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A recent article was brought to my attention regarding billing for codes 99221-99233 for other than normal newborn care (also realizing this is in the CPT guidelines). I am wondering if I am able to bill for 99461 (subsequent normal newborn) with 99222 (initial encounter for hospital care)? Can the two code sets be mixed?
Thank you!
I’ve a case where the encounter is for screening colonoscopy (ICD-10-CM: Z12.11). The surgeon found a polyp (ICD-10-CM: K63.5) in the transverse colon and excised it using snare (CPT 45385). Pathology report comes a few days later and states the excised tissue as "normal colonic mucosa".
Did the surgeon excised normal tissue only and if that is the case what would be the codes? Should we code for biopsy only and not snare since there was no lesion that was excised and was rather normal tissue?
I’ve narrowed it down to:
1. ICD-10-CM: Z12.11, K63.5; CPT: 45385; OR
2. ICD-10-CM: Z12.11; CPT: 45380
Any insights?
Thanks!
Amber
I have been researching this topic, however most of the information I have found (even in these forums) are a few years old and/or have information backwards. Plus I am wanting to get a general idea what everyone is doing now, in 2018.
I am aware that 64721 bundles into 25115 when both carpal tunnel release is performed and a flexor tenosynovectomy is performed in the wrist at the same surgical session. The schools of thought I am seeing are:
It bundles, only code 25115
Code the original reason the procedure was performed (came in for ctr and they also performed a tenosynovectomy, bill for ctr release)
If there were/are separate diagnosis for each disorder, you can bill the 64721 with a 59.
I do not have a note to share, I am just trying to get the "pulse" as it were, of the protocols/directives and gather information all you wonderful coders may have.
Thank you!
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A patient comes in for a either a physical or pap and had labs ordered; this equals a Preventative code with a Z-code
But then the patients comes back to review the results however the results are normal…What do I code then??
A few weeks ago, it occurred to me that my job hasn’t been “normal” for the last six years. Right around this time six years ago is when I first went to AHIMA’s ICD-10 Academy and earned my status as a trainer. Creating and presenting ICD-10 training materials came soon after that and it wasn’t until recently I realized that my job hasn’t been normal for the last six years. And since I’ve only known my husband for four years, one could argue that he’s never known me when I’m normal… er.. at least when my job is normal!
As I look around the articles and social media related to coding, a lot has changed in this industry in the six or seven years that I’ve put myself out there as the Coder Coach. When I first started blogging and meeting once a month with coding students and wanna-be’s, there weren’t a lot of people out there looking to mentor coders. Now, my voice is one of many as people who never heard of coding before ICD-10 jump on the bandwagon to get a piece of the action. There have been questions about certifications – which ones to get and how to make sure ICD-10 certification requirements are met. There have been questions about how to code things we never had to think about before – initial vs. subsequent encounters for injuries and poisonings and root operations based on procedure intent.
I have to be honest and say that in my abnormal day-to-day life as a coder over the last few years, I’ve had trouble finding my voice and giving advice as a coding mentor. I no longer feel qualified to tell a coder how to break into the industry because things are so different than they were 20 years ago when I got my start and coding is something that many people are now aware of – not something that people kind of fall into anymore. Since I fill my days adding to my own intellectual bank by researching procedures and learning how to explain them – and how to code them – I wonder what it is that new coders need right now. And for everyone who is trying to learn coding, I just want to reach out and give them all a virtual hug because this is, in my humble opinion, about the hardest time to learn this industry.
This week I am working on something I haven’t done in years. I’m reading the Final Rule for the 2016 MS-DRG changes. That is something I used to read and summarize every year for my clients. And even though the codes are different and there are some new sections to read in this super long file, I had a moment of realization, a sigh of relief if you will, that this… this is normal! After we flip the switch on October 1 and everyone starts using ICD-10 (because I have pretty much zero faith in our congressmen to accomplish any earth shattering legislation in two weeks when they’re so focused on Donald Trump’s run for president), I’m sure there will be a few things that don’t go as planned. But for coders, it’s a time for us to return to “normal.” I miss having a general confidence in assigning codes (although this has gotten better as I train more coders!). I miss code updates! Oh, how I miss those code updates! We’ve had frozen ICD code sets for four years! I’ve been following the recommendations made to the Coordination and Maintenance Committee and I can’t wait to see which changes they decide to adopt on October 1, 2016.
And maybe when the dust settles a bit and we see how many people really want to stick with coding in ICD-10, I will find my voice again as the Coder Coach. I sincerely hope so, because I miss meeting people with a passion to learn about my passion and giving them little nuggets of wisdom to help them make a difference in this industry.