Can I use 99024 on a visit (when 25 modifier does not apply) billed same day as a left heart cath or just no charge the visit??
thanks
thanks
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Tag Archives: Procedures
Coding for H&P ambulatory for outpatient procedures
I have APP’s at the hospital who do H&P’s for surgeons > 48hours before the surgery that I am billing 99213 for most. I’m having a conversation with someone at the hospital who states we can’t bill for that. If the physician was doing it at his office he would bill for it, so my question is since we are doing this in the hospital setting is this a billable charge?
Documentation Requirements for in-office procedures
Hello,
Trying to find out if an op note/procedure note is REQUIRED for any/all procedures performed in office?
I need to know if it is written somewhere in black and white that a procedure note with details including pre-op prep and post-op/discharge instructions is needed even when performed in an office setting. OR if it is NOT and just a note in the impression stating what was done is sufficient.
very basic examples:
1) Conjunctival Foreign Body – removed @ slit lamp today
2) DES – Occluded OU lower lids size/brand/lot#
3) Increased IOP 42. IOP 19 after tap.
Also, are consents REQUIRED for the office procedures? Or is a notation in the impression that the info was discussed with the patient and they agree to proceed ok?
If the answer is YES to the above questions, is there anywhere that it states this in black and white? This is a reoccurring discussion and I have been searching with no concrete assurance one way or the other.
Jenn Serakowski, OCS
Procedures
Hello,
I have some questions regarding procedures done in the office. Hopefully someone can help!:confused:
1- If lesion size is not documented, can it still be billed using the code for the smallest size in that area?
2- Must instrument used be documented?
3- Can size be documented as "dime sized" "pea sized"?
4-Do you have any resources you use that are helpful to know what must be documented for a procedure? I have the procedures book from Optum.
When Non-Covered and Covered Procedures are Performed
There are times when a physician will be performing both covered and non-covered procedures at the same operative session. For example, the surgeon may be performing a septoplasty for a deviated septum (J34.2) and nasal obstruction (J34.89), which is a covered service. The patient wants to have a cosmetic rhinoplasty performed at the same time. […]
AAPC Knowledge Center
How do you code procedures 20610 and 20552
How do you code procedures 20610 and 20552 together with the appropriate modifier to prevent bundling?
Incomplete colonoscopies and procedures
I have been having an issue with Medicare specifically denying incomplete colonoscopies and other procedures with modifier 74. Has anyone else been having this issue? If so, can someone shed some light on the issue.
Thanks,
Kim
99156 moderate sedation and other procedures?
If you are doing moderate sedation for a different provider who is doing TEE, can you also do I & D while the patient is under sedation? Does moderate sedation, specifically the 99156, require full attention or can you still perform other procedures?
Coding E/M and procedures
Good afternoon, we are encounter based for Medicare and Medicaid and therefore cannot be paid unless there is an E/M attached to the claim when there is a procedure done. In this scenario is this appropriate to code an E/M and procedure in order to get some type of reimbursement?
help with coding urological robotic-assisted procedures
Help – I am new to urology and need some help coding the following. Any information regarding the coding of robotic assisted procedures would also be helpful:
The operative report states – Robotic-assisted laparoscopic radical cystectomy, bilateral ureterectomy, bilateral extended pelvic lymph node dissection, Amniox nerve sheath grafting, creation of neobladder, bilateral ureteral stent placement, removal of right nephrostomy tube as well as psoas hitch of neobladder.
The operative report states – Robotic-assisted laparoscopic radical cystectomy, bilateral ureterectomy, bilateral extended pelvic lymph node dissection, Amniox nerve sheath grafting, creation of neobladder, bilateral ureteral stent placement, removal of right nephrostomy tube as well as psoas hitch of neobladder.