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An 84-year-old male with chronic gait instability is admitted after a fall. The provider’s documentation states that the patient’s gait instability is related to chronic cerebrovascular acciden...
Although the...
A patient with twin pregnancy presented with Twin A in a frank breech position too low in the vagina for a cesarean section. The decision was made for a vaginal breech delivery. The head of Twin A ...
The purpose ...
A patient, who had suffered a traumatic brain injury (TBI) without loss of consciousness secondary to a high-speed motor vehicle accident, developed brain herniation. There is an Excludes1 note tha...
If the physi...
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...
A patient was seen at our facility for removal of a fishhook in his left thumb. Can you please clarify whether we can use modifier -52 with CPT code 10120, Removal of foreign body when the physicia...
It would not...