Click here for more sample CPC practice exam questions with Full Rationale Answers

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What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

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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

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Click here for more sample CPC practice exam questions and answers with full rationale

Billing for Coalition AGX Device

Hi,
This is a neurosurgery question. Does anyone know if you can bill for the plate and the cage when you are billing for the Coalition AGX device. The AGX can be used with peek spacer or a allograft spacer so to me it is two separate devices but I am not sure if they can be billed separately. Does anyone have any information on this, any help would be greatly appreciated.

Thanks, Vicky

Medical Billing and Coding Forum

Clarifix cryoablation device – help on how to code

Our physician performed a cryoablation of the nasal nerve for chronic rhinitis. There is some debate as to how to code. The physician feels 30117 and 31231 is appropriate but I feel it should be an unlisted code. I have provided part of the operative note below. Any thoughts on how this should be coded??

The left middle turbinate was medialized, and the treatment area at the point of attachment of the middle turbinate to the lateral wall was visualized. Under nasal endoscopy the cryoablation device previously prepped was advanced and placed on the mucosal surface overlying the Sphenopalatine Foramen located in the posterior aspect of the middle meatus, on the lateral nasal wall. The device was activated for 30 seconds to apply cryotherapy for destruction of the nasal nerves. Once the freezing stopped the patient was instructed to breathe through their nose to facilitate thawing of the frozen tissue. Once the device was determined to not be adherent to the mucosal surface, the probe was removed. After removing the cryoprobe the treated area was endoscopically inspected and a ~20 mm diameter blanched lesion indicating the destruction of the tissue was observed. Another freeze was performed using an identical technique immediately inferior to that just performed. This ensured that the dysfunctional nerve were adequately treated with cryoablation.

Medical Billing and Coding Forum

DOS for Interrogation device evaluation

Hello,

I was wondering if someone could help me. A patient has an loop recorder placed at the beginning of the year. Our provider did an interrogation of the device CPT 93298. The Motoring of the device was from 06/01/18 to 06/30/18. The provider read and dictated the report on 07/02/2018. What DOS do you use when reporting CPT 93298. Do you use the DOS that the monitoring started on 06/01/2018 or the DOS the provider read it, 07/02/2018. IF you do know what DOS to use, can you please provide the guidelines that are to be used. Thank you in advance.

Medical Billing and Coding Forum

Diagnostic Laparoscopy, Removal of Anti-reflux Device

Can someone please help me with this one. There is no specific code. I choose 49329 but wanted to know if are any other codes.

Diagnostic laparoscopy, explant of Angelchik device.

Operative Technique:
After obtaining informed consent, the patient was taken to the operating room and placed in the supine position. Following the smooth induction of general endotracheal anesthesia and a surgical time-out, the abdomen was prepped and draped in a standard and sterile manner. Hasson technique was utilized to enter the peritoneal cavity supraumbilically, and pneumoperitoneum was established to 15 mmHg. A 10mm, 30-degree laparoscope was introduced and intraabdominal adhesions were present throughout.

Fortunately, the left upper quadrant was relatively free of adhesions, and two 5 mm ports were placed in the left lateral abdomen under direct vision. Inspection in the epigastrium revealed a Silastic or silicone-appearing ring free-floating in the left upper quadrant. The right structure was consistent with an Angelchik device, and it was grasped by the tail and removed from the left upper quadrant through the Hasson port without difficulty. Inspection of the surgical field revealed excellent hemostasis.

Pneumoperitoneum was taken down under direct vision as the ports were removed. Port sites were irrigated and re-anesthetized, and the fascia at the Hasson site was closed with a 0 Vicryl employing 3 interrupted sutres. The skin was closed with a 4-0 Monocryl and sealed with skin glue.

Thank you so much for all your help:)

Medical Billing and Coding Forum

Lung plug device?

Is anyone using a lung plug device and coding additional services or a 22 modifier for the radiologist’s work? They are stating it’s "extra work" but I’m not convinced.

I have the reimbursement guide, but not helpful for professional radiology coding, and I cannot find anything on how to code (other than the C2613 for facility), or if indeed it would be considered extra work. I am thinking the only advice I can give the docs is to document that "extra work" thoroughly, add the 22, and see what happens on claim submission. Any thoughts or real-world experience would be helpful. Thank you!

The BioSentry™ tract sealant system is the first biopsy sealant system of its kind and represents a major advance in the prevention of lung biopsy-related pneumothorax.

The BioSentry™ system deploys a self-expanding hydrogel plug into the pleural space following biopsy. The plug expands, creating an airtight seal that closes the pleural puncture, reducing the risk of pneumothorax by more than 50%.

Medical Billing and Coding Forum

BSI Holds Important Series on Medical Device Regulations in Asia

Focus on Asia Series Highlights Prime Areas of Growth BSI announces its series of seminars on regulatory requirements in Asia for medical device companies are to be held in:

•   Austin, TX – October 15, 2010 from 10:00 a.m. – 4:00 p.m.

•   Princeton, NJ – October 19, 2010 from 10:00 a.m. – 4:00 p.m.

•   Atlanta, GA – October 21, 2010 from 10:00 a.m. – 4:00 p.m.

•   Chicago, IL – October 22, 2010 from 10:00 a.m. – 4:00 p.m.

 

Geared toward commercial and regulatory staff who need to navigate the various regulatory landscapes across Asia, these seminars will help facilitate US companies expand their medical device exports.

 

Jack Wong, BSI’s Vice President for Regulatory Affairs in Asia will lead this discussion and cover the recent regulation changes in China, India, South Korea, Hong Kong, Malaysia, Thailand, Taiwan, and Japan. As the Vice-Chairman of the Regulatory Training Working Group within the Asian Harmonization Working Party, Mr. Wong will also speak to various efforts to harmonize regulatory requirements.

 

Asia is a prime market for growth for medical device companies.  To ensure efficient product launch and regulatory conformance, companies must comply with an evolving and often confusing regulatory environment. BSI’s Focus on Asia series will provide an overview of developing trends and projects that may influence future regulations.  Companies that can realize rapid registration and regulatory approval in Asia will gain a significant competitive advantage.

 

To register for these events: www.bsiamerica.com/asiatraining

 

About BSI Group

BSI Group is a global independent business services organization that inspires confidence and delivers assurance to over 80,000 customers with standards-based solutions. Originating as the world’s first national standards body, BSI has over 2,500 staff operating in over 140 countries through more than 50 global offices. BSI’s key offerings are:

•   The development and sale of private, national and international standards and supporting information that promote and share best practice

•   Second and third-party management systems assessment and certification in all critical areas of management disciplines

•   Testing and certification of services and products for Kitemark® and CE marking to UK, European and international standards. BSI is a Notified Body for 15 New Approach EU Directives.

•   Certification of high-risk, complex medical devices

•   Performance management software solutions

•   Supply chain security solutions which identify and mitigate risks in supply chains

•   Training services in support of standards implementation and business best practice.

 

BSI Group America Inc. is the Americas’ division of BSI and the direct website is www.bsiamerica.com.

 

 

BSI, America

www.bsiamerica.com

Shereen Abuzobaa
Vice President Marketing
[email protected]

1800-862-4977

 

Professional Marketing Firm for the Manufacturing Community.  Manufacturing Journalist or Contributing Journalist for many manufacturing magazines and journals.  Founder of the Media Consortium and media blitz.

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Save Your Life With A Key Sized Medical Device

Communication during a medical emergency, when you can not.

It is important to communicate during a medical emergency, and when you are not able speak for yourself. How will your doctor know your medical history in order to properly treat you. You need a convenient way to carry your emergency medical information with you at all times.

“In a medical emergency, you might be unconscious or unable to speak for yourself,” said Alfred Sacchetti, MD, of the American College of Emergency Physicians (ACEP). “That’s why it’s so important to make sure that medical personnel have access to your medical history, as well as relevant contact information. For example, knowing what medications you are taking could prevent severe drug interactions, and knowing what allergies you have could prevent serious reactions.”

Millions of Americans have medical conditions which should be immediately known to Emergency Personnel.

Diabetes (over 13 million), diagnosed heart disease (23 million), Alzheimer’s, transplant surgery, patient’s currently on blood thinners such as Coumadin, epilepsy, asthma, severe allergies, cancer patients and medication allergies such as penicillin and other antibiotics are all conditions that should be brought to the attention of emergency personnel. Additionally, many of us are reasonably health but getting older (36 million people age 65 and over) and our list of medications continue to grow with the years.

With over 110 million emergency room visits a year, your emergency information may actually be the most important information of your life. According to quoted studies from The Institute of Medicine an estimate of 44,000 to 98,000 hospitalized Americans die each year from errors made from medical practitioners, and 7,000 dies because of medication mishaps.

Who needs to keep their emergency information available and updated?

Actually, all of us should but very few do. However for those at risk, such as seniors, people with chronic illness, serious allergies or medication complications, special needs children and anyone traveling away from home it is something that should not be overlooked. Children should also have the proper medical information on them at all times if they have a medical condition or serious allergy.

What information should be maintained?

Here are just some of the things recommended by Edward Stettner, MD, Assistant Professor of Emergency Medicine, Emory University Atlanta, GA and other healthcare professionals.

* Medical history – Chronic medical conditions

* Medications -Including over-the-counter

* Allergies -Medications and foods

* Surgical history -Include the date, hospital and surgeon

* Private physician -Include primary care as well as specialists

* Emergency contacts -Multiple contacts with alternate numbers

* Miscellaneous -Include advance directives, specific dietary needs, or any other important information.

What are your options to carry your medical information?

There are many generic medical ID bracelets and jewelry tags available today, however they are generally limited by their size to the amount of information that can be displayed on them and because of their small size, they are sometimes overlooked by emergency personnel during a crisis. The wallet cards some provide are also limited by their small size and often become unreadable in a very short time. While they can alert medics that you have special medical needs, they can not convey all your important emergency information during a crisis, when it is needed most.

So how do you carry all that information around with you?

Digital technology allows a very large amount of information to be stored on surprisingly small devices. MedicTag LLC has adapted this technology to produce an emergency information device that fits on a key ring. The device is simple to use and works with your desktop or laptop computer. You can fill out the information form and make changes whenever necessary, always keeping your emergency information up to date. Emergency responders on site with a laptop or at the emergency room can have instant access to your vital information, even if you are unconscious, allowing them to diagnose and properly treat you with as little delay as possible.

Do you need to have your emergency information available?

For most of us the answer is probably yes. If not you, how about a child, parent or other loved one in your family? Considering the possible life saving benefits, it is something that we should seriously consider, for safety and security that affects the whole family.

Understanding The Home Medical Device Market Today

One of the greatest benefits that individuals enjoy is the fact that they can have vital medical device technology right at their fingertips in the comfort of their own home. Through years of innovation and technology medical devices have gone through some serious transformations that has allowed them to not only become more user-friendly but in addition to that they have become much more affordable. Many years ago the thought that so many difference devices would be able to be used in the home setting was unthinkable. One such great example is a pulse oximeter and blood pressure monitor. Both products were the type that you would typically just find in the hospital setting. One is made specifically for measuring the pulse rate and blood oxygen saturation while the other is made to strictly measure the blood pressure of individuals. If one was to use these two things at home to monitor their health they really did not have any access to them.

Then what occurred is that there was some major technological advancements in chip technology and semiconductors. Through such pulse oximeter innovation the products were able to be manufactured to be firstly smaller and more portable and secondly much less expensive. So essentially if you have a health condition like lung cancer where you need to closely monitor your oxygen levels or whether you have high blood pressure then what you can do is to easily follow your health levels. The other great benefit of the advancement is actually the fact that the pulse oximeter products became significantly cheaper and more affordable for regular home consumers. The hospitals have budgets that are able to withstand expensive health items, but regular individuals need to have the ability to have access to their monitoring systems while still being conscious of their budgets and financial capabilities.

The highest quality pulse oximeter products can be found at http://www.pulseoximetersupply.com

Related Medical Coding Articles

Oximeters Growth In The Medical Device Market

The technology industry is an ever changing industry. This change makes way for new and more innovative products on the market, which make the lives of people throughout the world both easier and more portable. Different markets have different trends that are just accepted. These trends are apparent in the cellular phone industry. As time as moved forward, our cell phones have become smaller and smaller, while their features have not only increased but also became more efficient. Their screens went from standard digital screens, to color LCD’s.

The cellular phone industry is quite similar to the pulse oximetry industry when it comes to advances in technology. The original pulse oximeters of the old are gone, and replaced by more advanced, more accurate, and more portable devices. A pulse oximeter is used to measure the percentage oxygen saturation level in the blood, and to give pulse rate readings as well in great accuracy. A finger oximeter is small and portable, and can easily fit into one’s pocket or purse. Individuals at home with various respiratory illnesses like asthma for example, can easily monitor his or her SPO2 readings while at the comforts of their home. Older individuals benefit greatly with the availability of a pulse oximeter with a color OLED screen. A pulse oximeter has also become popular with athletics. A survey of gym trainers has revealed that pulse oximeters are a standard for use in training sessions.

As various market segments become more and more educated in pulse oximeters, the demand for pulse oximeters is on a constant rise. As demand increases, so does the arrival of new companies competing for the market. A recent study of ours revealed that price is not always the best indicator of a great product. Pulse Oximeters Plus provides a high quality product with all of its accessories included at a cost of under $ 40.

For high quality, low-cost pulse oximeter models, visit us at http://www.PulseOximetersPlus.com.

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