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Tag Archives: insertion

CTR insertion during cataract removal

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Has anyone ever had their doc insert a capsular tension ring during the same surgery that he removes a cataract? [It is in preparation for the IOL to be inserted to the sulcus (vs. the lens capsule) at a later surgery.] Have you figured out how to bill for the insertion of the CTR?

Thanks!

Medical Billing and Coding Forum

Getting paid for LARC insertion immediately after delivery?

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Will a provider get paid for LARC insertion immediately after delivery? It is my understanding that this was considered part of the global package in the past. Now, I want to make sure in Georgia that it is paid outside of the global. Can anyone assist me? Thanks!!

Medical Billing and Coding Forum

insertion or replacement of cranial neurostimulator pulse

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I have two questions: This is Humana insurance
1.) 61886 – insertion or replacement of cranial neurostimularor pulse with connection to 2 or more electrode arrays – Provider did bilateral – modifier 50 is not allowed unable to find any coding guidlines.
a.) coding – 61886 (LT)
61886 (RT)
or
61886 (LT)
61886 (59,RT)
2,) 61867 and 61868 – Humana paid 61867 but 61868 is done bilateral
a.) coding – 61868 (LT)
61868 (RT)
or
61868 (LT)
61868 (59,RT)

Any help would be great or any documentation regarding this.

thanks

Medical Billing and Coding Forum

removal insertion of non-biodegradable drug delivery implant

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Physician billed these codes on the same day. 11981,11976 & j7307. Aetna is rejecting 11981 as bundled. paid for removal only. I checked CCI edits and they is no information that these code cannot be billed together. I was looking at code 11983 removal and reinsertion of non biodegradable drug implant since he did both should this be charged or does 11983 just apply to removing and inserting the same implant. Patient received a new implant.
Any help or guidance will be appreciated.

Medical Billing and Coding Forum

Hormone Pellet Insertion

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My Doctors are wanting to allow an RN we have on staff to do pellet insertions which is in the scope of practice for TN. My question is, what are the billing ramifications of this? Would this be billed in a different way than if it were done by the Doctor? Thanks in advance for any help!

Medical Billing and Coding Forum

IVC Filter Insertion Procedure

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Self teaching myself Vascular coding – any tips are appreciated!

ENERAL SURGERY PROCEDURE:
Guidance
Ultrasound.
IVC Filter Insertion Procedure
Approach: Percutaneous.

PROCEDURE INFORMATION:
Anesthesia Information
Anesthesia: 1% xylocaine.
Anesthesia method: as documented on anesthesia record.
Procedure Description
Estimated Blood Loss: Nil.
Drains: Not applicable.
Specimens Removed: Not applicable.
Complications: No complications.

Description:
Pt brought to OR placed supine. 10cc 1% lidocaine left groin. Left CFV entered under ultrasound. 5 Fr shealth placed. Crossover cathter used to cannulate right CFV. 5Fr 45cm pinnacle sheath placed REIV. 0.014 wire place into SFV. 0.014 IVUS catheter used to visulaize right SFV,CFV a;nd EIV. No evidence of invasive tumor. Acute appearing thrombus noted. Denali IVCF placed below renal veins.

Medical Billing and Coding Forum

spinal instrumentation insertion and removal within same operative session

Posted on by
help !!

my surgeon has input bilateral pedicle screws at l2-l3 and has then removed the right side screws due to them migrating during the surgery . the dr is wanting to bill 22840 for the insertion and then also 20680 for the removal. I know am almost 100% positive 20680 is a completely wrong code and i really don’t think you can bill for that removal since its within the same session. i am having trouble finding anything in black an white to discuss with my dr. if anyone can please provide me some links or any insight would be appreciated

thank you

Medical Billing and Coding | AAPC Forum