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| Articles by Erin Articles |
171. Flex/Rigid Sigmoidoscopy Disparity Shouldn't be Overlooked
March 07, 2011
Here are some fresh know-how from these real life situations
Your gastroenterologist might use sigmoidoscopy to check up a patient for alternative conditions when she suspects irritable bowel syndrome; however there is more to the procedure than meets can be seen norm...
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172. Get Specific with Ureteral Stone Diagnoses Post ICD-10
March 06, 2011
As everyone knows, when ICD-9 becomes ICD-10, you will not always have a simple one-to-one relationship between old and new codes. Many a time, you will have more options that may require changing the way your physician documents a service and a coder reports it.
Take a look at this com...
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173. Medicare Essure Procedure Scenario
March 06, 2011
Which ICD-9 code would you use here?
In a particular scenario, one of our ob-gyns carried out an Essure procedure on a Medicare patient for recurrent situational anxiety of pregnancy.
Medicare doesn't compensate for sterilization under this condition. You should think about this...
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174. 72-Hour Rule Shouldn't Affect your Date Selection
March 03, 2011
Our pathologist examined a lip biopsy specimen from outpatient surgery carried out on March 2; however the hospital admitted the patient on March 4. The hospital has referred to the '72-hour rule' stating that the outpatient services become part of a single inpatient claim. What's the date of serv...
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175. Ophthalmoscopy for Flashers & Floaters
March 03, 2011
A patient reports flashes & floaters; however the ophthalmologist doesn't find evidence of retinal pathology on routine ophthalmoscopy. Considering this, are we justified in billing for extended ophthalmoscopy (EO)?
Answer: If the ophthalmoscopy is a routine part of a patient's eye...
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176. 74177 May be Enough for Triple-Contrast CT
March 02, 2011
In a particular scenario, the radiologist refers to a triplecontrast CT; what does he mean here?
Normally, a triple-contrast CT refers to the scans of the abdomen and/or pelvis involving intravenous (IV), oral, and rectal contrast. You may particularly see these when a physician wants to...
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177. 92225: How Do You Determine Medical Necessity For Billing Twice?
March 02, 2011
Can you shed some light on billing 92225 or 92226 with modifier 50, RT/LT, or two units for a patient following a pseudotumor cerebri in a nursing home? How do you find out medical necessity for billing twice?
Both 92225 (ophthalmoscopy, extended, with retinal drawing (example for retina...
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178. 88333, +88334 Use Depends on Site/Specimen Distinction
March 02, 2011
Here's a pathology coding scenario that you might encounter while going about your work.
Scenario: "Our pathologist performed two intraoperative touch preps. The first on specimen A, lef...
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179. New Twist for Laparoscopic Hiatal Hernia Repair
March 02, 2011
general surgery coding, sign up for a good medical coding resource.
"> This time CPT adds nine just-in codes for open hiatal hernia repair and esophagogastric fundoplication; however codes for comparable laparoscopic procedure...
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180. Normally Add Modifier 50 on Bilateral CT Shots
February 28, 2011
Some modifier 50 rules could lead to a lot of confusion
What should you do when the orthopedist injects both of a patient’s wrists to treat carpal tunnel syndrome? Just file 20526 with modifier 50 appended and just forget about it? Is it so?
Well, not so f...
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Author: Erin Articles
