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Patient had severe leg pain due to a large synovial cyst in the L5-S1 area. A hemilaminotomy, medial facetectomy, and foraminotomy were performed. Within the deep structures a gelatinous type cyst ...
A hemilamino...
Our facility is struggling with the correct way to report the Da Vinci assisted laparoscopic hysterectomy. Our coders want to assign CPT 58553 for the laparoscopic vaginal hysterectomy since the ut...
Assign CPT c...
At our hospital, physicians are implanting the BaHa® osseointe-grated implant and the abutment in the outpatient surgical environment. Several weeks later, the patient will present to his/her phys...
Report CPT c...
A patient seen at our facility for treatment of a left lower extremity wound with Integra and VAC placement. The wound measured 6 cm x 2.5 cm. The patient was taken to the operating room and under ...
Report CPT c...
There was an issue in Coding Clinic for HCPCS, 2nd Quarter, 2008 (page 5), which referred to excision of lesion but the surgeon failed to document lesion size. The response was to query th...
No, the path...
In question 3 of the Third Quarter 2009 issue of Coding Clinic for HCPCS, it was advised that CPT code 77002, Fluoroscopic guidance for needle placement (g, biopsy, aspiration, injection, ...
Report the a...
A patient is taken to a minor procedure room for a planned hemorrhoid banding, and after examination of hemorrhoids and “pinch test” by the physician, the procedure was not performed at the phy...
Report CPT c...
Can hospitals use modifiers 73 and 74 to indicate a terminated procedure when another procedure has been completed during the same operative session? Can
hospitals submit 35474-74 fo...
Yes, hospita...
A patient was seen at our facility for a planned femoral angioplasty and angiography. The angiography was completed but the angioplasty was not started because the physician could not cross t...
Report CPT c...
In Coding Clinic for HCPCS, Third Quarter 2006, page 7, question 16 stated that the patient arrived in the emergency department (ED) with an intravenous (IV) hydration infusion that was st...
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