Hello, I searched the Index under Pain / Labor / Contractions and I keep finding myself with O62.0/9 however, I really don’t feel this is correct.
Any suggestions / recommendations, please.
Thank you! Thank you! Thank you!
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Anyone need a Medical Billing/Coding job in the Savannah area
A well-established dental (Oral Surgery) practice looking for a qualified medical biller/coder to join our wonderful team. Candidates must show professionalism, excellent communication & time management skills, and be team oriented. Also, must be organized and strong attention to detail. strong computer (WinsOMS Software), communication, and organizational skills are preferred. Candidates must be reliable, trustworthy, be a team player and have a positive, ‘can do’ attitude.
Minimum 3 years’ experience in dental office management.
Minimum 3 years’ experience in dental office management.
Please send resume to [email protected]
Why selected 99204 as E/M code. Any breakdown if anyone can help
HISTORY: The patient is a female referred by Dr. Thomas for a nonhealing left great toe wound. She is being taken care of at the Care Center with frequent hyperbaric therapies with no significant change in the wound. She denies diabetes.
Past medical history is complicated for multiple past surgeries including a left femoral-to-popliteal bypass graft performed in approximately 20XX at the University of Utah. She had undergone a cadaveric graft following a vein bypass, which she thinks has failed. On the right thereafter, she underwent a successful femoral-to-distal bypass graft, which is doing well. In 20XX, she underwent a right common iliac artery stent placement as well due Peripheral vascular disease.
PAST MEDICAL HISTORY:
1. Hypertension.
2. Keloids.
3. Peripheral vascular disease.
4. Status post gallbladder surgery.
5. Carpal tunnel surgery.
6. Left carotid endarterectomy.
MEDICATIONS:
1. Blood pressure medication.
2. Pain medication.
3. Coumadin 5 mg every Monday, Wednesday, and Friday, and 2.5 mg on the other days. This has recently been increased due to an INR of 1.8 on XX/09/20XX.
4. Vitamins.
ALLERGIES: SULFA.
SOCIAL HISTORY: She denies alcohol and is a non-smoker .She is married, has five children, and is a nurse.
FAMILY HISTORY: Noncontributory.
REVIEW OF SYMPTOMS: A 14-point review of symptoms is positive for joint pain, back pain, difficulty sleeping. She denies chest pain, shortness of breath, nausea, vomiting, and diarrhea.
PHYSICAL EXAMINATION:
HEIGHT: 5′;4"
WEIGHT: 165 pounds
GENERAL: Very pleasant African-American female in no acute distress.
HEENT: Normocephalic and atraumatic. Extraocular muscles are intact.
LUNGS: Clear to auscultation bilaterally.
CVS: Regular rate and rhythm.
ABDOMEN: Soft, obese, and nontender.
EXTREMITIES: The left foot is wrapped. There is a 1+ common femoral artery pulse with a nonpalpable left common femoral artery pulse.
NEUROLOGIC: Cranial nerves II-XII are grossly intact. Alert and oriented times three.
RADIOLOGIC STUDIES: Formal ultrasound imaging was performed by Dr. Andrews in the office today, which demonstrates a proximal fem-to-popliteal bypass graft. There are slow decreased velocities from the proximal to mid thigh region; however, at the junction of the mid to distal one-third, there is no flow identified in the graft.
MRI of the left foot from IMI dated 0X/08/20XX demonstrates findings consistent with cellulitis involving the great toe. No soft tissue abscess.
IMPRESSION:
A nondiabetic female with a complicated past medical history with bilateral vascular bypass procedures due to PAD performed at the Hospital and now with nonhealing left great toe cellulitis. Occlusion of femoral vascular graft .
PLAN: Given the ultrasound findings in my office today of a patent femoral graft to the mid thigh, which occludes, I will attempt recanalization of this graft, which may require stenting with atherectomy and possible TPA to help improve flow into the distal vessels. We will access the right common femoral artery initially.
The patient is currently on Coumadin and I discussed with Jodi, at Peace Cardiology, that we will discontinue her Coumadin as of today and start her on Lovenox 100 mg subcu once a day starting Saturday through Monday. The patient has been scheduled for Tuesday morning at Bright Memorial Hospital.
All the risks, benefits, complications, and alternative procedures have been thoroughly explained to the patient who is in understanding. I did attempt to contact Dr. Davis; however, he is out of town until Monday. I will discuss my findings with him at that time.
David Kramer, MD
Electronically signed by DAVID KRAMER, MD 1/1/20XX
Q=I am confused here as family history is non-contributory which means no credit to the doctor and Past and Social history was met but for new patient past social and family should be met with each item from all three. As per my understanding History was brief, Exam was comprehensive and PFSH-2 . Anyone can help please?
Anyone have information on getting new codes established either HCPC or PCS?
I don’t do hospital billing. I work for acupuncturists and chiros. Acus especially are looking for entry into the hospital setting, esp since the opioid crisis, as acup has GREAT results for pain management. I am thinking hospitals won’t hire acupuncturists because there are no codes for acupuncture, either HCPC or PCS.
Does anyone have experience or know the process of getting codes established? Which would be "better" HCPC or PCS, as which are more accepted. I know that Medicare uses HCPC, but Medicare doesn’t cover acup, if that matters. I understand if we do get codes established, then the national acup association would have to work with the major carriers to get the coverage. (I have connections for this step.)
Any information you can provide would be helpful.
Entry level employment for total newbies? Anyone in the same boat?
I am currently enrolled in the CPC program and will sit for the certification exam in December. So far, I am doing really well, and feel confident in my abilities. I am enjoying it, and know I made the right decision! I am making a career change after spending nearly 20 years in retail. 15 of those were in store management. I chose coding because I see the value in being part of the healthcare field, and it is something that has always interested me. I just never had the the time to devote to it, based on my crazy retail schedules. I have some friends in medical software and nursing, and they all suggested that I look for a front office/receptionist/file clerk position to gain entry into the field. Then, work up to coding once I am certified. I should add that those friends live in different states, so working at their companies would not be possible (as much as they would love to help!). I have applied to probably 30 jobs in my area that fit that description. But, each place has said the same thing: I am unqualified. Mind you, these were all jobs that were basic, administrative positions – like answering phones, working a desk, or data entry. I have pretty much given up on in-house jobs, and have shifted my research to remote coding positions. After reading several comments that mentioned remote coding being good a gateway to the field for CPC-As with no prior experience, I felt a little better. However, I do worry that 15 years of retail experience on my resume will continue to deter potential employers (even with the CPC). Before signing up for the AAPC program, I did look into going to a local college for essentially the same program. The admissions rep mentioned that my chances for future employment would be good. She said employers looking for entry level hires would take into consideration my heavy customer service background, extensive work with technology, and history of working at jobs where I had to be organized and manage sensitive information. It made sense, but she was also selling me a very expensive program. As I get closer to my exam date, I am growing increasingly more discouraged about the job prospects – or lack thereof – that might await me. Has anyone had this issue in the past, or currently dealing with it now? I’ve spoken to several people who became coders after working other healthcare jobs, but could really use advice from those who have jumped in brand new, from unrelated backgrounds like me. Any help would be greatly appreciated!!
Anyone know the CPT code for “ORIF of Subtalor Joint Dislocation”?
Patient has talus fx as well as dislocation of subtalor joint.
Doc performed ORIF of subtalor joint dislocation, anyone know the code for this?
Anyone?
I posted this awhile ago but no responses…
I’m new to CCM billing and have a question regarding phrasing in the CMS CCM Services Guide. CCM cannot be billed during the same service period as HCPCS codes…… Does this mean by the same billing provider or any billing provider? For example, a pulmonologist is billing CCM for the same month a nephrologist bills ESRD services. They are in the same group, but different specialties. Can the nephrologist bill and be paid for ESRD and the pulmonologist bill and be paid for CCM services?
The previous sentence specifies limitations for the billing provider – cannot report both complex and non-complex CCM during the same month, but the next sentence strikes me as vague. And who would expect vague instructions from CMS, lol!
Thanks for any and all information!
Anyone know the CPT code for arthroscopy, iliopsoas lengthening?
Anyone know the CPT code for arthroscopy, iliopsoas lengthening? We are using the unlisted code 29999, however, the payor, Community Health isn’t accepting the code.
Anyone know the ICD-10 code for Nonunion right first MTP fusion?
Anyone know the ICD-10 code for Nonunion right first MTP fusion? Thanks.
Denial for No Auth? can anyone help?
I recently have been getting denials for no auth being obtained from the office where services have been rendered. It’s not possible to get a back dated auth. Does anyone have a good appeal template for this? Im new to the billing field, so any feedback would be very helpful. 