Can anyone help clarify. Can you bill the new CPT CODE 43762 in the office if you are just removing the peg tube? Or do you just bill an e/m code? Any input on this new code is appreciated
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: Removal
Failed cyst removal
I’m stuck on what to code for a procedure:
The patient presents to the office for a scalp cyst excision. The area was prepped, local anesthetic injected and an incision was created over the cyst however blunt dissection failed to reveal a cyst. The incision was sutured closed and the patient instructed to follow up with neurologists.
Would you code an excision with a modifier or an E&M code?
OBGYN IUD Removal Aborted?
Hi All,
Can I bill for 58301with modifier 52 for Attempted Removal of IUD done on 1/04/2019 and it was COMPLETED in the OR with same Physician on 1/10/2019 please see OP report below;
Can I bill for 58301with modifier 52 for Attempted Removal of IUD done on 1/04/2019 and it was COMPLETED in the OR with same Physician on 1/10/2019 please see OP report below;
Procedure Note for 1/01/2019
Speculum placed in vaginal cavity cervix identify, no IUD strings visualized at cervical os. A cytobrush was used to attempt to uncoil IUD strings this was unsuccessful. Attempt to remove IUD aborted as IUD strings not able to be seen on exam.
*
Assessment:
32 y.o. with
1. Intrauterine contraceptive device threads lost, initial encounter Case Request: HYSTEROSCOPY, DIAGNOSTIC, REMOVAL IUD
2. Attempted IUD removal, unsuccessful *
Procedure Notes for 01/10/2019 (with Complete OP Report on File)
** *HYSTEROSCOPY, DIAGNOSTIC (N/A Vagina )
** *REMOVAL IUD (N/A )
Thank you for any Input/s
CPT for Septal spur removal ???
HELP please!!
What would be the CPT for Left septal spur removal ???
Everything I read mentions 30520 but that is Septoplasty?
Patient is having FESS Left maxillary antrostomy, endoscopic submucous bilateral inferior turbinate reduction and REMOVAL OF LEFT SEPTAL SPUR
Any input on this would really help, as I have researched this previously and have had no luck.
TIA
KM
Removal of Cyst
I have a Provider who likes to remove cyst by excision, regardless of the medical necessity factors. If the patient wants it removed, it gets removed. During the E/M, it’s documented as cyst and defers treatment for another day. Some Providers perform an excisional biopsy and send for Pathology and code it as benign w/Nodule (D49.5), as they "truly don’t know it’s a cyst or not", they rather have the Path confirm the diagnosis. While others code it as benign excision and use L72.0(cyst). Just trying to see if anyone has any advice. Just trying to keep it consistent, with the amount of Providers as we have. I’m sure it’s more of an internal policy, then it is against coding guidelines or medical necessity. Thanks in advance for any help!
Removal of fixation device with debridement
I am getting and edit when coding 11043 (excisional debridement) with 20694. Message reads "You have coded 20694 with additional code(s) considered a component of this procedure." NCCI edits consider this separate reporting of codes that are components of the comprehensive procedure if billed for services provided to the same beneficiary by the same physician on the same day. These codes will be rebundled by your payer and payment will be based on code 20694 only." However, I believe the debridement took more time then the removal of the fixation device?
Diagnosis: Status post Charcot reconstruction with external fixation, Wound of right foot
Procedure performed: Right foot: #1 removal of external fixation #2 debridement of wound 2×3 (same foot) consisting of excisional debridement of skin, subtenons tissues portion of the fascia. #3) application of a well-padded short leg splint
The external fixator was removed in total. 2 half pins were removed as well as a trans-calcaneal pin and multiple smooth wires.
Extremity was then prepped, draped, and usual aseptic sterile manner. Patient has edema and venous insufficiency noted to the leg with verrucous hyperplasia nonhealing wound noted at approximate 2 x 3 cm. This was debrided consisted of excisional debridement of skin subtenons tissues portion of the fascia. Remenant of retained suture was removed. Then further debrided utilizing a curette. No purulence no clinical signs of infection were noted. At this time we pulse lavaged the wound out with 3 L normal saline. Please Xeroform over the wound followed by dry dressings and placed the patient in a well-padded posterior splint
Any help would be great! 
Bilateral breast capsulotomy and tissue expander removal with insertion of prosthesis
Hi All,
Patient has a history of breast cancer and has an surgical hx of bilateral nipple sparing mastectomy.Now comes in for capsulotomy with tissue expander removal and insertion of breast prosthesis.
Please suggest CPT codes
TIA!!!
Patient has a history of breast cancer and has an surgical hx of bilateral nipple sparing mastectomy.Now comes in for capsulotomy with tissue expander removal and insertion of breast prosthesis.
Please suggest CPT codes
TIA!!!
Use of amniotic membrane when coding removal of hardware
I am running into an issue with this case. The use of amniotic membrane is new to us and are having a hard time getting both a working HCPC and procedure code for the use of the membrane. I have spent several hours looking for something and can not seem to come up with anything. Any help would be greatly appreciated.
PROCEDURE:
1. Removal of hardware.
2. Use of amniotic membrane tissue allograft.
INDICATIONS FOR PROCEDURE: This is a 71-year-old female who had hardware placed in
her toe some 15 years ago. She has loosening of the hardware and the distal screw is backing out
causing hypertrophic callus on the dorsum of her IP joint of her left great toe. She wishes to have
the hardware removed. The risks and benefits of surgery have been explained and informed
consent obtained.
OPERATIVE NOTE: The patient was taken to the operating room and placed in the supine
position. Once adequate anesthesia was obtained, the left upper extremity was prepped and draped
in the usual sterile fashion. Esmarch was used to exsanguinate the limb and was tied proximally
as a tourniquet. A midline skin incision was created. Soft tissue dissection was carried down to
the hardware which is easily removed. The wound is copiously irrigated. The skin edges are
approximated with 3-0 nylon in a running fashion. Amniotic membrane tissue Matrix allograft
was injected. The wound was dressed with Adaptic, 4 x 4’s, Kling, and Ace wrap. Esmarch is
removed. The patient taken to recovery in stable condition. No complications. The patient
tolerated the procedure well.
22830 Exploration with 22852 Removal
Can someone clarify the current rules on what may be billed with 22830 (exploration of spinal fusion), when performed at the same spinal level?
I’m finding conflicting advice, some of which may be outdated. Rules state that it should only be reported when nothing else is done at that level, but NCCI edits do allow some procedures. Can a 22852 hardware removal be billed? NCCI edits do bundle 22830 into 22852.
I’m billing for a new client that is submitting these combinations.
I’m finding conflicting advice, some of which may be outdated. Rules state that it should only be reported when nothing else is done at that level, but NCCI edits do allow some procedures. Can a 22852 hardware removal be billed? NCCI edits do bundle 22830 into 22852.
I’m billing for a new client that is submitting these combinations.
Foreign Body Removal — Sublabial Approach
Does anyone have experience coding removal of a foreign body from the frontal lobe of the brain via a sublabial approach? I’m not finding anything specific and am contemplating an unlisted code. Any recommendations would be appreciated.