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A patient was seen in our sleep lab for sleep study, which resulted in a diagnosis of sleep apnea and an order for a home Automatic Positive Airway Pressure (APAP) Titration Study in order to deter...
There is cur...
A patient with a cyst on the radial border of the right index finger presented for excision of the cyst. A T-shaped incision was made over the distal phalanx and skin flaps were elevated. The cyst ...
It would be ...
Patient with tibial plateau insufficiency fractures presents for treatment. Bilateral knee arthroscopic debridement/shaving of the medial femoral condyle, patella and synovial thickening was perfor...
Report only ...
A patient with previous history of low-grade superficial urothelial carcinoma underwent a transurethral resection of bladder tumor (TURBT) in March of 2014. Since that time, she has had several sub...
No, coding g...
A patient with dysphagia and a Zenker’s diverticulum was scheduled to undergo a transoral endoscopic Zenker’s diverticulostomy. According to the operative report, utilizing the CO2 laser, the p...
Assign CPT c...
A patient with a right planovalgus deformity with a posterior tibial tendon tear and Achilles contracture was seen at our facility for treatment. The patient underwent a posterior tibial tendon rec...
Report CPT c...
A patient is seen for revision of a reconstructed left breast. The breast implant found to be upside down within the breast pocket was removed. Irrigation of the pocket and extensive capsulotomies ...
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...