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Under OPPS facility coding, if one physician performs conscious sedation for another physician who is performing a procedure such as a closed humerus reduction (HCPCS 24505), is it appropriate to c...
Under the ho...
Is there a guideline or rule that indicates that you should only use the medical record documentation for that specific visit for diagnosis coding purposes? Does each visit stand-alone? Would the c...
Outpatient c...
The patient sustained a laceration to the lower lip. On examination the physician documented a 1-cm through-and-through laceration to the lower lip and 6-mm laceration of the inner aspect of the lo...
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A 41-year-old female with symptomatic right renal cyst underwent an ultrasonic renal cyst aspiration followed by alcohol instillation. A renal cystogram under fluoroscopic guidance was also perform...
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In the pain clinic, a catheter is placed into the lumbar epidural space and an anesthetic is administered. Leaving the catheter in place, the patient is periodically brought back to the clinic for ...
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In the Third Quarter Coding Clinic for HCPCS it was stated that an expert panel convened by the American Hospital Association (AHA) and the American Health Information Management Associati...
The issue re...
This patient was seen at our facility for a right ureteroscopy with stone extraction and a right ureteral stent placement.
A question arose among the coders at our facility regarding the appr...
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This 52-year-old patient is seen in our outpatient clinic for a colon cancer screening for a yearly fecal occult blood. We are reporting code V76.51 for the diagnosis and HCPCS code G0107 for the p...
Yes, when a ...
At our facility, we report CPT code 93923 for non-invasive physiologic studies, which are frequently performed at two separate sessions, once for the upper extremities and once for the lower extrem...
When coding ...
This patient with a history of seizure disorder was seen due to a failed vagal nerve stimulator battery. A new vagal nerve stimulator battery was put in place. During the procedure intraoperatively...
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