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What is the proper CPT/HCPCS coding for a Greenlight Photoselective Vaporization of the Prostate (PVP)? When the specific descriptors such as “contact” or non contact” are not specified, can ...
Greenlight L...
A patient with a perianal abscess/fistula came to our facility for a reevaluation and tightening of Seton. A new perianal fistula was identified as well as an external hemorrhoid. The Seton appeare...
Report CPT c...
Prior to 2006, we had decided that IV infusion could not be charged if an antibiotic was given prior to a procedure as a prophylactic measure. In 2005, CPT code 90780 was defined as a therapeutic o...
CPT code 907...
A patient undergoes outpatient surgery. A skin lesion of the cheek is surgically removed and submitted to the pathologist for analysis. The surgeon writes on the pathology order, “skin lesion.”...
The patholog...
A patient presents to the hospital for outpatient x-rays with a diagnosis on the physician’s orders of questionable kidney stone. The abdominal x-ray reveals “bilateral nephrolithiasis with sta...
It is correc...
A patient undergoes outpatient surgery for removal of a right breast mass. The pre- and post-operative diagnosis is reported as “breast mass.” The pathological diagnosis is fibroadenoma. How sh...
The facility...
A referring physician sends a urine specimen to the cytology lab for analysis with a diagnosis of “hematuria” (code R31.9). However, the cytology report, which is authenticated by the pathologi...
The laborato...
A patient presents to the physician’s office with complaints of urinary frequency and burning. The physician ordered a urinalysis and the findings were positive for bacteria and increased white b...
Since this t...
The physician refers a patient for chest x-ray to outpatient radiology with a diagnosis of weakness and chronic myelogenous leukemia (CML). The radiology report demonstrated no acute disease and mo...
The facility...
A patient presents to the doctor’s office with a complaint of fatigue. The physician orders a complete blood count (CBC). The CBC reveals a low hemoglobin and hematocrit. Should the lab report th...
The laborato...