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Correct billing for J3490 for Pain Pump Refills
Thanks for any help.
Question on Correct Coding of 73130
Scenario: Patient has pain in both hands, a x-ray on hands is completed. There only 3 images – both hands are in each view.
How should this be coded:
73130 RT,LT
or
73130 RT
73130 LT
Thanks for any input!
Help with correct codes for this vascular surgery
If I could get some answers, as well as some pointers on how to determine the correct codes it would be greatly appreciated!!
Procedure in detail: The patient was taken urgently to the operating room and after the induction of satisfactory general LMA anesthesia prepped and draped in the usual sterile fashion in the supine position over the left leg. Initially, a cutdown was performed below the knee on the medial aspect over the saphenous vein, which appeared of reasonable size on a previous ultrasound and carried down to subcutaneous tissues where a very small, sclerotic saphenous vein was in countered. The fascia was then incised and the posterior muscle swept anteriorly ext opposing the distal popliteal artery and carefully D dissecting down along the neurovascular bundle, taking small crossing veins with Ligaclips exposing the trifurcation. There was obvious clot within the trifurcation vessels and the popliteal artery. The femoral cutdown was then performed in the usual fashion with a linear incision controlling hemostasis with the Bovie cautery, and ligated in lymphatics between 2 and 3 0 Vicryl ties until the common femoral, profundus femoris and superficial femoral arteries with her branches were exposed and controlled with vessel loops. The saphenous vein was also observed here and once again was quite small and inadequate for in situ bypass. Lower in the leg the saphenous vein was also exposed down to the level of the ankle and although this was slightly larger there was inadequate length to even bring it above the knee. At this point the patient was systemically heparinized and a linear incision was created over the trifurcation vessels and directed thrombectomy was performed with a significant amount of clot returned. After multiple passages of the 3. Fogarty thrombectomy catheter, bright red blood was retrieved and of further clot was evident. Heparin irrigation was placed down the anterior tibial and posterior tibial arteries and the branches controlled with Yasergil clips. Proximal thrombectomy was also performed an although we were able to get up to the level of the femoral artery where there was a pulse multiple pull-through cyst revealed no evidence of flow. At this point it was decided that the only option was a PTFE graft and a 6 millimeter reinforced graft was selected. After spatula eating the graft, an end-to-side anastomosis was created between the arteriotomy at the level of the trifurcation with a continuous 6 0 Prolene suture. A subsartorial tunnel was created and the graft pulled back through into the femoral incision. Arteriography was performed showing a patent anastomosis with runoff down both vessels to the level of the foot. The proximal artery was then controlled with atraumatic vascular clamps and an anterior arteriotomy measuring approximately 2 and 0.5 centimeters was performed. There was a significant amount of calcific plaque in the posterior portion the artery in endarterectomy was performed with the Freer elevator. This was irrigated aspirated and particulate matter was completely removed. After spatula eating the proximal graft an end-to-side anastomosis was created with a continuous 5 0 Prolene suture. This was 1st opened into the superficial femoral artery and then into the from the and the graft. There was a palpable pulse in the distal graft and the vessels just below this. There was an excellent, biphasic to triphasic Doppler signal. A biphasic Doppler signal was also found at the posterior tibial artery at the ankle. Hemostasis was controlled with the thrombin anticoagulant 2 large Jackson-Pratt drains were placed in the upper lower incisions and secured with silk sutures. The wounds were closed with continuous 2 and 3 0 Vicryl sutures for the deep and subcutaneous tissues and a surgical stapling device for the skin.
Attention was then turned to the right below-knee amputation that had been traumatically opened in a fall. This was prepped and draped with Betadine and 3, 3 0 Prolene sutures were used to partially coapted the skin. Bacitracin ointment and sterile dressings were placed on the incisions. Occlusive bandages were placed on the left leg. The patient tolerated the procedure satisfactorily and returned to recovery in stable condition with all final
Thanks for all and any help!! 😮
Jodi
Correct Influenza Diagnosis Coding
Correct level code, 99221 or 99222?
Check MAO Directories for Correct Info
You can’t take anymore Medicare Advantage (MA) patients but they keep coming. Or you learn that MA patients are calling the wrong number or going to the wrong address. What’s wrong? It’s probably their Medicare Advantage Organization’s (MAO) contribution to the MA online provider directory. CMS Finds MAOs Have Bad Info After hearing beneficiary complaints, […]
AAPC Knowledge Center
Which one is correct
Op note says further "Hip"
Which one is correct CPT code=15100 or 15120
Anyone to help please?
Need correct guidance code for CPT 64640
I have received Geniculate knee radiofrequency ablation and another separate report for Nerve block injection of knee, both procedure are performed using fluoroscopic guidance.
can someone plz help which CPT i should use for Fluoro 77002 or 77003???????
Thanks,
Senthil CPC.:(
Is this correct coding?
Patient being seen in a preop for screening colonoscopy, patient has family history of colon cancer.
This doesn’t seem correctly coded per ICD-10, as the Z01.818 would require a reason for the preop to follow it.
Would family history qualify as the secondary code?
Would this be a reimbursable encounter per CPT? hard pressed to get an E/M level with mdm of an historical condition…
Thoughts?