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Do the four new X modifiers apply only for Medicare reporting and Modifier -59 only for reporting to other payers?
...The new X mo...
We have always noted once a burn always a burn that you are treating however, that may not be the case every time and we would like some clarification to help us decide when Burn Care would be util...
Based on the...
When excisional debridement classifiable to 11042 and callus excision classifiable to 11055 are performed at the same site, what procedure code(s) should be reported?
NCCI edits state ...
Based on the...
Patient presents for an arthroscopic subacromial decompression, mini-open rotator cuff repair and biceps tendon debridement for chronic rotator cuff tear. We are aware that the shoulder joint is co...
Based on the...
A patient is seen at our facility for a cecostomy tube change. The tube requires change due to poor fit and normal wear and tear. The current tube is removed and a Low-profile Mickey Gastrostomy tu...
There is no ...
Can you provide guidance on how to report a “spacer,” which is filled with graft that is inserted into a cervical space? We have received conflicting coding guidance and would like some clarifi...
Report CPT c...
A Medicare patient was seen for a scheduled audiologic function test at our facility. On examination, impacted cerumen was noted in both ears. The impacted cerumen was removed via ear curettes bila...
For Medicare...
A Medicare patient was seen for the removal of impacted cerumen in both ears. The cerumen was removed by irrigation with a saline solution. Since this procedure was performed on both ears would it ...
Yes, you may...
Patient presents to have a mass of the left breast and a left axillary lymph node biopsied. The left breast nodule was identified and via direct sonographic guidance the needle was inserted and two...
Assign CPT c...
Patient presents for excision of a pressure wound from the below-knee amputation (BKA) stump. Electrocautery was used to excise the wound and again to undermine the wound edges. The skin in the are...
Based on the...