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Exclude 1 notes N85 series can’t be coded together with N86

Dear All,

Need some help to find why, N85.00 can’t be coded with N86. There is an exclude 1 note in the ICD 10 guidelines; however, while informing our doctors they want to know the reason. Our OB saying, these two conditions doesn’t have any relation, then why we can’t code together.:confused:

highly appreciate your help in this regards,

Thanks a lot

Sherin

Medical Billing and Coding Forum

I can’t remember, I am thinkng I can not bill 99213 after we sent to ER and in/pt ad

I am having a memory blockage. We had a pt come in(work in) and my doctor decided to send to ER (at our smaller county hospital), patient had more than they could handle and sent pt to bigger hospital and was then admitted for an IN Pt stay now being seen by internist and oncology. Am I able to bill for the office visit 99213. Our office note and the local ER doctor both say PCP sent pt to hospital.

Medical Billing and Coding Forum

Path states BENIGN LYMPHOID PSEUDOPOLYP – Can’t find a code.

I’ve researched and researched and just get mixed information.

We have to code path results, if positive. How would this be coded – benign lymphoid pseudopolyp of the colon. Also, maybe because it’s so many years later – I can’t find a pseudopolyposis code in ICD-10 2018 (there is an old thread in these forums that says use pseudopolyposis)…there’s a K51.40 inflammatory polyps of the colon, but based on my diagnosis – it doesn’t sound inflammatory so I’m leery of using that. Is it a benign neoplasm of colon?

Thanks.

Kimberlee

Medical Billing and Coding Forum

Over 15 years experience. Out of coding for over a year. Cant get a coding position.

Hello everyone,

I am at my wits end, and desperate. I have a CCS, and have been a coder for over 15 years, and had 5 years experience in general HIM before that, and I can’t get a coding job. It has never been this difficult to get a position before, not even close; I have always gotten hired by the first company that interviews me, now I can’t even get an interview. I am on indeed.com; glassdoor.com; and linkedin. I have sent out over 30 resumes, have edited each one to fit the key words in the job description that apply to my qualifications and experience, and still nothing.

I had worked for KFORCE for close to five years as a remote coder, and loved KFORCE so much that I was planning to stay with them until I retired. They were taken over by Himagine, which was not KFORCE. It was okay, at first, you know the way take overs are, you just sort of hope everything will be the same, well… it wasn’t.

While being on the bench waiting for a new assignment with Himagine; I spent my time working on my dream of being a children’s book illustrator and writer. Once the pause in new work from Himagine became indefinite, and prior earnings were not disbursed; I became disheartened with the organization’s governance. It was with profound disappointment, that on April 16, 2017, I relinquished my well-established professional service to Himagine. It has, unfortunately become evident that supporting oneself while pursuing the dream of becoming a successful children’s book illustrator and writer can be problematic. Hence, I began anew, searching for work in my profession as an experienced, well qualified, Certified Coder.

Being employed by other people most of my adult life, I was unaware of just how difficult it would be to get back into the coding world again after trying to support myself with my artwork. It has never been difficult to secure a position as a coder until taking this time off to pursue my other love. I have been keeping current with industry changes via the AHIMA Journal and website, as well as the CMS and AAPC websites, and regular use of ICD-10, and CPT practice manuals and CEU webinars. I am also studying for my CIRRC certification.

So, as you can surmise, I did not leave Himagine under good terms. They owed me over $ 2,500.00, and refused to pay it. I had been on the bench for almost a year, I was living off of my savings and what I was making with my art. When I asked them about the unpaid earnings, they refused to pay it. They said that they didn’t have to because of the state I lived in! I informed them that KFORCE always payed it out when you were on the bench for an extended period of time, and that I had never had them refuse because of the "state I lived in". They said that I could have my lawyer call them…? What, I can’t afford a lawyer; i resigned. So, things did not end well.

I don’t know if it is because of the amount of time I have not been employed as a coder, or because I am getting unfavorable information from Himagine, but I cannot get a job.

Can ANYONE help me?

Thanks so much for reading this, I know it was long. Palsy

Medical Billing and Coding Forum

Can’t recommend Practicode

*** Reposted in Medical Coding General discussion.

I have worked on the Practicode program throughout the last year. Here is my experience. (copied and pasted from my gmail)

Date: Tue, Dec 6, 2016 at 1:07 PM
Subject: RE: Practicode question ID#01432520

"…if you have any questions about the answer that is showing as the correct answer, or just coding questions with the cases, to use the feedback button on the left side of the screen. Your questions are sent to our coding team that will be there to assist you…"

On July 6th, 2017 this service is retracted, without explanation or warning.

"…For coding questions please contact your coach/instructor. Practicode does not include a support service to answer coding questions or provide training."

Below is an exercise to demonstrate the quality of the Practicode exercises and why correspondence on the Codes and Coding rationales is a necessary component.

Exercise 10 16069089

(Unresolved to date. Question opened June 18th, 2017.)

Chart : "…there is no evidence for inflammation"
PractiCode Answers are :
I83.12 Varicose veins of left lower extremity with inflammation
I83.11 Varicose veins of right lower extremity with inflammation

This is the most recent response I’ve received (today) in regard to the Coding support.

"The sentence that you highlighted was rescinded and the support was reinstated as this was an error made by an individual."

I can’t say I’d recommend Practicode. I am still seeking resolution to the above issues.

Medical Billing and Coding Forum

Can’t recommend Practicode

I have worked on the Practicode program throughout the last year. Here is my experience. (copied and pasted from my gmail)

Date: Tue, Dec 6, 2016 at 1:07 PM
Subject: RE: Practicode question ID#01432520

"…if you have any questions about the answer that is showing as the correct answer, or just coding questions with the cases, to use the feedback button on the left side of the screen. Your questions are sent to our coding team that will be there to assist you…"

On July 6th, 2017 this service is retracted, without explanation or warning.

"…For coding questions please contact your coach/instructor. Practicode does not include a support service to answer coding questions or provide training."

Below is an exercise to demonstrate the quality of the Practicode exercises and why correspondence on the Codes and Coding rationales is a necessary component.

Exercise 10 16069089

(Unresolved to date. Question opened June 18th, 2017.)

Chart : "…there is no evidence for inflammation"
PractiCode Answers are :
I83.12 Varicose veins of left lower extremity with inflammation
I83.11 Varicose veins of right lower extremity with inflammation

This is the most recent response I’ve received (today) in regard to the Coding support.

"The sentence that you highlighted was rescinded and the support was reinstated as this was an error made by an individual."

I can’t say I’d recommend Practicode. I am still seeking resolution to the above issues.

Medical Billing and Coding Forum

Can’t clear an edit; 61322 & 61313 done on the same day

Physician billing;

Physician billed a 61322 – CPT® Code in category: (Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma)
Shortly thereafter the patient developed an intracranial bleed requiring a return to the OR the same day for a 61313 – CPT® Code in category: (Craniectomy or craniotomy for evacuation of hematoma, supratentorial)
As per coding guidelines these 2 cpt codes cannot be billed together on the same day. Considering the circumstances I advised to bill the charge with a -78 modifier “unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the post-operative period and appeal if need be.

I’ve been advised to bill 61322 twice with the 76 modifier (Repeat Procedure by Same Physician – is used to indicate that a procedure or service was repeated in a separate session on the same day by the same physician) which I’m not comfortable in using because the 2nd OP note does not support this code. It does support the bleed CPT 61313.

I’d like others opinions.

Medical Billing and Coding Forum

AAPC blackboard anyone know why I can’t log in? It says no longer a valid address.

Hi,
I paid for CPC, CPC-P and CPMA classes, good through 2/28/17, and can no longer sign into AAPC blackboard. Has the website changed addresses does anybody know?
Thanks,
Leah Johnson RN

Medical Billing and Coding

Once Read, Imaging Studies Can’t Be Re-Billed

Question: Can a physicians code separately for reading X-rays or imaging studies taken elsewhere? For instance, could we report the appropriate X-ray CPT® code with modifier 26 Professional component attached? Answer: If another provider (e.g., hospital radiologist) previously read/interpreted the image, and has issued a report, your physician cannot separately code or be paid for […]
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