Hello, new to ob/gyn coding and this has me stumped. CPT 58671 is a bilateral code. If only the right fallopian tube is occluded via band is it coded as 58671-RT. Does it matter if the payor is Medicare or Commerical? Coding for a facility and not a physicians office. Thank you.
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Tag Archives: Right
Right Heart Cath and EKOS, pulmonary angiography question
Would this be just 93456-26 or am I also coding for the EKOS, pulmonary angiography or are they included? What codes am I using if so?
Thanks for your help/code suggestions!
PROCEDURES:
1. Right heart catheterization.
2. Pulmonary angiography.
3. EKOS catheter to the left pulmonary artery.
4. EKOS catheter to the right pulmonary artery.
APPROACH:
Right common femoral vein x2.
INDICATIONS:
Large bilateral pulmonary emboli.
The risks and benefits of right heart catheterization and EKOS catheter
placement were discussed with the patient. She is agreeable to the
procedure. Consent was obtained.
PROCEDURE IN DETAIL:
The patient was prepped and draped in the normal fashion. Ultrasound
was used to visualize the right common femoral vein. With ultrasound
guidance, the common femoral vein was accessed and a 6-French sheath
was introduced x2.
Right heart catheterization was performed using a 6-French balloon-tipped
PA catheter. The mean RA pressure 10 mmHg, RV 43/5 and PA pressure
44/14 mmHg. The mean pulmonary artery pressure is 26 mmHg. Pulmonary
angiogram showed the catheter in good placement.
The Swan-Ganz catheter was exchanged over a guidewire. An EKOS catheter
was placed in the right and left pulmonary artery. TPA infusion at
1 mg/hour was initiated while in
the cath lab. EKOS catheters were sutured in place. The patient was
transferred back to the intensive care unit in stable condition.
ICD-10-CM Code for malunion of deltoid ligament right ankle
Hi
I think I’ve brainstorming stuff this time. The patient was in an accident (traumatic). This is the first time that this malunion of deltoid ligament of the right ankle has been observed. There was no documentation of earlier repair that could’ve resulted in such malunion.
Were it a bone fracture I would code with the ICD-10-CM Code for that fracture with initial encounter (following the concept of delay in treatment and hence the initial encounter code rather than the subsequent encounter malunion code). But in this case surprisingly the physician has stated the term malunion for a ligament.
1. I’m thinking of going with S93.421A. The problem is that the physician has not stated the term sprain explicitly.
2. Also, I was wondering about what the code would be if the ligament was repaired earlier and now presented with malunion? Would we code sprain subsequent encounter then or would we code through complication-postprocedural route? There is no code as such for sprain-ligament-subsequent encounter-malunion.
Am I wrong in extrapolating the fracture malunion concept to ligament malunion diagnosis?
Any thoughts?
Right C2, C3 MBB and RiGHT TON Block
Hello,
Could I get opinion on how to code this? I feel it is 64490-RT C-2 but it has been questioned on if correct or not.
Would you code it as 64490-RT C-2…or 64490-RT-22 C-2… or 64490-RT C-2 AND 64450-RT TON?
Thank you!
After obtaining written consent, the patient was taken back to the fluoroscopy suite and placed in a prone position on the fluoroscopy table. The skin overlying the cervical spine area was prepped and draped in an aseptic fashion. The C2 transverse process, C3 transverse processes on the right were visualized under AP and slight oblique fluoroscopy. The skin and subcutaneous tissue overlying the target sites of injection were anesthetized using 0.25 ml of 1% lidocaine with a 25-gauge, 1-1/2 inch needle. (one needle used here)
A 25-gauge, 3-1/2-inch spinal needle with a bent tip was advanced under fluoroscopic guidance using a superior to inferior and lateral to medial approach to the scalloped edge of each of the transverse processes as well as the inferior lateral portion of the C2 vertebrae. (one needle here…right?) I do not see that multiple injections with multiple needles were used. One injection with needle to different areas…
The needles were then directed ventral, medial, and caudad to reach the target locations. After negative aspiration for heme or CSF, 0.25 ml of Magnavisc dye was injected at each site under live fluoroscopy, demonstrating absence of vascular uptake. After negative aspiration for heme or CSF, 0.5 ml of 0.25% bupivicaine was slowly injected at each site to avoid forcing the solution away from the target points. The needles were then removed. Sterile bandages were placed over injection sites.
arterial bleeder of the right fifth finger with complete loss of skin of the distal
which CPT code would you use for a right fifth finger with complete loss of skin on the ulnar aspect of the distal phalanx. one point has pulsating bleeding. there are several other points of venous bleeding. The provider infiltrated with lidocaine the did superficial figure of eight suture was placed at the level of the arteial bleeder and at 2 other locations where venous bleeding was most prominent. the bleeding was controlled.
our coders are not agreeing 1 wants to use 35207 with modifier 52, the coder thinks should be simple repair of superficial wound 12001 -12018.. Any suggestions
:confused:
our coders are not agreeing 1 wants to use 35207 with modifier 52, the coder thinks should be simple repair of superficial wound 12001 -12018.. Any suggestions
:confused:
Region 5 – Telecommuting: Is it a right fit for you? Pros and Cons
Telecommuting has rapidly increased by 60% over the past five years. Jack Nilles, a NASA employee started the trend in the 1970s. Over a 30+ year span, the trend increased here and there; however, since 2013 it has exploded. Employers have begun making decisions to send employees home to work. Pros include less travel time, […]
AAPC Knowledge Center
Right frontotemporal craniotomy and resection of AVM CPT code?
Can some body please help me with this CPT code?
Thank you.
Thank you.
Laser photocoagulation scleral buckle right eye
What is the correct CPT code for this procedure? Any help is greatly appreciated
Thanks,
Thanks,
Right Uterine Artery Scans
I am researching trying to find as much information about Right uterine artery scans as possible. We have been trying to find something that states the 93976 is the appropriate code for right uterine artery scans or should we be using the unlisted code 76999. Any help would be appreciated as I have very limited resources for Maternal Fetal Medicine, if you have a good website or book suggestion would be great!
EVACUATION of right lower quadrant HEMATOMA
I am having trouble finding a CPT code for Evacuation of right lower quadrant hematoma.
Procedure included: an incision was made in an elliptical fashion around the previous ileostomy closure site…elliptical incision was executed with at #15 blade scalpel and this ellipse of skin was removed from the field…large hematoma was evacuated…wound was closed in layers using 3-0 vicryl in an interrupted figure of eight fashion for the Scarpa’s fascia and interrupted 3-0 vicryls for the deep dermis.
What would the appropriate CPT code be ? ?
KAM