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Patient has a history of arthritic bunion which has failed conservative treatment. The patient presents to have correction of the metatarsalphalangeal (MTP) joint with an implant along with a ten...
Assign CPT c...
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...
In CY 2005, hospitals were instructed to bill CPT codes 90781, 96412, and 96423 in 8 unit increments for additional hours of infusion on a separate line on the bill. Should we continue to do this i...
In CY ...
Are hospitals allowed to bill more than one “initial hour” drug administration infusion code under OPPS for CY 2006?
...The CY 2006 ...
HCPCS code C8952 (Therapeutic, prophylactic or diagnostic injection; intravenous push) is included in Transmittal 785 as being billable for each different drug/ substance. How should hospitals bill...
HCPCS code C...
How should hospitals bill the administration of pain management medication for beneficiaries placed in observation after an outpatient procedure?
...In general, ...
In Transmittal 784, “January 2006 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications Version 7.0,” CMS states that Correct Coding Initiative (CCI) edits for ...
The response...