code

  1. M

    ICD-10 DX for smoking cessation

    I am having some trouble with Medicare paying 99406 or 99407 when billed with E/M code using Dx F17.210. The denial is for "not medically necessary" Any suggestions? I appreciate any help Maru
    • mquiroz
    • Thread
    • code denial f17.210 medically suggestions
    • Replies: 7
    • Forum: ICD-10
  2. P

    Wiki Icr

    I Need some input on billing for ICR (Intensive Cardiac Rehab). I am aware of G0422 and G0423 for the physician but is there a facility code that can be used for the facility fee? Any help would be greatly appreciated. Thank you
    • pmoshi
    • Thread
    • appreciated code facility greatly icr
    • Replies: 0
    • Forum: Cardiology
  3. S

    Wiki RH Negative in Pregnancy icd-10 Code?

    What code would you give a RH NEGATIVE for pregnancy?
  4. J

    Wiki Secondary anemia due to menorrhagia

    How would we code secondary anemia due to Menorrhagia Patient is having excessive bleeding with menstrual cycle and developed anemia. I think it should be coded N92.0 and D64.9. Can you please advise if this is correct way to code this? Thanks
  5. B

    Wiki Podiatry Billing for Routine Footcare 11721

    I am having trouble with the code 11721 getting paid by Medicare since ICD 10. Has anyone figured out how to get around this? We never had an issue with this code before ICD 10, but now we are getting denials stating that it is not "medically necessary. The dx codes we use are B35.1 as primary...
  6. J

    Wiki Replacement Code for 72010

    Does anyone know the replacement CPT code for 72010? It is now an obsolete code. Thanks!
    • jhofler
    • Thread
    • 72010 code cpt obsolete replacement
    • Replies: 1
    • Forum: Orthopaedics
  7. B

    Wiki External Cause Code Question

    If the patient has an injury, say fx or sprain, but they state no known injury, What external cause code would be appropriate for this if the cause of injury is not known? The guidelines state not to use Y93.9 Unspecified activity, if the activity is not known. The only thing close that I can...
    • bnida
    • Thread
    • activity code external injury y93.9
    • Replies: 3
    • Forum: Orthopaedics
  8. S

    Wiki Bill established then bill new patient code?

    Is there any documentation that addresses whether you can bill an established code prior to billing a new patient code? This seems counter intuitive however, we have a situation where we have an Immediate Care clinic that is modeled after an Urgent Care (without the Urgent Care designation.)...
    • stormysf
    • Thread
    • bill care code patient primary
    • Replies: 0
    • Forum: E/M
  9. V

    Wiki 2d mip

    Hello all, am having a CTA chest report with 2D MIP images, can i go ahead and code it as CTA or just CT. Your inputs please. Thanks, Veer
  10. S

    Wiki History of Vitamin D Deficiency

    Can anyone give some feedback on what code to use for a history of Vitamin D Deficiency? We have had a lot of discussions regarding this, and the best code we can come up with is Z86.39.
  11. L

    Wiki Grafts and tympanoplasty

    I am confused on the graft codes during tympanoplasty. I know the graft is included in the code but what if the surgeon takes 2 grafts? He used a temporalis fascia graft and a tragal cartilage graft. Are both included in the tympanoplasty code or can I code for one of them? Would appreciate...
  12. L

    Wiki Need HCPCS code for Tissue Breast Expander

    I am needing a HCPCS code for a tissue breast expander. There is one website that says to use C1789 and then there is another website that says to use L8600. Is there anyone that has billed this product before and would know which code would be correct?
  13. L

    Wiki Need HCPCS code for Tissue Breast Expanders

    I am needing a HCPCS code for tissue breast expanders. I have found one website that says to use C1789 and one website that says to use L8600. Is there anyone that has billed this product before and knows which code to use?
  14. S

    Wiki Ectopic Bone Formation

    Hello. I do pathology coding and today my co-worker came across a case for an ectopic bone formation. It was a calcified nodule in the tip of the thumb. Our pathologists classified it as 'new bone formation (woven bone), most consistent with ectopic bone formation. The best code we could...
  15. S

    Wiki E&M and Procedure

    I would like your opinion on this, please. Pt. walks into the clinic with a laceration due to a fall. Pt. is seen by the doctor for a laceration repair. Doctor also discusses past medical history, patient's current medication--is something off with meds that led to the fall, how is the...
    • shepherddl
    • Thread
    • code e&m fall laceration repair
    • Replies: 3
    • Forum: E/M
  16. T

    Wiki Low birth weight code being denied

    I have a patient that was born prematurely and was coming in for weight checks to monitor growth. The physician is still using the P07.10 code even though the patient is gaining weight because they are still below normal. The patient is now 3 months old and we are getting denied for...
  17. debipbarik

    Wiki ICD 10 CM Bipolar disorder

    I am confused with my doctors note regarding Bipolar disorder. Generally my doctor mention Bipolar disorder, currently manic; Psychotic features. In this case code leads to F31.2 Bipolar disorder, current episode manic severe with psychotic features But there is no mention of "Severe" on...
  18. W

    Wiki Piriformis Nerve Block

    Curious to know what CPT code is used to bill for a Piriformis Nerve Block? We are billing 64445 and this is not covered in the ASC for Tricare. My doctor has asked if there is another code that would be sufficient or if 64445 the correct code. Thank You, Wendy Holloway, CPC Albany, Ga
  19. M

    Wiki How to code Major Depression...

    Which ICD 10 code should be chosen for " Moderately Severe Major Depression PHQ 9=15"? Please advise.
  20. M

    Wiki Need help- DX code POSTOPERATIVE DIAGNOSIS: Right non-healing Achilles tendon wound

    Hello, Can anyone help with a dx code for Right non-healing Achilles tendon wound? This is post op wound complications. Thank you in advance:) Micki
  21. R

    Wiki Coding for screening of tobacco

    We are beginning to do urine nicotine testing. That is all they will be coming in for. Patients need to turn this in to their insurance to receive discounted premiums. Does anyone know what ICD-10 code would be best to use? Thanks
  22. T

    Wiki Unsure how to code a fight between two children

    Normally I would code the activity and place of occurrence for an injury sustained during play as 'horseplay' or will use the appropriate code for what type of play the children were participating in. However, in this situation, the children began to squabble and one child got mad and picked up...
    • TJAlexander
    • Thread
    • children code play sign smacked
    • Replies: 2
    • Forum: ICD-10
  23. A

    Wiki Robotic-Assisted PCI

    I cannot find any guidance on how to code robotic-assisted PCI's. Is there a special way to code or do we use the same codes as with "regular" PCI's? Thank you, Allison, CPC, CCC
    • ablythe
    • Thread
    • allison code codes pcis robotic-assisted
    • Replies: 1
    • Forum: Cardiology
  24. C

    Wiki Assistant coding out patient / hospital setting E/M code

    Sometimes the providers do the H&P on OB patients who are seen in the labor and delivery floor. However, it states patient are seen as out patient. Do you bill an out patient e/M code or do you bill observation codes? It doesn't mentioned patient is on observation status... I would like to say...
  25. L

    Wiki high risk pap - Medicare

    When we had a pt who was high risk for cervical Ca in ICD-9, Mcr told us to use V15.89 dx code. I'm trying to find the conversion code to ICD-10. I tried using V92.89 which was my coding software's conversion, but Mcr denied it. Does anyone know where to find high risk I-10 code on CMS...
    • lorilynn7657
    • Thread
    • code conversion mcr risk softwares
    • Replies: 4
    • Forum: OB/GYN
  26. L

    Wiki Simple prostatectomy code?? Please help!

    What would the code for a simple laparoscopic prostatectomy be?? When I've researched it I can't find much. What I did find seems to say that you would bill an unlisted code?? I'm really not sure what else it would be. Anyone have any advice?? I'm being asked what to use by one of our providers...
    • l1ttle_0ne
    • Thread
    • advice answer code prostatectomy simple
    • Replies: 6
    • Forum: Urology
  27. S

    Wiki 64640 or 64999

    My doctor is wanting to do a RFA of the coccyx. I am leaning toward this being a 64999 instead of a 64640. Does anyone have support for which code is correct??
    • sarthur
    • Thread
    • 64640 64999 code correct support
    • Replies: 3
    • Forum: Anesthesia
  28. A

    Wiki Coding Help Needed - deep suctioning

    Our physicians would like to start deep suctioning in the office. Is anyone familiar with the procedure code for this? Can we bill for supplies also?
    • ahp-tvh
    • Thread
    • code deep familiar procedure suctioning
    • Replies: 0
    • Forum: Pediatrics
  29. D

    Wiki How to code Medicare Preop evaluation

    What code should I use for a Preop evaluation for a patient that is going for cataract surgery and has Medicare for insurance? I use as first diagnosis Z01.818 and was denied. Do I have to use the Z code as a second diagnosis and code the reason of the surgery first?
  30. T

    Wiki Needs med to get MRI done

    Pt requests Xanax to have MRI completed. She went twice and got claustrophobic. Dx: Lipoma--pt has huge lipoma on neck. RX for Xanax given. Advised not to drive while taking it. What's the best code for this visit? The reason for the visit is to get medication, not to have the lipoma...
  31. S

    Wiki AAPC Coder Search

    Does AAPC coder search tell what services are included in each CPT code, in more detail than the codebook?
  32. S

    Wiki Gyn Wellness exams

    If anyone could clear up an issue with the coding a GYN Annual exam, Z01.419/11 and a general annual exam, Z00.00 at the same time. In GYN/OB would one ever code both. Or are you suppose to code both or not. So confused on this. Is there written guidelines anywhere for proof on this issue? Jeanne
    • samyjm13
    • Thread
    • annual code exam gyn issue
    • Replies: 2
    • Forum: OB/GYN
  33. T

    Wiki sequela of fracture or pain code?

    I'm uncertain whether to code sequela of fracture or just pain code (provider's dx) for this encounter. Does the provider need to clearly state that the pain is a result of an injury to use the sequela code, or is the information below enough to support that it is (or am I making an assumption)...
  34. J

    Wiki 63012

    Can I code both 63012 & 63047 when a decompression is done at two different levels during a PLIF?
  35. S

    Wiki Help!

    We recently added a dermatologist to our practice and he insisted that we can bill an office visit 99213 and excision for the same day with the same diagnosis code...I believe that's not right ...Please help
  36. A

    Wiki Need CPT code for Transverse Abdominus Release

    I am looking for CPT code for Ventral hernia repair with component separation AND transverse abdominis release. My physician went to a conference and did not bring any documentation on how to bill this "new" code.
  37. N

    Wiki Excision of cystic duct lymph node during laproscopic cholecystectomy cpt code

    Can you code for the lymph node removal of the cystic duct lymph node during a plan cholecystectomy? He excised the lymph node and sent it pathology but he did not state that anything was wrong with the lymph node. I came up with an unlisted lap code for the removal. CPT 38589 with 47562...
  38. L

    Wiki Coding Query

    Hi all....Can someone help me to understand if a patient comes with failure of a humidifier in a sleep apnea device and he had sleep apnea condition. How to code the diagnosis part in this scenario ? Do we need to code mechanical complication followed by sleep apnea condition? Thank you.
  39. B

    Wiki Need help ICD-10

    what is the ICD 10 code for cameron ulcer ?
  40. R

    Wiki Behavioral Health screening

    Which CPT code would I use to bill for a Behavioral/Mental health screening? 15 minutes. 96152-96152 are for assessments and that's not what I'm looking for. The code would be used by LCSW's. Thanks. Roma
  41. B

    Wiki concussion diagnosis code

    We have a patient coming in who was seen in the emergency room for a concussion and needs a follow up appointmet to be cleared to go back to playing sports. When the patient comes into the office he has no symptoms. Would you code it with the concussion diagnosis code with a D or would you code...
    • buerklej
    • Thread
    • appointment code concussion follow patient
    • Replies: 1
    • Forum: Pediatrics
  42. B

    Wiki CPT Help!

    I used CPT code 32555 for ultrasound guided left thoracentesis. The radiologist drew out fluid and later did a 1 view chest xray and a view chest xray. I am certain that I am not supposed to bill the chest xrays with this code. But need to get more opinions for the physician. Thanks!
  43. C

    Wiki Patient expires during procedure

    I hope someone can help with this. My physician took a patient to the OR for emergent ruptured AAA repair. He opened the patient and placed a clamp on the aorta and the patient expired. Can we bill for reduced services either modifier 52 or 53, or was there not enough of the CPT code 35102...
  44. P

    Wiki New VNG code for Audiologists

    I work for an Audiology practice in Southern California and we are billing with the new VNG code 92537 which replaces 92543 (4) units. This change was recommended by the American Speech Language Association and the American Academy of Otolaryngology Head and Neck Surgery. I verified in the 2016...
  45. B

    Wiki Coding an Op note

    What can I use to code an operative note for professional side? Can I use the encounter note with the decision to go to surgery along with the op note? Or do I only code from the op note? Do you have anything in writing on this? Thank you for your help in this matter BobbieJo
  46. S

    Wiki Exploration upper extremity-HELP!

    Hi there, Doctor did an exploration of the RT Upper Extremity thinking there would be a mass that he would excise. When he got in there he found that it was dilation of vein that was adherent to deeper structures. He closed it and is referring the patient to a vascular surgeon. I am not sure how...
  47. J

    Wiki SCCIS chemical peel

    If SCCIS is destroyed by chemical peel which does not give measurements only a percentage of area covered (in this case 35% of face) - is the appropriate cpt code one 15788 or 15789 or do you use a destruction cpt code and query the physician for measurements?
    • jperkins
    • Thread
    • chemical code cpt measurements sccis
    • Replies: 1
    • Forum: Dermatology
  48. C

    Wiki Strain upper back

    Does any one know the ICD-10 Code for "upper back strain" (thoracic area)? I see one for cervical area and lower back. Thank you!
  49. D

    Wiki Code for referrals

    I code for a Family Practice. Say our physician refers a patient for a routine mammogram (Z12.31), do we include this code on our billing as well just because a referral was issued?
  50. N

    Wiki ER vs Inpatient E&M code

    Hi everyone! Any help would be appreciated!!! Neurosurgeon is on call. He sees the patient in the ER, but, the patient is admitted the same day. Do I code as an inpatient or do I code the ER consult? I was told that only the ER physician can code ER consults. And, per Medicare of VA, you can no...
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