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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...
This patient has a long-standing history of intermittent prolapsing hemorrhoids. On examination there was noted to be reducible grade 3 mucosal prolapse with symptomatic hemorrhoids. Treatmen...
Currently th...
We would like to obtain clarification on the appropriate use of CPT code 87046, Bacterial stool culture, additional pathogens, isolation and presumptive identification of isolates.
In 2003, w...
CPT code 870...
What is the correct administration code (Q0084 or Q0081) under the hospital OPPS when giving a biologic response modifier for a cancer diagnosis? Would the chemotherapy be defined by the drug class...
A biologic r...
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...