Laureen shows you her proprietary “Bubbling and Highlighting Technique”
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Doing so requires understanding the 2019 coding changes for reporting these two services during the same session. Effective Jan. 1, 2019, new CPT® codes were introduced to report fine needle aspiration (FNA) biopsies. Proper coding of these procedures starts with an understanding of the new codes, as well as how they affect reporting of core […]
The post How to Be the Best Fine Needle Aspiration and Core Biopsy Coder appeared first on AAPC Knowledge Center.
Any help would be greatly appreciated.:confused:
Patient A
Date:
PREOPERATIVE DIAGNOSIS: Malignant-appearing lymphadenopathy of the left
upper neck.
POSTOPERATIVE DIAGNOSIS: Malignant-appearing lymphadenopathy of the
left upper neck.
PROCEDURE: Ultrasound-guided fine-needle aspiration of left neck lymph
node x2.
STAFF SURGEON: M.D.
PROCEDURE: After discussing the procedure with the patient, the left neck was prepped with Betadine prep swab. We then used
ultrasound to examine the left neck region, identified two packets of
lymph nodes, decided to biopsy the lower packet first. I placed a
25-gauge needle into the lymph node packet and aspirated until fluid
was in the hub. I then placed this onto a microscopic slide and spread
it between two different side slides, one was fixed and one was air
dried and I placed the remainder into the CytoLyt solution. I then
changed needle and syringes and aspirated a second higher level lymph
node packet until I got blood return into the hub of the needle.
Again, I placed this on to a slide and spread it between two separate
slides, one was air dried and one was fixed. The remaining solution
was placed into the CytoLyt solution. These were both sent to
pathology. We will await our biopsy results.
_____________________________
M.D.
CC:
PREOPERATIVE DIAGNOSIS: Malignant-appearing lymphadenopathy of the left
upper neck.
POSTOPERATIVE DIAGNOSIS: Malignant-appearing lymphadenopathy of the
left upper neck.
PROCEDURE: Ultrasound-guided fine-needle aspiration of left neck lymph
node x2.
STAFF SURGEON:
PROCEDURE: After discussing the procedure with the patient, the left neck was prepped with Betadine prep swab. We then used
ultrasound to examine the left neck region, identified two packets of
lymph nodes, decided to biopsy the lower packet first. I placed a
25-gauge needle into the lymph node packet and aspirated until fluid
was in the hub. I then placed this onto a microscopic slide and spread
it between two different side slides, one was fixed and one was air
dried and I placed the remainder into the CytoLyt solution. I then
changed needle and syringes and aspirated a second higher level lymph
node packet until I got blood return into the hub of the needle.
Again, I placed this on to a slide and spread it between two separate
slides, one was air dried and one was fixed. The remaining solution
was placed into the CytoLyt solution. These were both sent to
pathology. We will await our biopsy results.
Anthem paid a $ 16 million settlement resulting from a series of attacks in both 2014 and 2015 that had the potential to expose personal health information (PHI) of 79 million people. Although they paid the $ 16 million settlement, Anthem does not admit to any wrong doing. This represented the largest PHI breach in US history […]
The post Anthem Pays Largest HIPAA Fine appeared first on AAPC Knowledge Center.
In a time when many scoff at the potential of being levied steep penalties for violation of HIPAA rules, a judge just upheld a fine that the Department of Health and Human Services (HHS) issued in 2017 for Texas-based MD Anderson’s use of unencrypted devices. This penalty is stiff and says that you cannot just […]
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