patient

  1. V

    Wiki E&M Coding: New vs Established

    Hello Friends! I have recently been asked for some clarification on how we do E&M coding for an inpatient setting. We are an infectious disease specialty clinic and are called in for consultations. Sometimes it is a patient that we have already seen in our clinic, and the consult is for the...
  2. J

    Wiki No fault won't pay driver was drinking

    OK I have a patient that was driving drunk when they were injured in a motor vehicle accident. Under NYS no fault, their insurance company is not required to pay. I billed them anyway and course they denied payment. This patient has straight Medicaid, will Medicaid pay for these office...
  3. D

    Wiki Need a CPT code for Suprapubic Tap

    Provider did a suprapubic Tap with needle and syringe. No catheter due to patient having labia adhesion. Any help would be appreciated
  4. R

    Wiki 99211 with lab tests

    Hello, I have an office that wants to bill a 99211 with the MA or RN assisting a patient with the H Pylori test in their clinic. I am stating no since the patient can do the test themselves and there is no documentation for an E&M visit but meeting some resistance. Any coders out there know...
  5. J

    Wiki Coding help with trigger points

    Hello my fellow members. Question for you....im wondering how you would code this? Trying to get some feed back on a few things to iron some things out-TY in advance!>>>> Patient presents with pain and spasms in the bilateral cervical regions, with associated tenderness radiating to the lower...
  6. M

    Wiki Nipple revision

    Patient had nipple reconstruction. The procedure failed and patient came back in for second nipple reconstruction. Do I code for another nipple reconstruction (19350) or for revision of reconstructed breast (19380)? Any input would be greatly appreciated!
  7. K

    Wiki Breast Reconstruction

    Bilateral mastopexy augmentation is the procedure performed. I think I might be reading into it too much and confusing myself. I was thinking 19316 and 19325 both with a modifier 50. However, I have been looking at 19342, however the patient did not have a mastectomy...
  8. K

    Wiki Open evaluation under anesthesia

    I am searching for a code for an open evaluation under anesthesia. The Dr. initially intended to remove a soft tissue mass but after incision was made he diagnosed the patient with a dilated venous plexus, closed the incision and refferred the patient onto a vascular surgeon. Does anyone know if...
    • KARAHUGHES
    • Thread
    • anesthesia code evaluation incision patient
    • Replies: 2
    • Forum: Podiatry
  9. A

    Wiki 20551 vs 20610

    M Doctor is billing a 20551 and I do not agree with the procedure she chose. I think she should have billed a 20610 because she injected into the left trochanteric bursa. Her note indicates Patient with rheumatoid arthiritis and currently on Plaquenil therapy. According to the patient she is up...
    • aparscal
    • Thread
    • 20551 20610 bursa patient trochanteric
    • Replies: 4
    • Forum: Rheumatology
  10. J

    Wiki Patient not present

    We have a doctor that went over just the results of lab work with a patient's family member. This patient has dementia and it is difficult to get the patient to the office, patient is not in a SNF and not on hospice. I was wondering how we would code it. Please help.
  11. Y

    Wiki Coding Question

    Can someone tell me what does it mean at the end of a chart note when it states "patient was seen in the absence of a Dr.?" The report shows cc, HPI, Physical exam, Procedure, and plan Do I need to bill an E&M code with when it states the patient was seen in absence of a dr?
  12. Y

    Wiki HELP!!! coding scenario below

    Hello all, Please help me with the following: cc: left elbow pain the patient failed nonoperative treatment for osteoarthritis of the knee pt here for 1st synvisc injection ,16 units plan: f/u 1 week for her 2nd synvisc the patient was seen and examined in the absence of the doctor I coded...
  13. D

    Wiki E&M coding and psych

    I have 2 questions. The first one is a patient had an OV with nurse prac and then psych on the same day. NP coded 99213 and psych coded 90791 but the psych code was denied. Not sure how to code? The second question is patient was seen by psych dr and 90791 was coded but still denied. Not sure...
  14. D

    Wiki Magnified laryngoscopy with KTP laser ablation of vocal fold lesion - DV

    Hello, I need confirmation for the following 2 notes. How would you code for the notes below? On example 1 CPT code 31599 EXAMPLE 1 Pt with recurrent papillomas causing dysphonia. Preoperatively, the patient was counseled on the options and has chosen to undergo a laser office procedure to...
  15. S

    Wiki CPC-12 years experience in Coding/Patient Financial Services seeks REMOTE opportunity

    delete delete
  16. M

    Wiki Radiologist performing E&M

    Can a radiologist perform and E&M Service. The group actually manages the patient care as they are specialists in mammography and carcinoma and will work with the patient by bringing them back for further exams, recommend several surgeons when a carcinoma is discovered, etc. The radiologist...
    • mdoyle53
    • Thread
    • carcinoma e&m patient performs radiologist
    • Replies: 1
    • Forum: E/M
  17. J

    Wiki Ear wick

    What CPT code would I use for placement of an ear wick for otitis externa for a patient in the ED?:rolleyes:
  18. C

    Wiki Ob Post-op/global Days

    Question on OB patient post-op visits. How many visits do you give to an OB patient after they have had the baby? There is no global days on deliveries. My ACOG book states that the normal is 1 free visit for a vaginal delivery and 2 free visits for a cesarean section. We have adopted a policy...
  19. L

    Wiki Capsule Endoscopy Coding Question

    I am a coder for pediatric gastroenterolgy. My doctor just did a capsule endoscopy using the Pillcam. Normally, the patient swallows the pill; however, in this instance, the patient would not swallow the pill and the physician placed it during an EGD. My thinking is that I will code the EGD...
  20. K

    Wiki J1110

    I have been out of billing for injections for awhile and now I have a question. If you have a drug that is covered by Medicare and the allowable is less than cost can you file with the invoice or does anyone have any suggestions? We have tried having the patient pick the drug up at the pharm but...
  21. mrssnail

    Wiki Placement of Balloon Tamponade

    I have just been asked a question about which CPT code you would use to bill for a patient who was brought to L&D 11 hours after delivery. Patient put under anesthesia. 800cc of clot expressed. Explored uterus, found to have a hemorrage in the uterus, hemorrage repaired, bleeding stable, Balloon...
  22. L

    Wiki Med Management vs. Psychotherapy

    If a psychiatrist sees a patient and provides psychothery and then refers the patient to our Psychologist for medication. Can the psychologist bill for the initial interview 90801?
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