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A patient with previous history of low-grade superficial urothelial carcinoma underwent a transurethral resection of bladder tumor (TURBT) in March of 2014. Since that time, she has had several sub...
No, coding g...
A patient with dysphagia and a Zenker’s diverticulum was scheduled to undergo a transoral endoscopic Zenker’s diverticulostomy. According to the operative report, utilizing the CO2 laser, the p...
Assign CPT c...
A patient with a right planovalgus deformity with a posterior tibial tendon tear and Achilles contracture was seen at our facility for treatment. The patient underwent a posterior tibial tendon rec...
Report CPT c...
A patient is seen for revision of a reconstructed left breast. The breast implant found to be upside down within the breast pocket was removed. Irrigation of the pocket and extensive capsulotomies ...
In Coding Clinic for HCPCS, Fourth Quarter 2007, in discussion of chemoembolization, it is stated that “it would not be appropriate to separately report the administration of the chemotherapeutic...
Chemoemboliz...
Patient has an infusion port, port-a-cath or a central venous access device that flushes sluggishly due to obstruction (clot). Instead of saline or heparin being used to irrigate or flush the acces...
If the docum...
A patient with arthritis of the thumb presents with basal joint arthroplasty, capsulodesis of the metacarpophalangeal (MP) joint and tendon transfers of the extensor pollicis brevis (EPB), and flex...
Assign CPT c...
During an operative session for insertion of a pacemaker, a lead was successfully placed in the apex of the right ventricle (RV). After placement of the RV lead, a lead was then placed in the left ...
Based on the...
What is the correct CPT code for a percutaneous core needle biopsy and fine needle aspiration (FNA) of the vaginal cuff? Both the FNA and core biopsy were performed at the same site percutaneously,...
Based on the...
An 18-month-old patient presents with a brachial plexus birth palsy. Based on other symptoms the patient presents for nerve transfer surgery to improve elbow flexion and shoulder function. Neuropla...
Report CPT 6...