Hello, all! Can someone point me to the spot where it is explained that once (oral cancer in this case) is excised, the followup reconstruction surgery (ies) are coded with the original cancer diagnosis and not a followup encounter code?
Click here for more sample CPC practice exam questions with Full Rationale Answers
Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page
Tag Archives: Oral
Oral Fluid Drug Screen Testing
We are a CLIA approved lab that does in-house urine drug screens using cpt code 80305 with modifier QW. Recently our clinic started offering Vivitrol injections and part of the patients therapy is to be drug screened. It was decided to do the drug screens using oral fluid due to the swab being capable of detecting the presence of alcohol along with 13 other drug classes through optical observation. Some of the medical staff are concerned that this method isn’t CLIA approved and another would like to test for both the urine and the oral fluid; so can anyone tell me if there is a specific brand of swab we need to use or it doesn’t matter as long as it is coded once per day with 80305 – QW. Any input would be appreciated.
Thank you,
Lisa
Resigned New Haven Oral Surgeon Settles False Claim Allegations
A resigned New Haven oral specialist and his training consented to pay more than $ 250,000 to settle charges that they damaged government and state false case laws.
The post Resigned New Haven Oral Surgeon Settles False Claim Allegations appeared first on The Coding Network.
Codes DOAC (Direct Oral Anticoagulant) Counseling
How do you code/bill for DOAC (Direct Oral Anticoagulant) safety counseling with patients? What are the proper codes. I was only able to find codes for warfarin and INR monitoring (93792 & 93793). Thank you!
oral swab CPT code
I have a provider who does an oral swab to check what medications but does not need to charge for the actual test as this kit is given to them but wants to charge for the swab part of it. Is there a CPT code for just an oral swab?
Drug Testing for Oral Fluid instead of Urine
I’m with an SIU and we are consistently seeing labs that are billing for Oral Fluid Drug Testing using the G0480-G0483 series codes. Does anyone have a better code recommended for billing using Oral Fluid drug testing in both Pain Management and Substance Abuse?
We usually follow Medicare Guidelines and our Policy is based on the LCD for UDT’s and we are having difficulty finding any guidance surrounding Oral Fluids as LCD L36393 only mentions Oral Fluid in a very general sense, everything is aimed directly at urine. There are no specific CPT or HCPCs codes mentioned as appropriate to be used for Oral Fluid testing or guidance.
We did locate 0011U-Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, using oral fluid, reported as a comparison to an estimated steady-state range, per date of service including all drug compounds and metabolites. This is listed as a PLA code but I’m not entirely sure what would be required to verify that the lab performing this service is properly set up to perform this service.
Any help would be greatly appreciated.
Oral biospy cpt code
Hi,
I am new to Oral & Maxillofacial Surgery.
I gave codes for the vestibule of the mouth and was told it is not the vestibule of mouth it’s an oral biopsy Right retromolar area excision.
So I found CPT 41826, Under Excision and Destruction Procedures on the Dentoalveolar Structures under another post which covers an excision but does not state biopsy.
I don’t want to give the wrong code again.
Notes say:
Patient presents at the office today for evaluation of white spots on mucosa has started smoking last 2 weeks.
3mm white patch on retro-molar area posterior to 31
linea alba seen bilaterally-patient wears night guard occasionally
Patient would like to remove and biopsy the retro molar area
Patient received 1/4 carpule of xylo 2% 1:100 epi for local anesthesia
Procedure:
elliptical incision made around the lesion with clean margin about 3 mm in depth
mucosa closed with chromic gut
Thank you in advance for help!
Oral Surgery – Extractions
Hi everyone
I was recently assigned to the Oral Maxillofacial work queue for my facility. My providers are oral surgeons who perform both out patient and in patient procedures.
My question is regarding extractions. The code I am currently using is 41899 which is "Unlisted procedure for Dentoalveolar structures." I am looking for a CPT code that
is a little more specific. We are not allowed to use "D" codes. Does such a code exist? Please help, I really don’t want my providers to lose out. They do a lot of complicated surgical extractions.
Thanks in advance! 
Oral Appliance for Sleep Apnea
Our physician is interested in providing custom oral appliances for the treatment of obstructive sleep apnea. I have found the following codes related to this service.
Procedure Codes: D-9941 or L-8048/L-8043 (Unspecified Maxillofacial
Prosthesis provided by non-physician.)
Or K-0183 (Nasal applicator device used with CPAP.
CPT 21085- Complete Oral Appliance Therapy
CPT 21110- Used for all Oral Appliances, patient is responsible for
obtaining authorization prior to payment or receiving appliance.
AND
HCPC INSURANCE CODE:
21089 or 5999 Unlisted Maxillofacial Prosthetic Procedure
S8260 Oral Orthotic for treatment of sleep apnea,
Includes fitting, fabrication, and materials
S8262 Mandibular orthopedic repositioning device
E0485 Oral device/appliance used to reduce upper airway collapsibility, adjustable
or non-adjustable, prefabricated, includes fitting and adjustment
E0486 Oral device/appliance used to reduce upper airway collapsibility, adjustable
or non-adjustable, custom fabricated, includes fitting and adjustment
Have any of you used these codes successfully? Do the insurance carriers reimburse ENT for the DME related to this service? Any obstacles you are encountering on a regular basis?
Code to use for Oral capsule fecal transplant
Can someone please tell me what codes they are using for the oral/capsule fecal transplant. I saw various post for either 47505 or G0455 for Medicare ? Any help with this issue would be greatly appreciated
Maria Soto, CPC, CPMA