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This patient is seen at the hospital’s outpatient infusion center. She presents with a clotted PICC line and has an order from the doctor for the nursing staff to declot the PICC line by flushing...
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Should we be using the modifier -50 on applicable radiology procedures? There is conflicting guidance. The program memorandum, Transmittal A-00-73, from CMS indicates that it is not acceptable to a...
According to...
This patient is seen at our facility today with a complaint of constant severe back pain, for a refill of his spinal programmable pain pump. The plan is to change the concentration to 50 mg of morp...
Assign two C...
We are looking for a resource regarding the use of New vs. Established Evaluation and Management codes at hospital clinics (i.e., wound center, urgent care center, satellite primary care center). C...
Since the in...
At a recent conference the speaker said that if a patient has a PICC line insertion and a chest x-ray you can always put a modifier -59 on the chest x-ray because it is performed in a different are...
The insertio...
The Medicare instructions regarding physician documentation for the physician ambulatory payment classification (APC) referred to the use of risk stratification criteria. Where can our hospital obt...
According to...
A patient was seen at our facility for a scheduled percutaneous transluminal coronary angioplasty (PTCA) of the right coronary artery with an insertion of an intracoronary drug covered stent. What ...
Report code ...
The Medicare instructions regarding physician documentation for the physician ambulatory payment classification (APC) referred to the use of risk stratification criteria. Where can our hospital obt...
According to...
A patient was seen at our facility recently for the removal of a central venous catheter from the subclavian vein. Would it be appropriate to report this procedure with code 36535?
...No, it would...
The implantation of a cardiac resynchronization pacemaker is a new procedure being performed at our facility. Although similar to a conventional pacemaker, it requires the implantation of an additi...
At the prese...