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When coding encounters for treatment of conditions due to war, such as combat fatigue or post-traumatic stress disorder (PTSD), can we also assign a code from category Y36, Operations of war, to sh...
Yes, it is a...
Previous Coding Clinic advice has supported the assignment of a more specific fracture code in ICD-9-CM and ICD-10-CM based on findings in imaging reports when a physician has documented a...
It is approp...
When coding the placement of an infusion device such as a peripherally inserted central catheter (PICC line), the code assignment for the body part is based on the site in which the device ended up...
When the pro...
A patient is admitted to the operating room for a proctoplasty and hemorrhoidal artery ligation with ultrasound guidance. According to the operative report, an anoscope was utilized and the artery ...
Report CPT c...
Patient with hallux rigidus presents for correction of the right metatarsophalangeal joint (MPJ) with hemi-implant insertion. Deep incision was made exposing the metatarsal head and base of the pro...
Based on the...
A patient was seen at our facility with a history of status post cardiac pacemaker. Her complaint is focal tenderness in the pocket area overlying the site of the lead suture sleeves. Due to the te...
Although the...
Patient with history of spermatocele and hydrocele repair, presents with pain, swelling, and a large mass in the left hemiscrotum. A 10-12 cm scrotal hematoma and necrotic skin measuring 1cm x 8cm ...
Assign CPT c...
Patient presents to have whole body SPECT/CT images done at 4 hours and images of the chest done at 24 hours due to a history of neuroendocrine cancer. Would it be appropriate to report 2 units for...
Currently, t...
In a previous issue of Coding Clinic for HCPCS, advice was provided regarding the coding of liver tumor ablation utilizing microwave technique. The advice stated, “ Since, the code descr...
Based on fur...
A patient was seen at our facility and underwent a robot-assisted total abdominal hysterectomy, with a cystoscopy. The cystoscopy was performed with indigo dye to verify that there hadn’t been an...
The cystosco...