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At our facility, the nurses now perform minor services for the patient (such as, suture removal, immunizations, wound check, etc.,). Would it be appropriate to report the services provided by the n...
Yes, it is a...
When would it be appropriate to append modifier -59 to a procedure? This patient comes into the Emergency Room and an Abdomen Series and Intravenous Pyelogram are ordered together. According to the...
Yes. The mod...
Periodically we see patients who are scheduled for drug therapy. However, sometimes the physician may cancel an encounter following review of lab or radiology reports. What is the policy regarding ...
There was no...
We are looking for guidance regarding the reporting of splints under APC’s. Would an aircast qualify for facility coding for splints? Would immobilizers qualify for strappings and are splints con...
Yes, strappi...
This patient had a diagnosis of extensive fourth degree hemorrhoids. The findings revealed large internal thrombosed hemorrhoids. According to the operative report an elliptical incision was made a...
According to...
Would it be appropriate to report cardiopulmonary resuscitation (CPR) code 92950 when a patient suffers a cardiac arrest during a diagnostic cardiac catheterization procedure or during a PTCA or co...
A cardiac ar...
We perform sensory testing where the therapists utilize pins to test where the patient has feeling versus paralysis. Test results are generated and filed in the medical record. What would be the ap...
The sensory ...
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...