I hope someone can help me find guidelines for Cervical lymph node mapping. My practice would like to start billing for this but I can’t find any guidelines for documentation.
Thank you,
Michelle
Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleI hope someone can help me find guidelines for Cervical lymph node mapping. My practice would like to start billing for this but I can’t find any guidelines for documentation.
Thank you,
Michelle
How would you code the injection of potassium chloride to treat a cervical ectopic pregnancy via transvaginal ultrasound guidance.
Thank you!
I’m thinking I’ll have to bill 58579 Unlisted hysteroscopy procedure, uterus – but I’m unsure of the "compare-to" code. 57558, 57456…? Any suggestions are welcome. Thanks for your help.
Does anyone know if you can still report 60505 (Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach) if the physician uses a cervical approach not a sternal or transthoracic approach? Or would I still report 60500 because of the approach and/or the location of the tissue being in the superior aspect of the mediastinum? The physician removed a parathyroid adenoma from the superior mediastinum.
Op report reads:
The patient was taken to the operating room and placed supine on the operating table. General endotracheal anesthesia was provided by the anesthesia service. A NIMS endotracheal tube was used. Two NIMS grounding electrodes were placed sterilely in the chest wall. TED hose and SCDs were placed on his lower extremities and blood was obtained for baseline intraoperative parathyroid hormone testing. The patient’s neck was positioned in an extended fashion and the bed was placed in lounge chair position. His neck was prepped and draped in a sterile fashion and timeout was performed. A 15 blade scalpel was used to make a 4 cm transverse cervical incision. Electrocautery was used to dissect through the platysma. Subplatysmal flaps were raised and the strap muscles divided in the midline. The Strap muscles were dissected free from the underlying left thyroid lobe. The lobe was retracted medially, the carotid sheath was opened, and function of the recurrent laryngeal nerve was confirmed by NIMS probe stimulation of the vagus nerve. The paratracheal space was examined and an adenomatous appearing parathyroid gland was identified lateral to the esophagus in the superior mediastinum. The left superior pole parathyroid adenoma was dissected off of the underlying vertebral body and its blood supply was divided with the Harmonic Scalpel. Blood was obtained for intraoperative parathyroid hormone testing at 5, 10, and 20 minutes post excision of the parathyroid adenoma. Valsalva maneuver x 2 was performed. Hemostasis was assured.
PROCEDURE IN DETAIL: Patient was taken to the operating room and was placed in dorsal lithotomy position and was prepped and draped in standard surgical fashion.
*
Intra-abdominal entry was not made in this patient. The patient was examined under anesthesia. It appeared that patient had a rather aggressive LEEP in the past. Her cervix was virtually absent. When we placed the duck billed speculum in the vagina we could not find a cervix or a cervical opening.
*
Intraoperative ultrasound was then performed which demonstrated a large collection of blood within the uterus with complete occlusion of the presumed cervical endocervical canal.
*
Patient wanted to have kids and therefore a recanalization procedure along with division of the uterus was needed.
*
Subsequently, multiple lacrimal duct probes were taken and a tentative cervical canal was formed with lacrimal duct probe and under ultrasound guidance an opening into the uterus was made in a transvaginal fashion. As soon as we entered the uterus, old hematometra was evacuated, evacuating approximately 200 mL of blood under ultrasound guidance. This blood was old and altered. Subsequently, we needed to suture the upper vagina to the endocervical canal with multiple interrupted stitches and the minimal cervical tissue that was found was subsequently sutured onto itself with a cervical stent. A red rubber Foley catheter was subsequently inserted into the uterus and was passed through the vagina to keep the newly created endocervical canal open.
*
The red rubber Foley catheter was basted to the right thigh of a patient. Multiple intraoperative pictures with ultrasound guidance were taken and were uploaded to the patient’s chart.
I have NO idea. My surgeon wants me to use 58540 but that does not seem correct to me.
Any help is greatly appreciated!! 😮
Code Number
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Description
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CPT-4
|
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87620
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Infectious agent detection by nucleic acid (DNA or RNA); papillomavirus, human, direct probe technique (Deleted 12-31-2014)
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87621
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Infectious agent detection by nucleic acid (DNA or RNA); papillomavirus, human, amplified probe technique (Deleted 12-31-2014)
|
87622
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Infectious agent detection by nucleic acid (DNA or RNA); papillomavirus (HPV), human, quantification (Deleted 12-31-2014)
|
87623
|
Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) (New 01-01-2015)
|
87624
|
Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) (New 01-01-2015)
|
87625
|
Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed (New 01-01-2015)
|
88142
|
Cytopathology, cervical or vaginal, (any reporting system) collected in preservative fluid, automated thin layer preparation, manual screening under physician supervision (ThinPrep)
|
88143
|
Cytopathology, cervical or vaginal, (any reporting system) collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening under physician supervision
|
88147
|
Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision
|
88148
|
Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision
|
88152
|
Cytopathology, slides, cervical or vaginal, with manual screening and computer-assisted rescreening under physician supervision
|
88154
|
Cytopathology, slides, cervical or vaginal, with manual screening and computer-assisted rescreening using cell selection and review under physician supervision
|
88166
|
Cytopathology, slides, cervical or vaginal, (Bethesda System); with manual screening and computer-assisted rescreening under physician supervision
|
88167
|
Cytopathology, slides, cervical or vaginal, (Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision
|
88174
|
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision
|
88175
|
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening, under physician supervision
|
HCPCS (normally used for Medicare patients)
|
|
G0123
|
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision
|
G0124
|
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician
|
G0141
|
Screening cytopathology, smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician
|
G0143
|
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under physician supervision
|
G0144
|
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision
|
G0145
|
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision
|
G0147
|
Screen cytopathology smears, cervical or vaginal, performed by automated system under physician supervision
|
G0148
|
Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening
|
P3000
|
Screening Papanicolaou smear, cervical, or vaginal, up to three smears, by technician under physician supervision
|
P3001
|
Screening Papanicolaou smear, cervical, or vaginal, up to three smears, requiring interpretation by physician
|