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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 ...
A 38 year old female with a history of subtotal colectomy and ileorectal anastomosis due to ulcerative colitis presents to our facility for proctoscopy and ileoscopy with biopsy. The patient ...
Currently, t...
A patient presents for an excision of a lesion on the back. The surgeon fails to document the lesion size or the margins in the operative report. The pathology report has the total size of th...
According to...
A patient with a history of a total laryngectomy and tracheoesophageal puncture was seen for a blocked tracheoesophageal fistula and aphonia. Previous attempts in the office to clear the fist...
It would be ...