SuperCoder on "Gi coding ICD 10 - second opinion"
C16.0 is definite deiagnois and R10.13. As per guidelines, diagnosis should be coded first followed by symptoms. Whereas, R10.13 is epigastric pain ma
View ArticleUser id : 27684 on "Gi coding question"
This may sound simple we still file paper claims and are we to use the decimal point after the third character when coding HCFA claims with ICD-10 cod
View ArticleUser id : 27684 on "Gastroenterology"
When billing 45382 and 45385 can we still use 59 modifier or should be billed as follows: 45382-XS 45385 I understood we can still use 59 modifier for
View ArticleSuperCoder on "Gastroenterology"
You can code this scenario with 45382-59 and 45385. To use modifier XS, it should be mentioned in documentation that the bleeding and polyps/tumors ar
View ArticleSuperCoder on "Gi coding question"
Yes, decimal point can use after the third character when coding HCFA claims with ICD-10 codes.
View ArticleUser id : 27684 on "Gi Modifiers"
Colonoscopy with polypectomy and BICAP and injection therapy of a bleeding polyp base. Doctor did above procedure and removed sessile polyp and upon w
View ArticleSuperCoder on "Gi Modifiers"
Hi, CPT choices are correct and choice for modifier 59 is also correct. The given scenario does not qualify the use of X modifiers, listed below Modif
View ArticleUser id : 27684 on "Gi Modifiers"
I still am not understanding when I need to use the new modifiers XU, etc. I thought new modifiers would replace the old 59, etc. Sorry - thanks so m
View ArticleUser id : 17667 on "ICD-10 for cervical fusion with related risk for EGD?"
Physician is recommending EGD but notes history of cervical fusion in patient's past medical history, which warrants higher risk when performing EGD,
View ArticleSuperCoder on "Gi Modifiers"
Modifier 59 is not completely replaced with these new modifiers. CMS is establishing the following four new HCPCS modifiers (referred to collectively
View ArticleSuperCoder on "ICD-10 for cervical fusion with related risk for EGD?"
Z98.1 can be used for arthrodesis status instead of Z98.89. Description synonym indicates about the history of cervical spine fusion as well for Z98.1
View ArticleUser id : 13912 on "Transoral Incisionless Fundoplication"
Hi, we have two physicians working concurrently on one case. The first physician performs a laparoscopic hiatal hernia repair. The second physician pe
View ArticleSuperCoder on "Transoral Incisionless Fundoplication"
Thanks for your question. Both surgeons performing different surgeries with different approaches. CPT codes choices are correct. As per guidelines,
View ArticleUser id : 27684 on "Gi EGD with Biopsy and balloon dilation"
Saw the answer to previous question and understand no modifier to be used when billing following CPT codes. When Medicare processes claims with codes
View ArticleSuperCoder on "Gi EGD with Biopsy and balloon dilation"
CMS CCI edits do not show any bundling or modifier requirement in between these codes. Still, you can append modifier -51 with CPT 43239 to indicate t
View ArticleUser id : 17667 on "Code for Lynch Syndrome?"
Is there a specific code for Lynch Syndrome? Here is some pertinent information from the report: ... woman with a known personal and family history o
View ArticleSuperCoder on "Code for Lynch Syndrome?"
Thanks for your question, We will use ICD Z15.09 (Genetic susceptibility to other malignant neoplasm) as there is no neoplasm.
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