on "Complete ERCP if scope entered through gastrostomy?"
Is there a modifier required for ERCP if: "The Duodenoscopy was introduced through the gastrostomy and advanced to the duodenum and used to inject contrast into the bile duct and ventral pancreatic...
View Articleon "Screening High Risk Colonoscopy"
This is an ongoing question. When you are coding a High Risk Patient (v12.72. Do you still code the V76.51 then V12.72?
View Articleon "Screening High Risk Colonoscopy"
Answer is yes. The following are the criteria under which a person can become eligible under high risk category for colonoscopy screening using a code separate from V76.51 (Special screening for...
View Articleon "How do I code for Breath Hydrogen test 91065"
Our Physician saw patient in office, pt had Breath hydrogen breath test at an outside facility, but our physician had to interpret the results. Should I bell the Office visit with Mod 25 and bill 91065...
View Articleon "Diagnosis for nonspecific colonoscopy findings"
I would use 211.3 for FOCALLY POLYPOID FRAGMENTS OF COLONIC MUCOSA that much equal to colonic polyp and 569.89 for COLONIC MUCOSA WITHOUT DIAGNOSTIC ALTERATION.
View Articleon "How do I code for Breath Hydrogen test 91065"
Yes. Physicians billing insurance for the professional component of the testing will use CPT code 91065-26 along with the office code.
View Articleon "ERCP"
I NEED HELP BILLING WITH THE FOLLOWING CODES: 43266, 43271 AND 74328 I ENTERED THEM INTO THE CCI CHECKER BUT IT DOES NOT TAKE 43266! CAN I USE 43268 INSTEAD?
View Articleon "ERCP"
43266 is an invalid code. You can use 43268 a valid code if the procedure matches the code descriptor. CCI edits allows 43268 and 43271 together with no bundling issues.
View Articleon "Complete ERCP if scope entered through gastrostomy?"
You can use Modifier 59 with ERCP code to indicate the distinct service from endoscopy
View ArticleUser id : 23352 on "Egd"
Our GI physician will be doing a procedure with banding. But it's not Varices. He explained to me that it would be Banding a tumor then snaring it. What is the proper code to use? Thank you
View ArticleSuperCoder on "Egd"
Code it to 43251, the ultimate removal is through snare only. Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of...
View ArticleUser id : 23352 on "43248 with mod 52?"
Procedure: Upper GI endoscopy Complications: Jejunal perforation The Endoscope was introduced through the jejunostomy, and advanced to the colon. The upper GI endoscopy was performed with difficulty...
View ArticleSuperCoder on "43248 with mod 52?"
The tract was then dilated using a 33Fr, 36Fr, 39Fr, 42Fr, and 45Fr Savary dilators over the guidewire under fluoroscopic guidance qualifies for 43248. To me it should be reported with no 52 Modifier....
View ArticleUser id : 18436 on "Peg Tube Change"
The physician did a peg tube change (no anethesia) but had to dilate the stoma. I will use 43760 for the change of the tube but is there a code for the dilation for the stoma?
View ArticleSuperCoder on "Peg Tube Change"
Dilation of stoma would be inclusive to the peg tube change. The purpose was to change the tube , dilation is incidental.
View ArticleUser id : 3490 on "G CODES"
CAN YOU SOMEONE CLARIFY THE G0105/G0121 CODE USE PLEASE AND WHEN TO USE THEM. MY UNDERSTANDING IS THAT THEY'RE USED WITH MEDICARE ONLY! HELP
View ArticleSuperCoder on "G CODES"
If a Medicare beneficiary presents for a screening colonoscopy and the examination of the colon is normal, you should bill G0105 and G0121. Medicare requires that you report colonoscopy screening for...
View ArticleUser id : 35049 on "Screening for 32 year old"
I need direction to any articles or statements for protocol for patients having colon screens before the age of 50 when parents have colon cancer at an early age.
View ArticleUser id : 23352 on "ERCP & EUS Guided Physician is calling the EUS non...
Indications: Abdominal pain, Abnormal liver function test, For therapy of chronic pancreatitis, Pancreatic duct stricture Procedure:After obtaining informed consent, the scope was passed under direct...
View ArticleSuperCoder on "ERCP & EUS Guided Physician is calling the EUS non standard...
We are working on it. Please bear till the time. Thanks
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