on "Help with groin and buttocks wound"
Please help, I am not sure how to code this one. The pt was taken to the operating room, placed in right lateral decubitus position and sedation was administered. The buttocks were examined. There was...
View Articleon "Help with groin and buttocks wound"
Hi, This is a DEMO Account. Please call customer service. Thanks Ask an Expert
View Articleon "ERCP Sphincterotomy"
Help, My doctor preformed two different sphincterotomy's 1. one in the pancreatic duct 2. one in the biliary duct. Can I code for both?
View Articleon "ERCP Sphincterotomy"
If multiple sphincterotomies have been performed, you report the procedures using 43262 with modifier 59 (Distinct procedural service). Additionally, if your gastroenterologist took long at a difficult...
View Articleon "ERCP Sphincterotomy"
Thank you, I have found lots of documentation supporting the stent placement but could not find any regarding the sphincterotomy. I thank you very much for your help. Jackie Sue
View Articleon "ABN for Diagnostic Procedures"
Medicare does not pay for a 43248 EGDw/dilation at POS 11 (Office)and state on the denial do not bill the patient for this service. Would an ABN be appropriate to use in this scenerio?
View Articleon "ABN for Diagnostic Procedures"
Yesm If POS 11 does not allow 43248, then ABN would be the correct choice to go with.
View Articleon "ERCP w/dilating catheter(passage dilator)CPT"
Spincterotpmy with stricture dilation with a catheter, what would be the cpt
View Articleon "NASH with Cirrhosis"
Our patient was admitted with cirrhosis of the liver due to NASH. (nonalcoholic steatohepatitis)Since cirrhosis is the progression of NASH, would you code 571.8 (NASH) AND 571.5(cirrhosis of liver...
View Articleon "NASH with Cirrhosis"
Cirrhosis is a chronic condition and is therefore generally not sequenced as principal. However, the circumstances of the admission, diagnostic approach, and treatment rendered should always be...
View Articleon "ERCP w/dilating catheter(passage dilator)CPT"
There are ERCP catheters fitted with dilating balloons that can be placed across a narrowed area or stricture. The balloon is then inflated to stretch out the narrowing. Dilation with balloons is often...
View Articleon "45380 and 45339 Can they be billed on the same day? Diffrent physicians"
1st Physician:Procedure: Colonoscopy Indications: Screening for colorectal malignant neoplasm The Colonoscope was introduced through the anus and advanced to the cecum, The distal aspect of this lesion...
View Articleon "45380 and 45339 Can they be billed on the same day? Diffrent physicians"
Yes, they can billed together.Multiple surgeries are separate procedures performed by a single physician or physicians in the same group practice on the same patient at the same operative session or on...
View Articleon "Egd with Peg/J Tube Placement"
My doctor did an EGD on a patient but also placed a J-tube thru a previously placed gastric port and he did this by using a snare. I am unsure how to code this. Any help would be greatly appreciated....
View Articleon "Egd with Peg/J Tube Placement"
I would go for 43246 here.A gastrostomy is a surgical opening that is created in the external surface of the abdominal wall that passes through into the stomach. Most commonly, surgeons will perform a...
View Articleon "Bochdalek hernia"
There is no code for this procedure. This service is included in a laparoscopic Nissen procedure (43280, laparoscopy, surgical, esophagogastric fundoplasty [e.g., Nissen, Toupet procedures]). In the...
View Articleon "43259 & 43251 or 43217 & 43232"
Endosonographic Finding Findings: A round, hypoechoic mass was found in the gastroesophageal junction. The endosonographic borders were well-defined. The mass measured up to 5 mm in thickness. There...
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