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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

31599 Flex Laryngoscopy w injection question

Is anyone out there billing above procedure and if so are you getting reimbursed for the material being injected into the vocal folds as well as the procedure code 31599. Example below.

HCPCS C 1878
Renu® Voice is an injectable vocal fold implant intended for long-term augmentation. Renu® Voice is a buffered hydrogel containing synthetic Calcium Hydroxylapatite (CaHA) particles 25 to 45 microns in size. The implant can be injected percutaneously or with a trans-oral needle supplied separately

Medical Billing and Coding Forum

Flex Sigmoidoscopy, drain exchange and sinus debridement

Hi. Having a hard time figuring this one out! Reason to take the patient to the OR was to replace the mushroom catheter/drain which ended up taking substantial time. Below is the op note. Any help in coding this drain exchange and/or sinus debridement is appreciated. Thanks!

Indications: Chronic presacral sinus secondary to anastomotic leak.

Description of Procedure: The patient was brought to the abdomen placed on the operative table in supine position. After administration of adequate anesthesia the patient was placed in lithotomy position. The patient was prepped and draped in usual sterile fashion. Timeout was performed. The patient received preoperative antibiotics in the form of Flagyl. The perianal area was injected with 30 mL of 1% lidocaine with epinephrine and 0.5% Marcaine mixed. Digital rectal examination revealed the drain was in a posterior presacral cavity. Perianal examination revealed no masses. No fistula or fissure. Digital rectal examination did not reveal any clear mass. The rectum proximal to the area of the posterior sinus was collapsed and scarred down. The drain was then removed in its entirety. The area of the posterior sinus was then probed. Passage of the new catheter which was a 12 French mushroom catheter was very difficult. Because of the angulation and granulation tissue present was difficult to advance the catheter. Approximately 1 hour was spent attempting to do this. Finally the area of the sinus was debrided bluntly and sharply. Granulation tissue was evacuated. A flexible sigmoidoscopy was performed up to the level of the collapsed rectum. There was no signs of mass. Biopsies were taken. Colonoscope was removed. The 12 French mushroom drain was then placed within the cavity. It appeared to stay in place. It was then secured to the left buttock with a 0 silk stitch. The perianal area was then cleaned dried and dressings applied. The patient was then awakened from anesthesia in stable condition.

Medical Billing and Coding Forum

Using Flex Spending For Medical Costs

It’s no secret that health care can be very expensive, even for those fortunate enough to have it offered through their employer. If that’s any surprise to you, it shouldn’t be. After all, just take a look at all the news coverage devoted to a government-run healthcare option. No matter where you fall on the political spectrum, you probably feel at least some part of the healthcare system could use some reform and would probably admit that it can cost a lot for the average person. And while you can cut costs and buy sale scrubs instead of new ones, it’s still hard to cut hundreds of dollars out of your budget to help pay for your health insurance. For those that are lucky enough to have it offered at their employer, medical expense flexible spending accounts can help. But what exactly is this account and what does it do?

A medical expense flexible spending account is used to pay for many things that you use for your health every day but that aren’t fully covered by your health insurance. While every flexible spending account is a little different, commonly covered items are things like ibuprofen, prescription co-pays, bandages, and cold medicine. Even if your insurance pays for your visit to the doctors and nurses in their scrub jackets, a lot of these other costs are things that you’ll likely need. What the flexible spending account allows you to do is pay for them with money that is taken out of your paycheck before taxes are taken out. That isn’t that big of a deal, you might think, but it’s actually a nice cost savings.

When you consider how much of your paycheck goes to taxes, imagine if you were able to take $ 2,000 out of your paycheck before taxes. Depending on what tax bracket you’re in, that can be a considerable amount. And as long as you purchase $ 2,000 of eligible expenses over the course of the year, you’ll get reimbursed for all those expenses. If you’re a nurse, it’s likely that your scrub pants won’t be eligible, but there are a lot of other things that surely are. A very nice thing in recent years is the ease in which you can get reimbursed for your expenses. Some flexible spending plans issue you a debit card that you can make eligible purchases on. Rather than having to save and submit receipts, the back-end account is done automatically for you. What could be easier?

Regardless of whether or not you have a medical expense flexible spending account, you probably need to save money. If you’re in the medical profession, that probably even means shopping for sale scrubs. At Scrubs and Beyond, you’ll find a wide assortment of scrub jackets and scrub pants that are so reasonably priced, you might think they’re on sale! To see how you can save money today, check out Scrubs and Beyond and start shopping!