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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...
We are concerned about the NCCI edit for codes 77401-77416 for radiation treatment sessions. At our facility radiation treatment may be delivered to more than one area during a single session. How ...
It is approp...
A 14-year-old patient was brought to the emergency department with severe pain and swelling of his left ankle. He sustained an injury when he fell off his skateboard on the school playground. A 2-v...
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This 10-year-old boy was struck by an automobile while riding his bicycle in the street. He suffered an open fracture of the shaft of the left tibia and fibula. The patient was scheduled for ambula...
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We are concerned about the NCCI edit for codes 77401-77416 for radiation treatment sessions. At our facility radiation treatment may be delivered to more than one area during a single session. How ...
It is approp...
Radiation therapy treatments are provided at our outpatient hospital facility. A question has recently surfaced among our staff regarding the reporting of treatment management services (77427-77431...
The hospital...
At our facility some of the patients receive multiple sessions of radiation therapy services on the same day. Would it appropriate to utilize modifier -59 if a certain amount of time passes between...
When multipl...