on "requirements of documentation for Estabished Follow-up"
Do you have to document assessment if you document a plan of care in visit note for estab f/u pt? We just updated our EMR system and for our remicade infusion patients the template that was formatted...
View Articleon "Colonic decompression"
Procedure: Colonoscopy Abdominal pain/distention, colonic decompression The Colonoscope was introduced through the anus and advanced to the ascending colon for evaluation. This was the intended extent....
View Articleon "Colonic decompression"
Colonic decompression is part of the CPT description of a colonoscopy (45378, colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen[s] by brushing or...
View Articleon "incomplete colonoscopy"
For both EGD and colonoscopy procedures, a "separate site," for definition purposes, can be a separation between lesions as small as one centimeter. To qualify for billing a colonoscopy code, the scope...
View Articleon "consultation"
Yes provided there is a "new" request for an opinion. For instance, if the patient has another problem or the requesting physician is requesting different specifics than in the initial request. Jen...
View Articleon "Rectal tube"
Patient did a consult for constipation. Rectal revealed a small amount of stool. CT scan reviewed by other doctor, revealed significant dilatation of sigmoid. Impression: Colonic distention with some...
View Articleon "requirements of documentation for Estabished Follow-up"
Yes, an office visit note requires 'assessment'(along with plan of care)in which physician mentions the status of the disease during f/u; whether the problem is resolving, improving or worsening. This...
View Articleon "looking for dx code"
in order to justify colon with bx. I need a icd 9 code for bumby nodular looking ileocecal valve is biopsied to rule out adenoma
View Articleon "Rectal tube"
It will depend on where it was performed. Use 45999 if done in the ASC/Outpatient Hospital and yes it will be included in the E/M if done as an ofice procedure.
View Articleon "Use of modifier 25"
If a patient is seen in consult in the ER before midnight, but EGD with FB removal '43247' is done after midnight, is modifier 25 still used on the consult since it has a different DOS?
View Articleon "Use of modifier 25"
Please note if surgery was done on the second calendar day of observation, modifier -25 is not required, as it applies only to an E/M service performed on the same day as the surgery or procedure.
View Articleon "EGD BiCAP coag"
What CPT code(s) would be used to file insurance for an EGD with injection therapy and BiCAP coag of a bleeding lesion and biopsies. If more than one CPT used what order would the first CPT code be...
View Articleon "EGD BiCAP coag"
Your gastroenterologist performed a video esophagogastroduodenoscopy (EGD) with small bowel enteroscopy, clipping and BICAP cautery as well as biopsies. The patient had a 2-mm bleeding arteriovenous...
View Articleon "Screening for diverticulitis"
Patient has hx of diverticulitis can the claim be coded 'V12.70' and 'G0105'?
View Articleon "Screening for diverticulitis"
G0105 is for High Risk screening Colon Cancer. You cannot use this code for screening diverticulitis.
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