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When a benign lesion is excised from the arm, 0.4 cm (11400) and another benign lesion is excised from the hand at 0.4 cm (11420, a correct coding initiative (CCI) edit is not elicited, although it...
Modifier 59 ...
We are concerned with the overuse of modifier 59. Some of our coders feel that modifier 59 should not be reported unless you get a CCI edit and others contend that whenever modifier 59 is warranted...
It would be ...
This patient had a laparoscopic adjustable gastric band performed a few months ago. She is now being seen at the facility for a lap band fill by injection under fluoroscopic imaging guidance.
An adjustabl...
The patient has a debridement (11043) performed on a wound in the hospital outpatient department. Seven days later, the patient returns to the hospital outpatient department and the physician asses...
When billing...
What is the appropriate code assignment for a perm-a-catheter placed for dialysis? The catheter was placed into the atrium. Our physician calls this an Ashsplit catheter. We were informed that the ...
An external ...
This patient with a torn rotator cuff and labrum tear was seen at our facility for an arthroscopy of the right shoulder with debridement of the rotator cuff tear and labrum tear. He also underwent ...
Report code ...
We are in the process of building a single line item charge in a chargemaster to include the supply and the placement procedure for drug eluting stents. What would the appropriate revenue code be f...
HCPCS codes ...
At our facility we were using codes C1762 (Connective tissue human tissue lata) and C1763 (Connective tissue non-human) for sclera tissue purchased from the eye bank. What codes would I use n...
Effective Ja...
When a patient has a laboratory panel test (eg. 80053) and then due to an abnormal result has a repeat individual test performed (eg. 84520) which modifier is more appropriate to append to the CPT ...
When a patie...
This patient was recently found to have a right breast mass in the upper outer quadrant. She was scheduled to undergo a stereotactic core needle biopsy of the mass. There is no previous history of ...
Report code ...