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A patient was seen at our facility with a diagnosis of Bartholin’s cyst. She was scheduled to undergo an aspiration of the cyst. It is a common procedure; however, there doesn’t appear to be a ...
Based on the...
A hospital-employed nurse or technician may perform a procedure in an emergency department or clinic that was ordered by a physician, examples of these services include, but are not limited to, dru...
It is approp...
Is CPT code 17999, Unlisted procedure, skin, mucous membrane and subcutaneous tissue, accurate for facility reporting of Lap Band adjustments performed at a facility under fluoroscopy, whe...
As published...
A patient presents for evaluation of wounds that have been there for approximately 3 weeks. The wounds are described as “non healing (graft failure) secondary to burn from electrocution.” The p...
Based on the...
Our facility has had a number of pacemaker pocket revisions where the pocket is relocated to a submuscular site rather than enlarging the existing subcutaneous pocket. Since the pocket revision CPT...
Based on the...
An esophagogastroduodenoscopy was performed with balloon dilation to open an esophageal stricture. After three attempts, the balloon dilation was unsuccessful. Jumbo biopsy forceps were then used t...
Based on the...
The issue presented is the request to report CPT code 47370, Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency, when instead of radiofrequency, microwave is utili...
When selecti...
A patient is admitted to the operating room for a proctoplasty and hemorrhoidal artery ligation with ultrasound guidance. According to the operative report, an anoscope was utilized and the artery ...
Report CPT c...
Patient with hallux rigidus presents for correction of the right metatarsophalangeal joint (MPJ) with hemi-implant insertion. Deep incision was made exposing the metatarsal head and base of the pro...
Based on the...
A patient was seen at our facility with a history of status post cardiac pacemaker. Her complaint is focal tenderness in the pocket area overlying the site of the lead suture sleeves. Due to the te...
Although the...