Archive for 'Coding Challenge'
Posted on 15. Feb, 2012 by dchandhok.
Question: Our pulmonologist recently performed a resection procedure for an endobronchial tumor using electrocautery. He also had to undertake about an hour of critical care in addition to a basic cell washing procedure during the bronchoscopy. Please let me know if the cell washing can be reported along with the resection and the other codes that I need to report for the procedures conducted? (more…)
Posted on 03. Feb, 2012 by dchandhok.
Question: The patient is seen in the hospital for a 410.31, and then is discharged. The patient is scheduled to be seen in the office for a follow-up visit. For this follow-up visit, which is less than 8 weeks from the myocardial infarction, is it appropriate to use the fifth digit of “2″ on the MI (410.32), or would you still use 410.31? (more…)
Posted on 21. Jan, 2012 by dchandhok.
Question: Our anesthesiologist participated in a procedure for the arthroscopic release of adhesions to a patient’s shoulder that included manipulation. What do I need to include to report this correctly? (more…)
Posted on 17. Nov, 2011 by rpandit.
Question: The local orthopedist requires clearance before scheduling patients for total knee replacement surgery, so we see a lot of Medicare patients for their pre-surgical exams. What is the best way to bill these visits? (more…)
Posted on 07. Nov, 2011 by rpandit.
Question: A patient presents for a follow-up of an ingrown toenail. The physician finds that the patient now has two ingrown toenails — one on each foot. The physician removes both from each toe and also did a silver nitrate cauterization. Should I report the following codes: 99212, 11750, 11750-50, 17250? (more…)
Posted on 03. Nov, 2011 by rpandit.
Question: Our family physician works with residents each year. It’s very time consuming, but he does review their documentation and indicates whether he agrees with their findings. He doesn’t use a rubber stamp — he actually writes, “Seen and agreed” on the chart before he signs it. A consultant told us during an audit that documenting this way is unacceptable. Can you explain the problem? (more…)
Posted on 24. Oct, 2011 by rpandit.
Question: Our GI saw a patient for endoscopic biopsy. The patient’s mucosa was normal except for internal hemorrhoids and a raised sessile diminutive polyp in the sigmoid colon that was ablated through hot biopsy forceps. What CPT describes this procedure?
|Gastroentrology Coding Alert Your practical adviser for ethically optimizing coding, reimbursement, and efficiency for gastroenterology practices. Click here to buy the monthly Gastroentrology Coding Alert.|