what diagnosis can you use for IUD insertion? Z30.40 is marked that it cannot be used as primary, but that is the only reason the patient was seen. BCBS paid the Mirena itself, but has denied the insertion for invalid primary DX.
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Tag Archives: insertion
Bilateral breast capsulotomy and tissue expander removal with insertion of prosthesis
Hi All,
Patient has a history of breast cancer and has an surgical hx of bilateral nipple sparing mastectomy.Now comes in for capsulotomy with tissue expander removal and insertion of breast prosthesis.
Please suggest CPT codes
TIA!!!
Patient has a history of breast cancer and has an surgical hx of bilateral nipple sparing mastectomy.Now comes in for capsulotomy with tissue expander removal and insertion of breast prosthesis.
Please suggest CPT codes
TIA!!!
Need help in coding LHC with Transvenous pacemaker insertion
Pt was seen in emergency room by the cardiologist had a left heart cath with arterial line insertion and Transvenous pacemaker insertion.I’m using codes-76937.26,93458.26,59 , 33210.59,99152 and 99153. Its giving me a message that it fails per CCI edit.My question is go I need to bill them separately or do I need to use another modifier.Please advise.
Do you bill for the SAVI or just the insertion?
I have a breast surgeon who inserted a SAVI catheter in the office.
Is there a code for the device in addition to the insertion code?
Thanks for your help!
Mirena insertion?
We have a provider that inserted a Mirena but after inserting during that same visit the provider noticed that the strings had came out so he had to remove it and then could not reuse it. That same day he inserted another Mirena. How are we to bill for this would we use a JW modifier on the mirena that was wasted?
Thanks!
lap ureteroureteral anastomosis w stent insertion
How would you code Laparoscopic ureteroureteral anastomosis and left ureteral stent insertion of a transected ureter. This transection occurred during a hysterectomy. My doc entered laparoscopicaly found the transection in the ureter freshen the edges then spatulated at a distance of 8 mm. at this point the stent was advanced to the proximal ureter.
I was thinking unspecified with a comparative of 50760.
Thanks for the help.
ICD insertion with Subclavian angioplasty
Hi,
Pt had an ICD implanted 33249, however, pt had a decent amount of scar tissue along the innominate vein and venoplasty was performed. I’m thinking 37246? Any ideas. thank you Sandy
Pt had an ICD implanted 33249, however, pt had a decent amount of scar tissue along the innominate vein and venoplasty was performed. I’m thinking 37246? Any ideas. thank you Sandy
Insertion of Chest Tube
Hello,
I am not sure how to code the insertion of a chest tube. Any feedback would be much appreciated!
I am not sure how to code the insertion of a chest tube. Any feedback would be much appreciated!
Please note: Patient had an excisional biopsy of the caudate lobe in addition to insertion of a left chest tube.
The following is the only documentation related to the insertion of the chest tube:
Under general anesthesia, the patent’s abdomen and left chest were prepped and draped. A #16 chest tube was inserted in the intercostal space using ultrasound guidance. 200 to 300 mL of turbid fluid were obtained and these were sent for culture and sensitivity, cell count, triglycerides, and cytology. The chest was then attached to a Pleur-Evac and a small amount of air was also seen to exit.
32550, 32551 or 32557
Removal Acetabular Cup w/ Insertion Antibiotic Spacer
My provider performed a removal of the acetabular cup with placement of an antibiotic eluting spacer. The only code that I can come up with is 27091. Is this code only used when the total hip prosthesis is removed? If so, should I code it as 27091-52 since he only removed the acetabular component?
Using the patient’s prior incision, incision was made proximally and laterally to the wound. The wound VAC was removed. There was a large amount of tissue debridement that was performed to the subcutaneous tissue area, as well as the IT band. The vastus lateralis and the gluteus medius were split using a modified Hardinge approach after which time the hip was dislocated and the ceramic head of the implant was removed, followed by insertion of a slap hammer to the femoral implant, which attempted removal was performed with a slap hammer. Stem was found to be fixed in place with no evidence of any loosening, after which time the cup was then assessed and the liner was removed. Posterior to the liner, there was a small amount of fluid which was taken for culture and sensitivity and sent for analysis to Pathology. The decision was made to remove the acetabular cup. One screw was removed followed by removal of the acetabular cup and placement of an antibiotic eluting spacer. Copious irrigation was performed with approximately 12 liters of normal saline, Betadine, as well as irrigant fluid.
Umbilical Hernia Repair with removal of old mesh and insertion new mesh
I am trying to code an umbilical hernia repair that was done for removal of prior mesh and implantation of new mesh with the hernia repair. The patient had a prior umbilical hernia repair several years ago and now needs the mesh removed due to protrusion from the umbilical skin. Would I code this as an incisional hernia repair with implantation of mesh? I have seen many different opinions of this and need some guidance. I am leaning towards the codes 49560 with 49568.
Thanks for any suggestions.
Valerie K.