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Diagnostic Tests: Hone How You Report Hemoccult Tests With This Expert Advice

Posted on 26. Feb, 2013 by .

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Why, who, and where work hand-in-hand to point you to the right code.

If you want to keep the dollars flowing for in-office examination of fecal occult blood test (FOBT), you should focus on the difference between three hemoccult codes and their purpose.

Consider the following scenario:

A patient presented in the ob-gyn office complaining of diarrhea preceded by intestinal cramping, which lasted a couple of weeks. The patient is 60 years old and has no history of cancer in the family. She also didn’t feel nauseous at all. The physician took a stool sample to test for both parasites and blood. How should you tackle this?

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Take Advantage of This CPT Assistant Thyroidectomy Crash Course

Posted on 25. Feb, 2013 by .

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ENT coders will approach tough thyroidectomy coding challenges with confidence after reading the feature article in the December 2012 CPT® Assistant. This just-published issue is chock-full of anatomy insights, key term definitions, and modifier tips to take your thyroidectomy and parathyroidectomy coding to the next level. You’ll even get a better understanding of when +60512 is separately reportable so you can capture every dollar without worrying about refund requests.

Easily find the definitive guidance you need to combat denials and ensure correct coding with a quick search of AMA’s CPT® Assistant on SuperCoder.com. You can locate the articles on correct CPT® code usage in the December issue by searching for the indicated codes:

  • Abdominal paracentesis and peritoneal lavage: 49082-49084, 76705, 76942, 77002, 77012, 77021
  • Island pedicle flaps: 13101, 13102, 14000-14302, 15002, 15570-15650, 15731-15740
  • Temporalis fascial graft: 69631
  • Thyroidectomy and parathyroidectomy: 38724, 60210-60271, 60500-60512.

You also don’t want to…

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Dodge Denials with CPT↔ICD-9 CrossRef – Now Part of Coding Solutions!

Posted on 13. Feb, 2013 by .

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Many SuperCoder.com subscribers asked for an ICD-9 to CPT® crosswalk and SuperCoder’s new CPT↔ICD-9 CrossRef fulfills that need with a standalone dual-entry tool plus CPT code suggestions on ICD-9 code details pages. Coders and billers can avoid the top denial reason by checking if an ICD-9 code matches the reported CPT® code and vise versa.

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CCI Edits: Say Good-Bye to Reporting Anesthesia With Needle EMGs

Posted on 13. Feb, 2013 by .

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Plus: Pay close attention to modifier indicators in CCI 19.0.

The first round of Correct Coding Initiative (CCI) edits for each year is usually the most extensive, and CCI 19.0 effective January 1, 2013, is no exception. We’re here to highlight a few things from the more than 2,050 edits that involve anesthesia codes so you can continue submitting accurate claims for your provider’s services.

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Discover Documentation Hot Spots for Updated Chest Tube Codes

Posted on 22. Jan, 2013 by .

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 Technique, technique, technique! The just-published November 2012 CPT® Assistant highlights procedural technique as your key to interpreting 2013’s thoracentesis and tube thoracostomy codes. This issue’s collection of clinical examples will help you cut through the confusion so you can capture the correct code for your chest case.

 You can pinpoint the official guidance you need from AMA’s rel=”nofollow”>CPT® Assistant with a quick search on SuperCoder’s rel=”nofollow”>Code Connect.  Find the articles in the most recent issue by keying in the codes below into the code search box on Code Connect or any code search box and looking under the Code Connect tab:

   Bronchospasm provocation and spirometry: 94010, 94070, 95070, 95071, 99070

  • Eye paracentesis, anterior chamber: 65800-65815, 66020, 66030, 67500, 67515, 68200
  • Nervous system testing, autonomic: 93660, 95921-95924, 95943
  • Pleural drainage, thoracentesis, and thoracostomy: 32551, 32554-32557, 75989, 76604, 76942, 77002, 77012, 77021, 99143-99145

For answers to even more coding puzzles,…

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V84 to Z15: Don’t Expect Big Changes for Genetic Test Results

Posted on 10. Jan, 2013 by .

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Follow one-to-one crosswalk.

Despite a major CPT® revamping of genetic test codes (see “81200-81479: Get Ready for Molecular Pathology Overhaul” in this issue), you won’t see a similar change for reporting those test results when you change to ICD-10 on Oct. 1, 2014.

In fact, you can expect a direct crosswalk of a few ICD-9 codes to ICD-10 for reporting a limited number of molecular pathology test results.

 Don’t Identify Gene

ICD-9 provides the following limited codes to report some genetic test results:

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Medicare: 2013′s New PCI Codes Prompt a Key CCI Policy Manual Change

Posted on 08. Jan, 2013 by .

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Get the lowdown on coding native vessel intervention followed by a graft service.

 If you want to see what’s new in the Jan. 1, 2013, Correct Coding Initiative (CCI) policy manual, all you have to do is look for the red text marking the changes. One of the revisions sure to draw your eye features guidelines for the new percutaneous coronary intervention (PCI) codes. Below is a review of this new policy’s main points.

rel=”nofollow”>Fast Coder.Want to check out the latest CCI changes and know which codes can be bundled and which cannot? Get all your answers in one click thanks to the very effective CCI Edits Checker on Fast Coder that allows you to check up to 25 code combinations at one go. rel=”nofollow”> Click here to buy.

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Obstetrics: Safeguard Your Split Antepartum Care Reimbursement With Expert Tips

Posted on 08. Jan, 2013 by .

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You may have more options than you think.

When dividing ob-gyns’ roles with split antepartum care, the key is counting the visits, coding experts say.

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Quickly Spot CPT® Guideline Changes by Looking for Green SuperCoder Text

Posted on 07. Jan, 2013 by .

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If you cross 2013 updates off your to-do list without checking for any guidelines changes, your 2013 coding could be noncompliant. Meeting a code’s requirements also requires adhering to any definitions, documentation specifications, and/or rules listed in the code’s section or subsection guidelines.

For 2013, you have almost 150 CPT® guidelines changes to learn. Fortunately, with SuperCoder’s Code Search, you can quickly spot a code’s changed guidelines. Just like a coding manual, new and/or revised guidelines text is highlighted in green. And when combined with a Coding Alert online newsletter in http://www.supercoder.com/coding-solutions/physician-coder,

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Image Guidance: 64561 Code Definition Catches Up With CCI Edits

Posted on 24. Dec, 2012 by .

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Plus: Radiology guidelines update instructions on reporting S&I separately.

Coding for image guidance with neuroelectrode implant code 64561 will become clearer thanks to a definition change effective Jan. 1, 2013.

Leave 76000, 77002 Off Neurostimulator Claims

CPT® 2013 revises the descriptor of 64561 by adding the underlined text: Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed.

“As with a lot of codes now, imaging is included,” explains Christy Shanley, CPC, department administrator for the University of California, Irvine.

That means you cannot report codes 76000 (2013 definition: Fluoroscopy [separate procedure], up to 1 hour physician or other qualified health care professional time, other than 71023 or 71034 [e.g., cardiac fluoroscopy]) or 77002 (Fluoroscopic guidance for needle placement [e.g., biopsy, aspiration, injection, localization device]) with 64561, says Michael A. Ferragamo, MD, FACS, clinical assistant professor, University Hospital, State University of New…

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