SuperCoder on "ERCP with Plastic Stent vs Metal Stent"
Thanks for your question. The procedure code 43274; Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into bi
View ArticleUser id : 19294 on "EXPLORATORY LAP WITH RESECTION OF GASTRIC FISTULA"
I am so confused - I wondered if clearer heads than mine could help! After informed consent was obtained, patient brought to the OR. Attention is give
View ArticleSuperCoder on "EXPLORATORY LAP WITH RESECTION OF GASTRIC FISTULA"
AAE does not provide coding for operative reports and chart notes. SuperCoder offers SuperCoding on Demand (SOD) (http://www.supercoder.com/coding-ans
View ArticleUser id : 76198 on "E/m for colonoscopy"
I have a question regarding billing for a diagnostic E/M. On the medical decision making level of risk chart of the audit tool, I am having a difficu
View ArticleSuperCoder on "E/m for colonoscopy"
Thanks for your question. In normal cases this could be considered a moderate risk (endoscopies with no identified risk factors). You could select h
View ArticleUser id : 33683 on "Parasites found during colonoscopy"
During a patient's routine screening colonoscopy, there were approximately a dozen white thin parasites seen. Fluid aspiration was performed through
View ArticleSuperCoder on "Parasites found during colonoscopy"
Thanks for your question. 45378; Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushin
View ArticleUser id : 17667 on "Office visit and repeat IRC coding"
Patient being seen for office visit with subsequent decision to perform IRC. Patient also had IRC last month (within 90-day global). Is coding 99213-5
View ArticleSuperCoder on "Office visit and repeat IRC coding"
Thanks for your question. Your code selection is correct. The 57 modifier is used when the E/M service occurs the day of or the day before a major su
View ArticleUser id : 23222 on "Path Reports"
We are having a discussion in our office about path reports. Do we need to hold out our EGD and Colonoscopies until we receive the path reports befor
View ArticleUser id : 17667 on "Coding for only a family history?"
New Patient presents with significant family history of pancreatic cancer (mother, father, paternal grandparent). She has no symptoms at all and phys
View ArticleSuperCoder on "Coding for only a family history?"
Yes, E/M code 99244 is not appropriate for above documentation. You should go for lower level E/M code. I would suggest 99242. Thanks !!
View ArticleSuperCoder on "Path Reports"
Thanks for your question. It is always best to code to the highest degree of specificity. According to coding guidelines,in the outpatient setting y
View ArticleUser id : 62963 on "Endoscopy Coding"
Hi my question is regarding these 2 codes: 43247 And 43235? It was billed 43247 59 43235 Insurance paid for 43247 and denied 43235 stati
View ArticleSuperCoder on "Endoscopy Coding"
As per CCI edit, code 43235 is a coloumn 2 code for 43247 and these codes cannot be billed together in any circumstances.Hence, you could only bill co
View ArticleSuperCoder on "Endoscopy Coding"
Thanks for your question. The denial that you received is correct. 43235; Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including coll
View ArticleUser id : 62963 on "Injury CPT"
Need help for injury codding: Patient came in with an injury on his thumb our doctor sewed the finger back on and gave a patient a tetanus toxoid sho
View ArticleSuperCoder on "Injury CPT"
Thanks for your question. Please see the range of CPT codes 13131-13133. Review the description for these and select the best code based on your pro
View ArticleUser id : 5002 on "OPERATIONS: Resect gastrojejunostomy, perform...
What code(s) should I use for this operation. I believe it should be two codes but I would like another opinion? : After induction of general anesth
View ArticleUser id : 10697 on "Control of bleeding"
Pt presented for lower GI bleed post polypectomy. Epinephrine was injected for hemostasis. Two endoclips were unsuccessfully applied to the site as we
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