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A patient with long standing recalcitrant warts on both feet and hands is seen at our facility because the warts are becoming more painful. An excision of a large mosaic wart on the plantar aspect ...
Based on the...
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...
This patient is seen at the hospital’s outpatient infusion center. She presents with a clotted PICC line and has an order from the doctor for the nursing staff to declot the PICC line by flushing...
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Should we be using the modifier -50 on applicable radiology procedures? There is conflicting guidance. The program memorandum, Transmittal A-00-73, from CMS indicates that it is not acceptable to a...
According to...
This patient is seen at our facility today with a complaint of constant severe back pain, for a refill of his spinal programmable pain pump. The plan is to change the concentration to 50 mg of morp...
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We are looking for a resource regarding the use of New vs. Established Evaluation and Management codes at hospital clinics (i.e., wound center, urgent care center, satellite primary care center). C...
Since the in...
A patient with a history of bilateral mastectomy followed by tissue expander presented with acute swelling of the left breast. She was diagnosed with acute postoperative hematoma which was determin...
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A 63-year-old patient presented to the office for her annual eye examination. She is asymptomatic but ophthalmoscopy showed newly found signs of early stage dry macular degeneration with drusen in ...
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