Any help or advice is very much appreciated. Please help
Partial knee Arthroplasty/unicompartmental
Any help or advice is very much appreciated. Please help
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Providers are billing G0177 and G0176, along with the 90853 Psychotherapy Group code. Should the activities and education training sessions be billing separately or should be bundled with the 90853?
Thanks!!!
If my doctor does a partial mastectomy and uses the savi probe to identify the savi reflector, would this be reported separately or considered bundled to main procedure since it is the approach? someone suggested to report unlisted 19499, but what would be the comparable code.
Thanks!!
RIGHT THYROID LOBECTOMY
– PR THYROID LOBECTOMY,UNILAT
PARATHYROID AUTOTRANSPLANT*
Description of Procedure: In the supine position with appropriate monitoring she received general endotracheal anesthesia with IV antibiotic. Shoulder roll was placed. The neck is gently extended, the neck and chest widely prepped with chlorhexidine and draped after 3 minutes. A standard Coller incision made, deepened through skin and adipose tissue with cautery dividing platysma, upper and lower flaps are created. The midline raphae is displaced to the left, identified and opened. The thinned sternohyoid muscle retracted laterally, the SCM muscle is also exposed, somewhat thinned by the mass. We elevate and separate the flimsy attachments with direct vision using Harmonic Focus. The upper pole is released quite high, dividing directly on the gland with Harmonic Focus. The upper pole is retracted medially and elevated, separating soft tissue with a Kitner dissector. I now recognized the right superior parathyroid gland, and submitted for frozen section. The remainder is minced into 1 mm cubes placed in a saline gauze. When frozen section returns confirmatory, we cease operation, make to avascular pockets in the anterior SCM and placed 4 and 5 cubes into each of the pockets, covered with horizontal 40 polypropylene suture. Return to the thyroid with elevation the course of the recurrent nodule nerve is identified, a very prominent tortuous artery is inadvertently cut and secured with a clip, this is slightly caudal to the identified and protected recurrent laryngeal nerve. Just to the right and inferior of this artery is the right inferior parathyroid gland marked with a suture. With the nerve and parathyroid recognized, we used the Harmonic Focus to separate and divide tissues off the ligament of Berry, off the anterior trachea, taking the inferior pole directly on the gland including the vessels. The isthmus is released at its junction with the otherwise normal left side and divided with Harmonic Focus. The oriented specimen is submitted. We have irrigated with saline with clear return. Blood loss from the arterial disruption and during dissection of the large mass was about 20 mL. We placed Fibrillar sheets to minimize blood accumulation and place a 10 French channel drain to exit inferolaterally held with silk. We inspected for any active bleeding and none found and now reapproximate the midline with running lock 4-0 Vicryl suture. Platysma was closed with simple running 4-0 suture, skin with running subcuticular technique. Dermal glue and dressing are applied. She is awakened and extubated in the operating suite, transported to PACU.
*
I am hoping someone can offer any info. I am having issues with Anthem BC/BS of Ohio denying partial hospitalization charges for professional services though denial and payment is inconsistent – sometimes they pay, sometimes they don’t.
We are billing the professional fees with POS 52 and inpatient E/M codes and have been told verbally by Anthem (nothing provided in writing) that it is correct for us to bill this way. Yet, we still encounter denials stating things such as no inpatient facility claim on file (facility is billed outpatient and supposedly this is correct), no inpatient auth on file (again facility bills outpatient so the auth on file is outpatient), or inappropriate place of service. I am wondering if anyone can shed any light on what they know about billing partial hospitalization for either professional or facility charges especially if you have experience with billing Anthem Ohio. I’ve read online that the facility charges should be billed with an outpatient bill type but I’ve also seen where a condition code of 41 may be required? Since I am unable to get any clear, documented info from my Anthem rep I am hoping that maybe, just maybe you all can shed some light so that maybe I can ask better questions or something I don’t know but I thank you all in advance for any help you can provide!
I am hoping someone can offer any info. I am having issues with Anthem BC/BS of Ohio denying partial hospitalization charges for professional services though denial and payment is inconsistent – sometimes they pay, sometimes they don’t.
We are billing the professional fees with POS 52 and inpatient E/M codes and have been told verbally by Anthem (nothing provided in writing) that it is correct for us to bill this way. Yet, we still encounter denials stating things such as no inpatient facility claim on file (facility is billed outpatient and supposedly this is correct), no inpatient auth on file (again facility bills outpatient so the auth on file is outpatient), or inappropriate place of service. I am wondering if anyone can shed any light on what they know about billing partial hospitalization for either professional or facility charges especially if you have experience with billing Anthem Ohio. I’ve read online that the facility charges should be billed with an outpatient bill type but I’ve also seen where a condition code of 41 may be required? Since I am unable to get any clear, documented info from my Anthem rep I am hoping that maybe, just maybe you all can shed some light so that maybe I can ask better questions or something :confused: I don’t know but I thank you all in advance for any help you can provide!
This is my first post and question, I apologize if it is in the wrong forum section.
My question is in regards to measuring the area of a debridement. From what I have read, it is measured by the "depth and the surface area of the wound".
My question is what if only a partial section of the overall wound was debrided? I cannot locate in any NCD, LCD or CPT guidelines advising me to only measure the area debrided. Noridian LCD and CPT state "depth and surface area of the wound". I recall in past training and AAPC articles it advised to only measure the area debrided. Reimbursement varies greatly upon this measurement. I would like to know where I can find source material stating how to measure partial debridements.
Thank You.
Brian