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A hospital-employed nurse or technician may perform a procedure in an emergency department or clinic that was ordered by a physician, examples of these services include, but are not limited to, dru...
It is approp...
Is CPT code 17999, Unlisted procedure, skin, mucous membrane and subcutaneous tissue, accurate for facility reporting of Lap Band adjustments performed at a facility under fluoroscopy, whe...
As published...
A patient presents for evaluation of wounds that have been there for approximately 3 weeks. The wounds are described as “non healing (graft failure) secondary to burn from electrocution.” The p...
Based on the...
Our facility has had a number of pacemaker pocket revisions where the pocket is relocated to a submuscular site rather than enlarging the existing subcutaneous pocket. Since the pocket revision CPT...
Based on the...
An esophagogastroduodenoscopy was performed with balloon dilation to open an esophageal stricture. After three attempts, the balloon dilation was unsuccessful. Jumbo biopsy forceps were then used t...
Based on the...
The issue presented is the request to report CPT code 47370, Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency, when instead of radiofrequency, microwave is utili...
When selecti...
Do the four new X modifiers apply only for Medicare reporting and Modifier -59 only for reporting to other payers?
...The new X mo...
We have always noted once a burn always a burn that you are treating however, that may not be the case every time and we would like some clarification to help us decide when Burn Care would be util...
Based on the...
When excisional debridement classifiable to 11042 and callus excision classifiable to 11055 are performed at the same site, what procedure code(s) should be reported?
NCCI edits state ...
Based on the...
Patient presents for an arthroscopic subacromial decompression, mini-open rotator cuff repair and biceps tendon debridement for chronic rotator cuff tear. We are aware that the shoulder joint is co...
Based on the...