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The Central Office has received several requests for clarification regarding the documentation requirement of the weight of the uterus when reporting CPT codes 58570, Laparoscopy, surgical, wit...
Based on the...
A patient with a right inguinal hernia presented for laparoscopic repair. After the hernia was identified, tense ascites was noted within the hernia sac. The sac was opened and 5 liters of ascites ...
It is not ap...
A patient with abdominal pain and rectal bleeding presented for a colonoscopy. The colonoscope was introduced and advanced to the cecum. During the procedure, moderate-sized internal hemorrhoids we...
Report CPT c...
A patient with appendicitis was taken to the operating room for a laparoscopic appendectomy. An intraumbilical incision was made and an incarcerated umbilical hernia was identified. The hernia cont...
It is not ap...
During the administration of bamlanivimab, a patient had a reaction to the medication causing the infusion to be discontinued. Is it appropriate to append modifier 52, Reduced Services, to...
If the infus...
A patient with spinal stenosis underwent placement of an interspinous process distractor several months prior for stenosis at L3-4 and L4-5 which provided only short term relief. The patient now pr...
There is no ...
Patient with a previous left sacral InterStim™ system was experiencing malfunction and migration of the lead, urinary incontinence, and pain. A decision was made to remove the left sacral neurost...
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A patient with endometrial adenocarcinoma underwent a total laparoscopic robotic-assisted hysterectomy with bilateral salpingo-oophorectomy, sentinel lymph node mapping with indocyanine green (ICG)...
Based on the...
A patient presented with a left ruptured plantar plate, dorsal contracture with subluxation and ruptured flexor tendons of the second metatarsophalangeal joint. Both dorsal and plantar incisions we...
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A patient presented with an umbilical pilonidal cyst. A supraumbilical incision was made and the cyst and tract were removed its entirety. We are seeking advice on how to properly code excision of ...
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