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HCPCS(J Code) calculation
kenalog (Triamcinolone acetonide ) per 10mg per ml (IM) code is J3301, but in report if 400mg per 10ml injection apply then how can we calculate?
Sacral ulcer debridement calculation (x-post from derm)
"Pre debridement measurements of this full-thickness stage IV ulcer were 9cm long by 8 cm wide by 4 cm deep. There was foul-smelling necrotic tissue at the superior margin and in the depth of the wound. The inferior margin was actually somewhat clean and with evidence of granulation tissue. That caudal or inferior margin was also only about 15 mm away from the anal verge. This also was then sharply debided with the Bovie such that the ultimate wound measurements were 9 cm long by now 10 cm wide by 7 cm deep. The debridement was into subcutaneous fat as well as musculature of the buttock, as well as exposed periosteum of the sacrum in several areas, but no bony debridement was done nor thought to be required as that periosteum appeared to be healthy…"
Surface area of wound before debridement: 9×8 = 72 sq cm
Surface area after debridement: 9×10 = 90 sq cm
Depth of debridement: (7-4) = 3 cm
So (90×3)-72 = 198 sq cm debrided
Am I calculating this right??
If so, I’m suing codes 11044, and 11047×9
Any insight welcome.
Thanks
anesthesia time calculation for facility on a UB- IP
I am looking for resources to support what the facility may bill for anesthesia on a UB. I work with auditors who have the belief that the facility may only bill for the technical component therefore this means the OR time and anesthesia time should match most times as the professional component for anesthesia is billed on the 1500. Meaning the time spent by the anesthesiologist in the PACU should be billed on the 1500. Can anyone help me with this concept?
Thanks
Becky
RCS-1 draft model calculation worksheet
HCC Risk Score Calculation.. please help!
I am getting ready for the CRC exam. I am having trouble understanding where some of the numbers used to calculate risk scores are coming from. For example, where do I find the demographic factor scores? Where do I find the diagnosis specific score based on the HCC category. For example, what’s the value given to the HCC 40? where do I find these values??
Please help,
Thanks!