SuperCoder on "Gastroenterology"
Hi, For the above mentioned CPT codes 43270, 43239-59 seems appropriate, if biopsy is also done along with the procedure.
View ArticleUser id : 27684 on "Patient enrolled in hospice"
Physician saw a patient in the office for a follow up and we did not know he was enrolled in hospice care. Medicare denied claim stating that he was
View ArticleSuperCoder on "Patient enrolled in hospice"
Two modifiers can be used with the hospice care Modifier GW can be used when a physician is the attending physician for a hospice patient and not asso
View ArticleUser id : 13296 on "Office Billing for Screening Colonoscopy"
If the patient is coming in to the office because they are planning on having a screening colonoscopy, typically the diagnosis code Z12.11 is billed.
View ArticleSuperCoder on "Office Billing for Screening Colonoscopy"
Yes Z01.818 can be used if your payer is denying Z12.11. Thanks
View ArticleUser id : 32292 on "Diverticula with colon screenings"
Hello, If a patient has diverticulosis and family hx of col ca documented on previous colonoscopy reports (2008 and 2003), are we still able to bill a
View ArticleSuperCoder on "Diverticula with colon screenings"
Hi, Yes, you can bill G code and screening dx to Medicare as beneficiaries at high risk for developing colorectal cancer are eligible once every 24 mo
View ArticleUser id : 27684 on "Medicare yearly eval"
As a courtesy to a patient our physician knows he performs his yearly evaluation in the office. He had a normal exam and we billed Medicare with CPT 9
View ArticleSuperCoder on "Medicare yearly eval"
Hi, The CPT wellness codes are located in the following series: 99381-99387, new patient 99391-99397, established patient. And, code For Medicare pati
View ArticleUser id : 13296 on "Endoscopic Exam w/ Suture Ligation of Bleeder"
The patient had a procedure for ligation of hemorrhoids. The patient is now experiencing passing of blood and some clots. The doctor performed an Ano
View ArticleSuperCoder on "Endoscopic Exam w/ Suture Ligation of Bleeder"
Hi, The most appropriate code for the above mentioned condition seems to be 44614. Please check your documentation before billing. Thanks
View ArticleUser id : 13296 on "Endoscopic Exam w/ Suture Ligation of Bleeder"
The CPT suggested 44614 is not a valid code. Can you please confirm the code that was suggested.
View ArticleSuperCoder on "Endoscopic Exam w/ Suture Ligation of Bleeder"
HI, The correct code is 46614. I hope this will be helpful. Thanks.
View ArticleUser id : 34267 on "EGD coding"
EGD was performed on a patient who claimed he needed to have anethesia at local hospital and not conscious sedaation at ASC. Is there a code to report
View ArticleUser id : 34267 on "EGD coding"
I need to add the patient states he needed this because he becomes combative under conscious sedation.
View ArticleSuperCoder on "EGD coding"
According to CMS, a physician is not paid separately if he performs local or minimal sedation. You may find this link helpful https://www.cms.gov/Outr
View ArticleUser id : 30892 on "Billing Dept"
How many units ahould be billed for SIBO test interpretation, CPT 91065 with 26 mod. Its 10 specimen test, do we bill for 10 units or 1? Thank you
View ArticleSuperCoder on "Billing Dept"
We will bill only one unit of CPT 91065-26, as the test is performed only for SIBO.
View ArticleUser id : 30892 on "Billing Dept"
We were told by equipment company that specific modifier should be attached to CPT 91065 to identify fructose, lactulose or lactose test. Is it corre
View ArticleSuperCoder on "Billing Dept"
I have checked for the allowed modifier codes with 91065, so if the service is a distinct service from the one which is performed earlier than modifie
View ArticleUser id : 90283 on "GI CPT QUESTION"
What CPT code should be used for correct coding for a combined approach of endoscopic closure of gastro cutaneous fistula with EGD and Clips by the fi
View ArticleSuperCoder on "GI CPT QUESTION"
Hi, AAE does not provide coding for operative reports and chart notes. SuperCoder offers SuperCoding on Demand (SOD) (http://www.supercoder.com/coding
View ArticleUser id : 27684 on "GI esophageal food bolus"
Patient presented to the ER and was sent to the Endoscopy Lab and physician added patient for an outpatient EGD procedure due to food bolus stuck in e
View ArticleSuperCoder on "GI esophageal food bolus"
Thanks for the Query Dx T18.128A seems more appropriate instead of Dx T18.108A as T18.128A specify Food in esophagus causing other injury, initial enc
View ArticleUser id : 90283 on "GI Question"
What CPT codes should be used for correct coding for a combined approach of endoscopic closure of gastro cutaneous fistula with EGD and Clips by the f
View ArticleSuperCoder on "GI Question"
Thanks for the Query CPT code 43235 can be billed for the Esophagogastroduodenoscopy but, there is no code that describes endoscopy with gastric fistu
View ArticleUser id : 84982 on "professional coding for subsequent post operative visit...
Good evening, Supercoder expert: The coding question is regarding professional coding in an inpatient hospital setting. An appendicitis patient admitt
View ArticleSuperCoder on "professional coding for subsequent post operative visit in an...
In the above scenario, since the surgeon has performed the appendectomy, the aftercare of the surgery has begun. In other words, if the surgery for th
View ArticleUser id : 27684 on "ER food bolus"
Patient presented to the ER with a food bolus impaction and was sent to Gi lab for removal. Physician used CPT codes 43247 & 43239 (Biopsy for CL
View ArticleSuperCoder on "ER food bolus"
Hi, ICD 10 code Dx T18.128A seems more appropriate for the above mentioned scenario with CPT code 43247. Also, as per NCCI edits there is no conflict
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