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Patient had severe leg pain due to a large synovial cyst in the L5-S1 area. A hemilaminotomy, medial facetectomy, and foraminotomy were performed. Within the deep structures a gelatinous type cyst ...
A hemilamino...
Our facility is struggling with the correct way to report the Da Vinci assisted laparoscopic hysterectomy. Our coders want to assign CPT 58553 for the laparoscopic vaginal hysterectomy since the ut...
Assign CPT c...
At our hospital, physicians are implanting the BaHa® osseointe-grated implant and the abutment in the outpatient surgical environment. Several weeks later, the patient will present to his/her phys...
Report CPT c...
A patient seen at our facility for treatment of a left lower extremity wound with Integra and VAC placement. The wound measured 6 cm x 2.5 cm. The patient was taken to the operating room and under ...
Report CPT c...
There was an issue in Coding Clinic for HCPCS, 2nd Quarter, 2008 (page 5), which referred to excision of lesion but the surgeon failed to document lesion size. The response was to query th...
No, the path...
In question 3 of the Third Quarter 2009 issue of Coding Clinic for HCPCS, it was advised that CPT code 77002, Fluoroscopic guidance for needle placement (g, biopsy, aspiration, injection, ...
Report the a...
A patient with known ischemic cardiomyopathy was seen at our facility. He is status post coronary artery bypass (CABG) and a bi-ventricular implantable cardioverter-defibrillator. He was recently n...
Report CPT c...
A patient presents to our facility with degenerative joint disease (DJD) of the sacroiliac joint. The patient is prepped for surgery and two screws were placed
percutaneously into the sacroil...
Currently, t...
A patient with retrocalcaneal bursitis presents for excision of the bursa. How should this procedure be reported?
...Currently, t...
The patient presents to the Wound Care Center for a bleeding left ankle eschar and venous ulceration. The ulceration was removed and the bleeding vein was avulsed. There was no mention of anesthesi...
Based upon t...