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A patient was seen at our facility for an arthroscopic anterior capsulolabral repair and an arthroscopic remplissage and rotator cuff repair. We were instructed that the arthroscopic remplissage pr...
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Patient with a gunshot wound had a King tube placed by paramedics and arrived in the emergency room (ER) as a code blue. However, the King tube, placed by paramedics, was removed and an 8.0 endotra...
Based on the...
Is there a significant difference between an intravenous (IV) versus subcutaneous (SQ) formulation for Stelara. Should the IV formulation for Stelara be submitted under HCPCS code J3357 or HCPCS co...
Prior to Jan...
An ESRD patient was on his way to his ESRD facility for a regularly scheduled dialysis. The patient experienced substernal chest pain and before reaching the ESRD facility, the patient stopped at t...
Under OPPS, ...
A patient suffering from severe dehydration presents to the ED of a local hospital. It is determined that the patient is in acute renal failure and requires dialysis. The patient receives dialysis ...
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Can you round up to the nearest whole number when 2 mg of a drug is administered and the code descriptor specifies up to 10 mg?
...Yes, for exa...
Our doctors inject patients with Kenalog, J3301, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, and other steroid injections. If a patient is injected bilaterally in t...
The HCPCS J-...
How do you report units of a “Not Otherwise Classified” drug?
...When reporti...
Our facility is performing carboplatin or cistplatin desensitization for patients who have reacted to either drug according to the attached protocol. The desensitization procedure is a combination ...
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Our facility needs clarification regarding how to properly report HCPCS code range G0416–G0419 (surgical pathology, prostate) and CPT code 88305, Level IV — Surgical pathology, gross and mi...
CMS requires...