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The patient has a recurrent mucosal melanoma of the right sphenoid sinus. The patient presents for excision of the melanoma of the clivus via bilateral endoscopic sphenoidotomy with transclival app...
Assign CPT c...
Patient has spondylosis in the L4-S1 region with foraminal narrowing. We are performing spinal fusion procedures on an outpatient basis. We are utilizing an Aspen spinous device for the posterior s...
Based on the...
Our coding staff would like clarification of coding advice regarding the appropriate reporting of vascular catherizations which state, “If more than one vascular family is catheterized, then it w...
Yes, the cod...
At our facility, pregnant patients are sometimes referred for a fetal biophysical profile, which is performed in the radiology department and interpreted by a radiologist, and a non-stress test, wh...
Based on the...
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 ...