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We would like to obtain clarification on the appropriate use of CPT code 87046, Bacterial stool culture, additional pathogens, isolation and presumptive identification of isolates.
In 2003, w...
CPT code 870...
What is the correct administration code (Q0084 or Q0081) under the hospital OPPS when giving a biologic response modifier for a cancer diagnosis? Would the chemotherapy be defined by the drug class...
A biologic r...
Under OPPS facility coding, if one physician performs conscious sedation for another physician who is performing a procedure such as a closed humerus reduction (HCPCS 24505), is it appropriate to c...
Under the ho...
Is there a guideline or rule that indicates that you should only use the medical record documentation for that specific visit for diagnosis coding purposes? Does each visit stand-alone? Would the c...
Outpatient c...
The patient sustained a laceration to the lower lip. On examination the physician documented a 1-cm through-and-through laceration to the lower lip and 6-mm laceration of the inner aspect of the lo...
Report code ...
A 41-year-old female with symptomatic right renal cyst underwent an ultrasonic renal cyst aspiration followed by alcohol instillation. A renal cystogram under fluoroscopic guidance was also perform...
Report code ...
This patient with a history of severe endometriosis underwent a diagnostic laparoscopy at our facility. Following confirmation of bilateral tubal disease, chromotubation and a hysteroscopy with rem...
Report code ...
When a benign lesion is excised from the arm, 0.4 cm (11400) and another benign lesion is excised from the hand at 0.4 cm (11420, a correct coding initiative (CCI) edit is not elicited, although it...
Modifier 59 ...
We are concerned with the overuse of modifier 59. Some of our coders feel that modifier 59 should not be reported unless you get a CCI edit and others contend that whenever modifier 59 is warranted...
It would be ...
This patient had a laparoscopic adjustable gastric band performed a few months ago. She is now being seen at the facility for a lap band fill by injection under fluoroscopic imaging guidance.
An adjustabl...