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Example: SCS implant 63685 (APC 5464) and 63650 (APC 5462)
You would code 63650, 63685-51, APC 5462 and APC 5464, right? or just 5464
Thanks, Liz
A beginner’s guide to claims code editing logic. The U.S. healthcare system is highly complicated and extremely expensive. There are many layers between the provider of medical services and the payment for those services. This overly complex system leads to inefficiencies resulting in incorrectly paid claims and the need to spend even more time and […]
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Be sure you know the difference between the various types of laparoscopic hysterectomies. In the article “Pinpoint Correct Hysterectomy Coding” (August 2018, pages 16-18), the statement, “… a laparoscopic-assisted vaginal approach — a ‘subset’ of the vaginal approach — in which a scope is inserted via small incisions in the vagina,” is incorrect, and is […]
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Diagnosis code choice relies on a thorough understanding of the four classifications of abnormal cell growth severity. The good news about cancer coding is that it is generally straightforward. If you can familiarize yourself with a few key pathology words, you’ll be headed in the right direction. Stages of Cancer Cancer is not a disease […]
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Doctor provides CPT codes performed as 45380 Colonoscopy with biopsy and 45382 w/ control of bleeding.
His documentation states – FINDINGS: There was some mucosal inflammation and irregularity in the rectum. It was biopsied with cold biopsy forceps. After the biopsy, injection of hypertonic saline with epinephrine was performed to achieve hemostasis at the biopsy sites.
Since the control of bleeding was done at the same spot as the biopsies can I only bill for the 45380??
TIA
KAM
DIAGNOSIS: Syncope due to hypersensitivity to antidepressant medication (Initial encounter)
Codes Option #1:
R55
T88.7xxA
T43.205A
Codes Option #2
R55
T43.205A
Thank you,
:confused:
What is the correct ICD-10-CM code for donovanosis?
I’m having trouble figuring out the correct code for a patient who came in for a Renal Artery Doppler. The code that I thought was correct, my boss disagreed with. She also presented the question to the provider, and he agreed with her. I guess I’m not fully grasping the way the report reads and that is why I’m thinking of the wrong code. Could someone please clarify this for me? I’ve included our discussion below. Thanks!
Original Email from Me: Pt no xxx had a Renal Artery Doppler on 4/26/18. The code for that (93976) is not in the fee schedule.
Response from boss: We need to discuss this. Why wouldn’t this be code 76770 or 76775?
Me: In the report on Ultralinq, they worded the procedure as "renal Artery Duplex." In the technique description of the report, it states "renal artery duplex examination using B-mode, color
flow, and spectral Doppler to assess arterial stenosis was performed."
93976: Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study
76770: Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete
76775: Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited
In my opinion, 93976 reads more along the lines of what was performed.
Her Response: I asked provider in my meeting and he said it is 76770.
Radiology has NEVER been my strong point in billing, so any help understanding this would be greatly appreciated!