Tag Archives: modifier 52
8 Simple Steps Organize Your Op Note Coding
Posted on 12. Feb, 2010 by suzanne.leder.
This aspect of op note coding is the “horse that pulls the cart.”
Stuck on how to tackle this op note or those sitting on your desk? Follow this advice, provided by Melanie Witt, RN, CPC, COBGC, MA, an ob-gyn…
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Can a Sleep Study Code Describe an Awake Test?
Posted on 29. Nov, 2009 by sanjay.aikat.
Question: A sleep study was ordered for a patient diagnosed with hypersomnolence. The neurologistincluded a multiple wake test in the sleep study. What CPT code should I use for the multiple wake test?
Answer: You should use 95805
…
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52214 Coding Challenge: Fulguration, Then TUIBNC
Posted on 13. Sep, 2009 by Editor.
Question: If my physician went to do a TUIBNC and found bleeding of prostatic varices, fulgurated them, then did the TUIBNC, can I charge the 52214 for the fulguration of the prostatic varices?
Answer: Yes. You can report both the…
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IUD Insertion a No-Go: Which Modifier Do I Use?
Posted on 10. Sep, 2009 by Editor.
Question: My ob-gyn tried to place an IUD, but the patient had a stenotic cervix. The physician could not place the device. What modifier should I use?
Answer: The answer depends on whose advice your payer follows.
According to the…
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Bundle of His Recording Coding Challenge
Posted on 13. Jul, 2009 by Editor.
Question: How should I report right atrial pacing and recording when performed with bundle of His recording? May I report 93619 or should I append modifier 52?
Answer: When the cardiologist performs right atrial pacing and recording as well as…
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Where Anesthesia Coders Go Wrong With CS Cath Placement
Posted on 16. Jun, 2009 by Editor.
Your doc needs to do this to get paid on more than CS cath placement.
Quick — look up the CPT code for coronary sinus (CS) catheter placement used during cardiac surgery. No luck? Then an unlisted code…
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Capsule Endoscopy Gone Awry: 91110-What?
Posted on 01. Jun, 2009 by Editor.
Question: Our patient came in for a capsule endoscopy, but the capsule got stuck in food on hour five and visuals could not be seen past the stomach. We’ll have to repeat this to see if we can see the small…
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Incomplete Screening Colonoscopy: Modifier 52 or 53?
Posted on 31. Mar, 2009 by Editor.
The answer depends on your payer, writes Jenny Berkshire in the April edition of the AAPC’s Coding Edge.
Sometimes screening colonscopies are attempted, but not completed–usually because the patient has been poorly prepped.
When billing…
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Mind Your Modifiers When Your Surgeon Works With Others
Posted on 16. Feb, 2009 by Editor.
Automatically appending modifier 52 could be costing you hundreds.
When your surgeon works with another physician during a procedure, you can face major coding challenges. If you don’t coordinate your coding with the other physician’s coder, both…
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Master Internal Hemorrhoid Excision With 3 Coding Options
Posted on 04. Feb, 2009 by Editor.
Don’t fall victim to the 46934 coding pitfall, especially in 2009.
When it comes to choosing a code for the excision of internal hemorrhoids, CPT leaves you with more questions than answers. There is no code specifically for this type…
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Meet These 93922, 93923 Must-Haves or Risk Repaying $186
Posted on 15. Jan, 2009 by Editor.
Your practice may use ankle/brachial indices (ABIs) to help diagnose some of the 8 million Americans who have peripheral arterial disease. But if you miss CPT’s guidance on hardcopies for noninvasive arterial studies, you could be headed for…
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