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A pediatric patient arrives with a dislocated elbow due to jumping from a swing. While awaiting X-rays and labs the patient is given an intramuscular (IM) injection of morphine for pain control. Th...
The first mo...
A Medicare patient comes in with a dislocated hip after falling at home and lying on the floor overnight before being found by a neighbor. The patient is worked up in the emergency department (ED) ...
The IV infus...
A patient presents for scheduled arthroscopic shoulder surgery. He is prepped for surgery and an IV is started with a gram of Ancef administered through the IV.
Following surgery the patient ...
Yes, you can...
A patient has a severe infection for which an IV piggyback antibiotic is ordered every eight hours for a certain number of days. The patient is not sick enough to be admitted as an inpatient and de...
Code Q0081, ...
A patient with a known history of fungal sinus infections was scheduled for outpatient sinus surgery. Amphotericin B, 50 mg is ordered and administered to the patient immediately pre-op. Would it b...
The administ...
This patient comes to the hospital as an outpatient twice a day, i.e. 12-hour interval, to receive Rocephin IVPB through an already existing IV. According to the physician orders, the IV site must ...
Flushes are ...
Our facility coders would like clarification on the proper usage of modifier 50 when attaching it to a CPT code. Our department has been using this modifier when a bilateral procedure (i.e., one do...
The term “...
When an abnormality is encountered or a preexisting problem is addressed during the preventive visit, the physician may also report another evaluation and management (E/M) code for that portion of ...
Preventive s...
Is it appropriate to report code 99141, Sedation with or without analgesia (conscious sedation); intravenous, intramuscular or inhalation, or code 99142, Sedation with or without analgesia (conscio...
For facility...
At our facility the coders append modifier 59 to repeat laboratory tests performed on the same day as a laboratory panel. However, we have received error messages that state the repeat laboratory t...
CMS has stat...