND ARTERIOLAR NEPHROSCLEROSIS COMMENT: The...
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    Wiki POS, 11 versus 81 and 11 versus 22

    1) We are an Independent Lab - Historically we have used 81 as the POS for specimens collected at the physician office. Should be we using POS 11. 2) We are a hospital based pathology group - Historically we have used POS 21, 22, 19, 24. For a patient whose specimen is collected in the...
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    Wiki 85060

    85060 is only covered as an inpatient for Medicare. Is anyone charging out commercial insurances for this procedure and if you are - are you getting paid? Thanks AB
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    Wiki 88342 MUE limit of 3

    Medicare, BlueCross are denying any quantity over 3. However, we have 6 specimens with a stain performed on each specimen. We are reporting out 88342 x 6. Medicare and Blue CRoss are only paying 3. We have tried Line 1 88342 3 units, Line 2 88342-XS 1 unit, 88342-XS 1 unit, 88342-XS 1 unit...
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    Wiki 88341 88342 Medicaid Denials

    In the State of MI, Medicaid is denying 88341 and 88342 as these codes are not on the current fee schedule. Medicaid also does not recognize the G-codes. Is anyone else encountering this issue. Any help appreciated. Annette
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    Wiki 89060

    Soft tissue, right wrist, exc: 88305 is CPT. Pathologists also assigned 89060 for specimen examined under polarized microscopic polarization. ICD9 guidelines states do not charge 89060 for tissue embedded specimens. is there anytime this two codes can be charged together? Any help appreciated.
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    Wiki final diagnosis

    Can anyone out there tell me how you are handling filing a claim for pathology cases. I was trained to wait for the final pathology report before filing a claim. Do you charge from the requisition or do you charge from the pathology report with a definitive diagnosis. Also, do you have any...
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    Wiki Assign cpt requisition versus pathology report

    I am looking for information on assigning ICD9 codes. Are you currently assigning from a requisition or a finalized pathology report. I was also trained to sign from the finalized path report. Any information appreciated.
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    Wiki new vendor

    We are looking for a new vendor for our billing software. What is everyone using and are you satisfied? Thanks AB
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    Wiki 87491

    Results of 87491: Positive Chlamydia Trachomatis, but the reference range states negative. Do I code by the reference range negative? Any help appreciated
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    Wiki Her-2/neu

    Is here a ICD9 for Negative Her-2/neu overexpression? Any help appreciated
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    Wiki cervix, hpv effect

    Cervix: CIN II (moderate squamous dypslasia with HPV effect. Would you assign 622.11 and 079.4? Thank you
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    Wiki 87491, 87591

    I am looking for ICD9 for 1) chlamydia trachomatis , reference range negative and 2) 87591 neisseria gonorrhoeae, reference range negative. Do I use clinical signs and symtpoms for these test when ordered if the reference range is negative? Any help appreciated.
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    Wiki ICD9 versus clinical

    How would you code: 1) endometrium, weakly proliferative o atrophic endometrial gland with focal cystic change 2) extensive atypical reactive squamous metaplasia, 622.9 or would you use clinical signs and symptoms 795.02 3) Reative lymphoid tissue any help appreicated Thanks AB
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    Wiki ICD9 questions

    Skin, preauricular, sinus tract - benign squamous cyst sinus - would you use 478.19. Endometrium, tubal metplastic features - would you use clinical signs and symptoms post menopausal bleed. Thanks
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    Wiki Pap test coding

    I have a question, I am reviewing PAPS coding in the lab. It is my understanding that the referring physician must provide ICD9 codes. V76.2, v73.21 are appropriate ICD9 and we are getting paid. However, I noticed that on one claim the ref. phys assigned 726.71, bursitis and we were paid. It...
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    Wiki Giant Cell reaction,

    How would you code Giant Cell Reaction, soft tissue? Thanks AGain
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    Wiki Reactive Squamous metaplasia, endocervis

    What ICD9 would you assign for reactive squamous metaplasia, cervix 622.9? Thanks for your help
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    Wiki Fna

    FNA, submandibular gland: Prepared 1 slide using thin prep monolayer technique and 1 slide using cellient cell block procudure. Would use code CPT 88173, 88305 or 88112, 88305. Any help appreciated. AB
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    Wiki ICD9 help again-would I use

    What would I use for suspicious for Hurthle cell neoplasm. marked cellular speciman consisting of mostly groups of Hurthle cells. Clinical info is nontox uninodular goiter. any help appreciated
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    Wiki peyers Patch

    Need help one more time. Terminal Ileum mucosa showing peyers patch. Any help appreciated. AB
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    Wiki ICD9 help again

    How would I assign lymphoid hyperplasia, small bowel? (785.6) Any help appreciated
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    Wiki ICD9 help - How would you code 1) hyperplastic tongue

    How would you code 1) hyperplastic tongue 528.79. 2)Grade 4 esophagitis. 3)colon, non-specific inflammation 4) dermatitis skin, 692.9? Any help appreciated
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    Wiki Colonoscopy Screen

    I am reviewing path reports in our lab. Can you tell me if you we should use G-code for colonocscopy screening for Medicare patients, like you use a G-code for a screening PAP for Medicare patients. Thank you
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    Wiki Paps coding

    I am reviewing PAPS previously signed out at our lab. The codes 99070 or 99050 are added in addition to the PAPS CPT CODE 88175. Is there any a reason that you would add these codes? The 99050 says stat and the 99070 says additional thin prep filture. Any help appreciated.
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    Wiki chronic erosive ectocervicitis

    How would you code chronic erosive ectocervicitis, 6160? Thanks AB
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    Wiki sentinel lymph node

    A patient has a previous history of breast CA. The patient has a biopsy of a sentinal lymph node that has metastatic carcinoma. Would you assign 1963 as the ICD9? Any help appreciated.
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    Wiki facility coding

    I have many years experience in coding for hand surgery, general surgery, path/lab, some critical care coding - all on the physician side. Can anyone tell me how to obtain experience for facility coding? It seems like all the remote jobs are facility coding. Would it be beneficial to obtain...
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    Wiki modifier 76 versus 59

    I am having an issue with an HMO insurance company. Example: For Medicare, if we are charging 88305 x 6, we would use modifier 76 on additional 88305's. However, the HMO has all the sudden decided we need modifier 59. Can anyone help me with documentation? I need some documentation that I...
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    Wiki local Tenums

    I need some help on charging out local tenums. I researched and found the MCR wants a modifier and BCR wants a modifier. Can anyone tell me what modifier commercial carriers want? Also, anyother information would be helpful. Thanks Annette
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