on "43259 & 43251 or 43217 & 43232"
Hi Eleen, Good Observation and good work on codes also. The last line "The exam of the esophagus was otherwise normal." clearly signifies that the procedure was limited to esophagus only. Hence the...
View Articleon "Upper GI-repositioning Stent"
Procedure: The previously placed fully covered esophageal stent had migrated into the stomach. The partially obstructing esophageal mass in the distal esophagus was traversed with the 9mm gastroscope....
View Articleon "EGD WITH BX FOR CLOtest"
Can the physician bill for the CLOtest "87081" in a outpatient setting?
View Articleon "Upper GI-repositioning Stent"
As no new placement/insertion of stent is there, I would also go with 43235 here. Code 43256 is the only one code you can bill for the stenting procedure which includes the insertion of the scope,...
View Articleon "ERCP + 43273"
As far as I know when doctor views inside the ducts with a second device inserted through the ERCP scope, then I can use +43273 besides I must be sure that ERCP (43260, 43261, 43263-43265 and...
View Articleon "ERCP + 43273"
Documentation: You should look for evidence in the physician's notes that she cannulated, entered, or penetrated the papilla of Vater, which is where the bile duct empties into the lower intestine, or...
View Articleon "43239 & 43236"
Findings: One superficial gastric ulceration with no stigmata of bleeding was found in the gastric antrum. The lesion was 4 mm in largest dimension. Localized moderately friable mucosa with overlying...
View Articleon "leak from staple of ileum"
I need an ICD-9 code for a recurrent leak from stapled end of the ileum. Postoperative open abdomen with stapled distal bowel status post extensive small bowel resection secondary to strangulated.
View Articleon "43239 & 43236"
Correct 43239 and 43236-59 report 43236 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed submucosal injection[s], any...
View Articleon "sigmoidoscopy decompression volvulus and rectal tube placement?"
I was under the impression that a rectal tube placement after sigmoidoscopy decompression volvulus would be included? Or would coding 45337 with the unlisted 44799 for the rectal tube placement be...
View Articleon "can you bill a rigid proctosigmoidoscopy w/ mod -59 when done w/lap...
I was told to bill code 45300 mod -59 when dictated in op note along with colectomy of any sort basically. according to CCI edits this is allowed. I am just wondering if it is appropriate and if...
View Articleon "can you bill a rigid proctosigmoidoscopy w/ mod -59 when done w/lap...
You can’t override any of these new digestive-system edits by attaching a modifier to your claims.The exact Column 1 codes differ slightly for each of these codes. But the comprehensive codes generally...
View Articleon "sigmoidoscopy decompression volvulus and rectal tube placement?"
While there are new CPT codes for colonic stent placement, there are no specific codes for tube placement or the use of a guide wire in the colon.Your only option is to use unlisted-procedure code...
View Articleon "payable icd9 codes for colonoscopy 45378 etc"
What Icd9 codes should be used to have Medicare pay for 45378 or 45380. We were denied payment for constipation 564.01 and for v12.79 hx of ulcerative colitis.
View Articleon "payable icd9 codes for colonoscopy 45378 etc"
Please check with LCD list to see which Dx does it cover. 564.01 is not a compatible Dx V12.79 Is an Unaccepted Principal Dx There are numerous Dx which can be use used with 45378/45380
View Articleon "Single ballon Enteroscopy w/ anesthesia"
Single Balloon Enteroscopy with anesthesia. Stuck in cpt code 43220 less than 30mm 43249 esophagus Thank you
View Articleon "Single ballon Enteroscopy w/ anesthesia"
ooops I used the wrong code. These are for something else Imeant to ask.44370 I do not find anything under Single balloon.
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