code

  1. R

    Wiki ICD9 code

    I cant find the the ICD9 code for Bilateral reduction mammoplasty
  2. K

    Wiki New to Chrio Coding

    Hi there, I am new to chiropractic coding. I understand that if it is an established patient you can not code an E/M level and a manipulation on the same day if it is the same diagnosis as before. My question is the Chiropractor I code for almost every time has an office level visit and a...
  3. H

    Wiki Billing OVs with Medicare injections for Orthopedics

    For Orthopedics, For Visco supplementation injections which occur once a week for 5 weeks with the same diagnosis code, can an OV be billed on each visit? The physician does document a physical exam, but the diagnosis code is osteoarthritis. Thanks
  4. J

    Wiki cpt code 31825

    Hi, Does anyone know if cpt code 31825-tracheocutaneous fistula w/ plastic repair include using a muscle flap(15732) for closure of the fistula? Your assistance will be greatly appreciated.
  5. K

    Wiki polypharmacy abuse

    Is there a way to code polypharmacy abuse without knowing the exact drugs used? It is a secondary code to suicidal ideation.
  6. M

    Wiki Any suggestions for this icd 10 dx code?

    Hi, Can anyone advise what they use for a dx code for Plantar fascia interstitial tearing? Thank you in advance, Micki
  7. N

    Wiki Arthroscopic shoulder cpt code for biceps tenotomy, subacromial decompression with ma

    What are the correct CPT code for arthroscopic shoulder for adhesive capsulitis, biceps tendon tear, impingement I got the subcaromial decompression and he did do the acromoplasty - 29826 For the biceps tenotomy there was significant damage- the shaver was used to release the biceps tendon. I...
  8. A

    Wiki Overdrive Pace Termination in the office

    Is there a code that can be used for Overdrive Pace Termination in the office. 93724 has induction that is not being done; however, everything else in that code is being performed.
  9. G

    Wiki Icd 10 code for tonsillar ectopia

    Please advise diagnosis code used for tonsillar ectopia. Thank you.
  10. T

    Wiki leg length inequality

    Pt states he has left leg about 5" shorter than right secondary to childhood issue. Diagnosis: Leg length inequality (finding) M21.70. Referral made. (No further information or exam done of leg.) I'm wondering if I can code more specifically than the code shown above, M21.70, Unequal limb...
  11. J

    Wiki Removal of cholecystostomy tube

    I cannot find the CPT code for this! Anyone have any ideas? Done by interventional radiologist.
  12. M

    Wiki 92226 & Wasitng of J0585 (Botox)

    Atena is the only one not paying this code. Any suggestion how can I billed this code so I can start getting paid? Most of the time they pay only on the New Pt. Otherwise they deny it saying "Experimental". My Second Question is if a patient do not show up for Migraine treatment and the meds...
  13. P

    Wiki Magnetic Resonance Spectroscopy Billing

    I work for a Neurologist that does a lot of specialized MRI's. We do CSF Flow Studies, Volumetric's and now Spectroscopy's. We have a CPT code 76390 but is not sure if that is to be billed with the Brain MRI as a secondary code. Example 70551 and 76390. And then the next question I have is if...
  14. S

    Wiki Needing ICD 10 code for opioid induced constipation

    I cant find a ICD 10 code for opioid induced constipation - any suggestions? This is what I CAN find? K59.09 Other constipation T40.2X5 Adverse effect of other opioids T40.2X5A is a specific ICD-10-CM diagnosis code T40.2X5A …… initial encounter T40.2X5D is a specific ICD-10-CM diagnosis...
  15. S

    Wiki CPT code for Drug screens

    Looking for clarification. CPT code 80104 has been deleted for 2016, What has it been replaced with? I have read one place G0477 is one of three that replaced it as well as replaced G0434. I would appreciate any guidance on this. thank you
  16. S

    Wiki Coding Neuropathy due to chemotherapy

    Could anyone help me find this ICD 10 code for Neuropathy due to chemotherapy treatment? Thanks
  17. M

    Wiki Nursing Facility charges

    I work for an ANP and FNP who occasionally see patients at our local nursing facility. I have used the code 99334 with place of service but am getting denied by Medicare saying that the procedure code is incosistent with the modifier used or a required modifier is missing. When my providers...
  18. S

    Wiki Umbilical Nerve block

    Patient had a previous Umbilical Hernia repair and is now coming in for Umbilical pain. We performed a Nerve block around the Umbilicus. What code would be appropriate for this type of Injection. He also used kenalog and I know that code is J3301 per 10mg. Can someone please help with this...
  19. D

    Wiki BILIRUBIN Cpt code 88720 changes/updates

    We are having a very difficult time getting Optima to pay for this code. It denies as non covered. After researching the provider rep explained that this code is not covered whether performed in house or with the preferred outside lab. We perform this test on newborns in an office setting...
  20. L

    Wiki Lower anterior resection with colostomy closure

    What would be the cpt code for this? Any help would be greatly appreciated!! Thanks! Donna
  21. N

    Wiki Substance abuse

    If provider documents substance abuse in full remission, how should i code it? there is no remission code for abuse. would I just not code it because it is inactive?
  22. D

    Wiki Unnaboot change and Port Flush

    I am hoping someone can help me with a couple of questions. Do you have to have a supervising physician in the office and to sign off the charts to be able to bill for a Unnaboot change CPT code 29580 or for a Port Flush CPT code 96523?
  23. D

    Wiki Need help with diagnosis coding for VNG

    Need some help with Diagnosis Code for VNG testing. At this practice we have always used R42 as diagnosis for this test. Recently UPMC has starting denying the claims because the diagnosis is not medically necessary. Can someone please help me with what code would be medically necessary?
  24. I

    Wiki Revision Suprapubic Ostium

    Can anyone help me with a CPT code for Revision of Suprapubic Ostium? Thank you. Diana
  25. T

    Wiki 26320 vs 20680

    I bill for an for a hand surgeon who performs a lot of internal fixation device (k-wires, pins, etc) from the finger what is the appropriate code to use, the 26320 or the 20680? Can multiple units be billed for anatomical site if separate incisions are made? Thank you
  26. D

    Wiki Need help coding this visit

    Have a patient who is 29 days old at time of service. Diagnosed with K21.9 GERD, R19.7 diarrhea unspecified, and L22 diaper dermatitis. Insurance is denying due to dx not matching child's age. Not sure which code they are denying. I think it may be the diarrhea which may need to changed to P78.3...
  27. J

    Wiki Strep throat

    Provider Gives the code J02.0 , positive strep test, group A streptococcus as the cause of diseases classified elsewhere Would you change the code to J02.8 with the B95.0 code as the infectious agent ? What about if a provider saw a Pt with a negative strep test but still codes J02.0 ? Our...
  28. P

    Wiki New vaccine code for 90646 ????

    I am getting rejections for vaccine 90646 saying it is not a valid code for 2016. Any idea what is the new code for this vaccine???/
  29. S

    Wiki CPT code for re evacuation of hematoma from subdural space postoperatively

    Dear All Is there any CPT code available for the craniotomy & re evacuation 0f subdural hematoma done two days after the initial surgery for the same? Physician replaced bone flap also during the second surgery.Can we use the CPT 62143( Replacement of bone flap or prosthetic plate of skull )...
  30. T

    Wiki NIOV CPT Code

    I know HCPCS code E1352 is used, but is there a procedure cpt code for NIOV Non-Invasive Open Ventilation? I found under Pulmonary - Ventilator Management 94002-94005 could these work?? Thanks! Tanna
  31. M

    Wiki Diagnosis Coding - 3 degenerative joint disease

    I am working on Practicode. I have a note which says that the pre-op diagnosis is a torn lateral meniscus of the right knee. The post-op diagnosis is grade 3 degenerative joint disease of the primary knee. Am I supposed to code both in this case? Also, I have another question. Am I supposed to...
  32. S

    Wiki Medicare/GI - Colonoscpy with EMR ..different lesion, G6021 deleted..need new code

    Does anyone know the unlisted procedure code for EMR procedures? G6021 is deleted for 2016 and need to know the alternate/crosswalk code. Or is 45390 or 45399 now payable by Medicare? Any thoughts?
  33. S

    Wiki Influenza in ICD-10

    I have a physician questioning me about influenza codes. He had a patient test positive for influenza A and he began to hunt for a code for influenza A. When looking, he discovered that the word "novel" is used in many of the descriptions. When researching the term "novel" he found that it...
  34. B

    Wiki Trigger Point injections

    Good Morning! Can anyone tell me whether or not you can report the HCPCS injection code in addition to the trigger point injection codes (20600, 20610, 20552)? I know that you can't bill for the lidocaine, but we also in many cases inject depo medrol and wondered if we could be billing for that...
  35. S

    Wiki Nexplanon-What is the correct

    What is the correct CPT code for insertion of Nexplanon?
  36. I

    Wiki CPT changes: An insider's view 2016

    Hi, happy Friday to all ! I am wondering if anyone has access to the Insider for 2016 and if so, would you share the update regarding 81311 please? It's the new NRAS code in Molecular Pathology. Last year we were using 81404. Thanks! Megan
  37. K

    Wiki Simple Coding Question

    Is a transection of the isthmus code 60200 included in 31603 emergent tracheostomy code or can you bill these 2 codes separately? Thanks
  38. K

    Wiki Ligation of venous bleed

    Dr. had to take the patient back to the operating room 1 day after her intial surgery because of substantial venous bleeding coming from a small branch of the saphenous vein. The vein was cauterized and a hematoma was removed from the posterior compartement of the leg. The only code that I can...
  39. S

    Wiki CPT Code for Modified BPP

    I am seeking the best code for a Modified Biophysical Profile w/Non Stress testing - This is testing only for 2 of the 5 components 76818-52 ??? 76815 w/ 59025 ??? (but this is not a BPP) Can anyone help me with this request?
  40. N

    Wiki Need Help Concussion Coding

    Need some guidance on concussion coding, patient comes in with concussion without loss of consciousness still having problems with headaches and fatigue referred by family physician, our provider coded S06.0X0S, I don't agree I think it needs to be coded F07.81 then S06.0X0A initial encounter...
  41. O

    Wiki CPT for bone marrow aspiration and injection for meniscus repair ??

    Physiian repaired the meniscus. After that, he aspirated some bone morrow and injected into the meniscus repair. I have never seen that done before. Is there a code for this procedure? Is it separately reported or part of the meniscus repair? Any ideas ???
  42. K

    Wiki Bx, path and MOHs same day

    My provider is doing a biopsy/path code same day as MOHs surgery. The site is different than where the Mohs was performed. My office manager is telling me that 59 is not appropriate for the Bx and path code? I am new to this speciality and need advise. Thanks.
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