BRST — Breast Surgery – Excision of lesion or tissue of breast including radical, modified, or quadrant resection, lumpectomy, incisional biopsy, or mammoplasty Procedure Code Category CPT Codes Code Description BRST 11970 Replacement of tissue expander(s) with permanent implant BRST 19101 Biopsy of breast; open, incisional BRST 19105 Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma BRST 19110 Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct BRST 19112 Excision of lactiferous duct fistula BRST 19120 Excision of cyst, fibroadenoma, or other…
Read MoreCardiac Surgery CPT codes list
CARD — Cardiac Surgery – Procedures on the heart; includes valves or septum; does not include coronary artery bypass graft, surgery on vessels, heart transplantation, or pacemaker implantation Procedure Code Category CPT Codes Code Description CARD 0051T Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy CARD 0052T Replacement or repair of implantable component or components of total replacement heart system (artificial heart), thoracic unit CARD 0053T Replacement or repair of implantable component or components of total replacement heart system (artificial heart), excluding thoracic unit CARD 32658…
Read MoreCoronary artery bypass graft (CABG) CPT codes
CBGB — Coronary artery bypass graft with BOTH chest and donor site incisions – Chest procedure to perform direct revascularization of the heart; includes obtaining suitable vein from donor site for grafting Procedure Code Category CPT Codes Code Description CBGB 33509 Endoscopic harvest of single upper extremity artery segment for coronary artery bypass procedure CBGB 33510 Coronary artery bypass, vein only; single coronary venous graft CBGB 33511 Coronary artery bypass, vein only; 2 coronary venous grafts CBGB 33512 Coronary artery bypass, vein only; 3 coronary venous grafts CBGB 33513 Coronary…
Read MoreGallbladder surgery CPT codes list
CHOL — Gallbladder surgery – Cholecystectomy and cholecystotomy Procedure Code Category CPT Codes Code Description CHOL 47480 Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) CHOL 47562 Laparoscopy, surgical; cholecystectomy CHOL 47563 Laparoscopy, surgical; cholecystectomy with cholangiography CHOL 47564 Laparoscopy, surgical; cholecystectomy with exploration of common duct CHOL 47570 Laparoscopy, surgical; cholecystoenterostomy CHOL 47600 Cholecystectomy; CHOL 47605 Cholecystectomy; with cholangiography CHOL 47610 Cholecystectomy with exploration of common duct; CHOL 47612 Cholecystectomy with exploration of common duct; with choledochoenterostomy CHOL 47620 Cholecystectomy with exploration of common…
Read MoreColon surgery CPT codes list
COLO — Colon surgery – Incision, resection, or anastomosis of the large intestine; includes large-to-small and small-to-large bowel anastomosis; Procedure Code Category CPT Codes Code Description COLO 44025 Colotomy, for exploration, biopsy(s), or foreign body removal COLO 44110 Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy COLO 44111 Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies COLO 44137 Removal of transplanted intestinal allograft, complete COLO 44140 Colectomy, partial;…
Read MoreCraniotomy CPT codes list
CRAN — Craniotomy – Excision, repair or exploration of the brain or meninges; does not include taps or punctures Procedure Code Category CPT Codes Code Description CPT code 61105 Twist drill hole for subdural or ventricular puncture CPT code 61107 Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device CPT code 61108 Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma CPT code 61120 Burr hole(s) for ventricular puncture (including injection…
Read MoreBody Mass Index (BMI) ICD-10 CM Coding Guide
Basics of Body Mass Index (BMI) ICD-10 code BMI describes patients’ body weight in consideration of their height. The patient’s weight in kilograms is divided by the square of the patient’s height in meters (kg/m²). A high BMI can be an indicator of overweight or obesity; a low BMI may indicate cachexia or malnutrition. Some people, such as athletes, can fall into high BMI ranges without actually being overweight. For example, bodybuilders may have very high BMIs while having low body fat. For this reason, the BMI codes (Z68.-) can be…
Read MoreWhat is RVU Calculator & Relative Value Units?
What is RVUs, wRVUs & RVU Calculator ? RVU stands for Relative value unit. It is a cost or value assigned for each CPT and HCPCS code by CMS (Centre for Medicare and Medicaid) for providing a service. It has majorly three components, physician work, physician expenses and malpractice overhead. The values of cost of RVU is used for calculating the actual cost for a procedure in Facility and Non-facility setting. wRVU stand for work RVU, which remain constant for all the facilities across the different geographic location. Work RVU…
Read MoreStatus Indicators used with CPT code in Medical Coding
List of Status Indicators A = Active code. Medicare pays these codes separately under the physician fee schedule (PFS), if covered. Codes with this status include RVUs and payment amounts. The presence of an A indicator doesn’t mean that Medicare has made a national coverage determination about the service. A/B MACs (B) stay responsible for coverage decisions in the absence of a national Medicare policy. B = Payment for covered services are always bundled into payment for other services not specified. No RVUs or payment amounts exist for these codes…
Read MorePerfect Coding tips for “Code first” note with Manifestation codes
ICD 10 coding guidelines has many different instructional notes which help us to follow general coding guidelines. For example, the Excludes 1 and Excludes 2 notes which are newly introduced in ICD 10, tells us whether to code these codes together or not. The same way, we have lot of codes in ICD 10 code book which should not be used as primary diagnosis. Manifestation codes are the ones which should not be reported as primary diagnosis. In ICD 10 coding guidelines, we have an instructional note “Code First” with…
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