surgery

  1. V

    Wiki Piggyback IOL done same date of service

    Patient had two IOL's inserted same surgery session traditional lens with a toric. Also had limbal relaxing incisions. Does this surgery qualify for complicated cataract surgery? Do we need to report two lens implanted for reimbursement? Thank you.
  2. C

    Wiki Charge for intracopertive TEE during AVR (for facility)

    Charge for intraoperative TEE during AVR (for facility) Question regarding Intraoperative TEE for facility during open AVR surgery. I am not familiar with the non invasive cardiology side for facility coding. However the cardiology dept is asking if they are able to charge/code for their...
  3. K

    Wiki Office Based Surgery Billing/Reimbursement

    Hello All! Does anyone have any information on office based surgery billing/actually have a surgical suite in your office? We are researching the possibility of opening a suite in office for our pain management/spine doctors to perform level II surgeries. I have a few questions: Do you still...
    • KristinM522
    • Thread
    • billing/reimbursement office questions suite surgery
    • Replies: 3
    • Forum: Orthopaedics
  4. K

    Wiki EXPERIENCED Outpatient surgery coders for ASC’s/Both part and full time REMOTE CODING

    Chapter Officers, Do your members need a job? WE ARE HIRING!! Pinpoint Healthcare Consulting, LLC is quickly becoming one of the nation’s leading healthcare vendor consulting companies. We are a member of AAPC and we need help from the members. WE ARE HIRING, PLEASE LET YOUR MEMBERS KNOW. We...
  5. R

    Wiki Modifiers 25 and 57

    How do I do this? New inpt initial hospital care (99221) with the decision for both procedures (19303, 90 day global) & (36561, 10 day global). Medicare patient. I used the 57 modifier on the 99221. Medicare denied 99221 so we appealed. This is the response from Medicare: We received an...
    • rhaney1033
    • Thread
    • major minor modifier modifiers surgery
    • Replies: 1
    • Forum: Modifiers
  6. S

    Wiki post op care only

    could someone refresh my memory on how we follow the format for post op care only. My provider is caring for a patient after she had a fx hip surgery done at other facility and is now in our office for fu care.
    • stacy
    • Thread
    • care hip office post surgery
    • Replies: 5
    • Forum: Orthopaedics
  7. F

    Wiki thoracic surgery

    My MD did an open flap drainage and a decortication at the same visit. I used cpt codes 32036 and 32225-59, however we are being denied for bundling. What can I do to get pass this? Any suggestions?
  8. C

    Wiki Drain tube removal by another physician.

    How would I code for this when the patient did not want to drive 5 hours to the physician that performed the surgery and inserted the tube and, instead, decided to do it locally. What CPT should I use and ICD-10-Code? Please advice. Thanks in advance!
    • Coder85
    • Thread
    • drain physician removal surgery tube
    • Replies: 2
    • Forum: E/M
  9. S

    Wiki Orthopedic Fracture table 7th character

    If our orthopedic surgeon sees a patient in the office for consultation for a fracture (for example...S82.61XA). I would use the 7th character 'A' for the initial encounter. What would I use for a follow up visit after a CT scan? And what would I use for the surgery? I understand 'A' is only...
    • spinecoder1
    • Thread
    • fracture fracture table icd-10 orthopedics surgery
    • Replies: 2
    • Forum: Orthopaedics
  10. H

    Wiki Office surgery vs otpt surgery

    Can a physician schedule a surgery in the office (place of service code 11) and take the patient into the ambulatory surgical center (place of service code 24) and bill only the physician portion with place of service code 11? Example: A physician schedules a YAG in the office. Physician takes...
  11. L

    Wiki Multiple fractures - Can anyone help me on this one

    Hello, I have one where on 10/12/15 patient comes into the office for a 1. displaced metaphyseal fracture of right distal radius and ulna 2. mildly angulated closed left midshaft clavicle fracture Treatment Plan: Taken to Operation Room and had a closed reduction and percutaneous pinning...
  12. J

    Wiki E/M & Surgery Coder Needed (Remote, Contract) - Gastroenterology

    Hi Coders, Aviacode is looking for coders that can code both E/M and SURGERIES for the following specialties: Cardiology Gastroenterology General Surgery Nephorology Neurology Neurosurgery Orthopedic Pulmonology If you have experience in one or more of those specialties with BOTH E/M and Surgery...
    • jschmutz
    • Thread
    • coders e/m experience specialties surgery
    • Replies: 2
    • Forum: Cardiology
  13. J

    Wiki E/M & Surgery Coder Needed (Remote, Contract)

    Hi Coders, Aviacode is looking for coders that can code both E/M and SURGERIES for the following specialties: Cardiology Gastroenterology General Surgery Nephorology Neurology Neurosurgery Orthopedic Pulmonology If you have experience in one or more of those specialties with BOTH E/M and Surgery...
  14. M

    Wiki Orthopedics and Modifiers

    I am billing these three codes and am wanting to know opinions on the -59 and -51 mods on the 27437 and any feedback on this surgery in general. Thanks 27446 27437 59-51 20985 all of these on the same claim for the same patient, this is one surgery. Thanks
  15. Lynda Wetter

    Wiki Subsequent hospital care

    Does the below statement fulfill the requirement for a subsequent care code 99231? Seen and examined. Left leg lesion is raised around hair follicle. There is some fluctuation. I believe he would benefit from I & D. I called Dr. X, acute care surgery service who would evaluate him for possible...
  16. D

    Wiki Injections-someone can help

    I hope someone can help. I have a patient who will be having a hip injection in a surgery center. Dr. told this patient that since he will be doing the hip, he will also just give him his first set of Euflexxa injections in the knee. If the surgery center will allow us to bring the...
    • DBARON
    • Thread
    • center hip injection injections surgery
    • Replies: 1
    • Forum: Orthopaedics
  17. R

    Wiki Guide Book

    Can someone please recommend a good General Surgery Guidebook for coding? Thank you!
  18. C

    Wiki Surgery for malunion of fracture

    Procedure is ORIF of extra-articular distal radius ( 25607) Diagnosis is right comminuted distal radius fracture with partial malunion. I am still unsure how to code for these, when pt is getting surgery. According to the fracture coding guidelines, all diagnosis for surgery should be coded...
    • Ccgerson
    • Thread
    • diagnosis distal fracture radius surgery
    • Replies: 1
    • Forum: Orthopaedics
  19. C

    Wiki physical therapy - joint repleacement surgery

    We have prehab visits, which is 1 session for preassessment, education and instruction in PT HEP before joint repleacement surgery. Can someone give me an idea of what codes are used for their Prehab programs?
  20. A

    Wiki Pre op appt

    If a surgeon sees a patient and makes the decision for surgery and schedules the surgery a month out and the pre op appt for 2 weeks out, can you bill for that visit? I have always understood that once the decision for surgery has been made, you can't bill for that office visit regardless of if...
    • Ash82
    • Thread
    • appt day pre surgery visits
    • Replies: 4
    • Forum: E/M
  21. M

    Wiki Cataract surgery

    What code should i bill. My doctor did cataract surgery and removed lens but did not replace with an IOL. I dont think i should use 66984 since we plan on Implanting IOL later, I cant use 65920 since we are not removing and Implant. Please help!
  22. N

    Wiki ASC Billing for Gastroenterology surgery

    I just started working for an outpatient facility. I don't know how to bill for the times, when they do Pre-op- 20 min Anesthesia - 35 min During surgery 1 hour Post-op - 55 min. Does anybody know how to bill for this times. Is there any formula to calculate this. Anybody please help ? Lena
  23. D

    Wiki Incident to billing - perform acne surgery

    We are a Dermatology office that has PA's and Aesthetician's who are also CMA's. The aesthetician's perform acne surgery (CPT 10040 Dx L70.0) when it is recommended by the physician or PA and gets billed to the insurance under the physician only. Can the aesthetician perform the acne surgery...
    • debneas
    • Thread
    • acne billed perform physician surgery
    • Replies: 1
    • Forum: E/M
  24. G

    Wiki Experienced CPC- Nashville, TN Looking for Coding or Office MGMT Positon

    I have tons of experience I have been certified w/ AAPC since 1999, I have over 16 years of billing, collections, insurance and coding experience! I have about 5 years of prior supervisory experience. I am with my current employer for 5 years now and have decided to look for a new position. I...
  25. H

    Wiki Cosmetic vs Insurance Billing

    :confused:My doctor has in his mind that we can have two different price lists, one for cosmetic surgery and one for insurance billing. I know this is isn't true but I need something in writing to show him. HELP!!!
  26. M

    Wiki MVA resulting in the loss of twins at 8mo gestational age

    We are trying to figure out the diagnosis coding for the orthopedic surgeons who were called in to do fracture repair in this scenario: A patient who was 8 months pregnant w/twins was in involved in a severe head-on MVA resulting in multiple fractures and injuries including uterine rupture and...
    • Margaret Roddy
    • Thread
    • diagnosis coding obstetrics orthopedic surgery
    • Replies: 0
    • Forum: OB/GYN
  27. E

    Wiki CPC-A in Durham, NC looking for experience

    I am a newly credentialed coder with a CPC-A located in Durham, NC. I have been in the workforce for over 30 years with experience in Hospitals in Hematology/Oncology, Podiatry, and Internal Medicine. I am looking for a job not only for the experience, but one that I can grow with. My main...
  28. A

    Wiki Op note

    Is the op note the only place that you can pull the "reason for the surgery" from, or if you need a more specific DX can you pull the "reason for surgery" from the H &P? example=op note states glaucoma, H&P states POAG. If there is a guideline stating that you can go to the H&P-please reference...
  29. O

    Wiki Office visit during the global period

    Please help. I was under the impression, that you can charge an office visit during the post-op period if you treat the pt in the office for infection at the site of surgery. Am I wrong?
  30. M

    Wiki Discharge Question

    I have a patient whose surgery was performed by one physician and was then discharged by another. Can I bill for this, and if so do I need a modifier? The diagonsis for the surgery and the discharge diagnosis are different. Thanks.
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