Coding guide for Gastrostomy Tube Placement CPT codes

Coding guide for GastrointestinalTube Placement CPT codes

Coding guide for Gastrostomy Tube Placements CPT codes A percutaneous insertion of a gastrostomy tube is performed under fluoroscopic guidance. Gastrointestinal tube procedures involve percutaneous placement of a tube through the skin, directly into the stomach, small bowel, or large bowel, to allow feedings and/or suction of gastrointestinal contents. We have learnt previously similar exam like chest tube placement, abscess removal cpt codes, incision and drainage cpt code etc. Clinical indication for gastrostomy tube placement includes the esophageal or gastric obstruction, gastroesophageal reflux requiring tube feedings, gastroparesis, colonic obstruction, spina…

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Acute versus Chronic Conditions Coding guide

Acute versus Chronic Conditions Coding guide

Being a medical coder, I always have a lot of problems with ICD 10 codes. The major confusion occurs with coding acute and chronic condition.  We have some specific coding guidelines for coding acute and chronic conditions, first let us understand their definition. Acute  means having rapid onset, severe symptoms, and a short course Chronic means of long duration; denotes a disease showing little change or slow progression In ICD 10 codebook we have separate coding guidelines for coding acute and chronic condition, when documented together. Below is the ICD …

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Coding tips for CPT code 20200 & 20205 (Muscle biopsy)

Coding tips for CPT code 20200 & 20205 (Muscle biopsy)

A muscle biopsy is a procedure used to diagnose diseases involving muscle tissue. The provider will remove tissue and cells from a specific muscle and view them microscopically. Your provider will only need to remove a small piece of tissue from the designated muscle. The muscle can be superficial (Situated nearer the surface of the body) or deep(situated far beneath the surface). In medical coding, we have separate code for superficial and deep muscle biopsy. CPT code 20200 is used for superficial muscle biopsy & code 20205 is used for coding deep muscle biopsy. Before also we…

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Coding tips for Hydrocelectomy CPT code

Coding tips for Hydrocelectomy CPT code

Basics of hydrocelectomy CPT code Hydrocelectomy is surgery that is done to remove or repair a hydrocele. A hydrocele is a fluid-filled sac surrounding a testicle that causes swelling in the scrotum (the pouch that holds the testicles). Hydroceles are common in newborn males. Hydroceles can be scary because you can see them and because they are in a sensitive part of the body. In Medical coding also, we have CPT code for hydrocelectomy procedures. Most of the time coders are difficulty in coding hydrocelectomy  cpt code because of not clear documentation of…

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Coding guide for Hydration CPT codes 96360 and 96361

Coding guide for Hydration CPT codes 93960 and 93961

Basics of Hydration CPT code 96360 & 96361 Hydration is defined as the replacement of necessary fluids via an IV infusion which consists of pre-packaged fluids and electrolytes. Hydration services are reported by using CPT codes 96360 (initial 31 minutes to 1 hour) and 96361 (each additional hour). IV fluids reported for hydration lasting 30 minutes or less is not reported using infusion codes. Some chemotherapeutic agents and other therapeutic agents require pre- and/or post-hydration to be given in order to avoid specific toxicities. A minimum time duration of 31…

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Coding guide for Joint replacement CPT codes

Coding guide for Joint replacement CPT codes

Basics of Joint replacement Procedures or CPT codes Joint replacement is a procedure that involves replacing an injured or ailing joint with an artificial joint, or prosthesis. Joint replacement helps in restoring the mobility and functionality of the joint and relieve pain. When medication and physical therapy fails to alleviate joint pain and dysfunction, total joint arthroplasty is a surgical option to improve joint function and relieve pain. Osteoarthritis is the main indication for performing the total arthroplasty procedures. Arthroplasty is the most common procedure to perform joint condition of…

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Difference between Aftercare and Followup ICD 10 codes

Difference between Aftercare and Followup ICD 10 codes

Being a Medical coder, we always face new challenges in coding ICD 10 codes. In ICD 9 diagnosis codes, we were not so much confused because of limited number of codes. For example, earlier we used to code only one code for pregnancy complication irrespective of first, second or third trimester, but ICD 10 we have specific ICD 10 codes for each trimester for same condition in ICD 9. Initially, we all have done coding errors in ICD 10, but we should learn from all these errors. Once you improve…

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Arthrogram CPT codes superb coding guide

Superb Coding Guide for Arthrogram CPT codes

Basics of Arthrogram CPT code of Hip, Shoulder, Wrist, ankle & elbow An arthrogram is a test using X-rays to obtain a series of images of a joint after a contrast material like dye, water, air or a combination of these has been injected into the joint. This exam helps the physician to detect any abnormality in the soft tissues of joints such as tendons, ligaments, muscles, cartilage and your joint capsule.  A special type of X-ray called fluoroscopy is used to take pictures of the joint. In medical coding,…

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Amputation of Toe and Foot (CPT & ICD 10) Coding Guide

Amputation of Toe and Foot (CPT & ICD 10) Coding Guide

Amputation of lower extremity joints and non-joints region has specific CPT codes and ICD 10 codes. The codes are based on the site from which site it is amputated. We will also look the specific diagnosis codes used with  amputation CPT codes. For amputation of foot and toes CPT code 28800, 28805, 28810, 28820 & 28825 are used by medical coders. Description of CPT code 28800, 28805, 28810, 28820 & 28825 CPT code 28800  Amputation, foot; midtarsal (eg, Chopart type procedure) In this exam, the physician amputates the foot across…

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CPT code 94010 & 94060 (Pulmonary function test) Coding Tips

Pulmonary function test CPT code 94010 & 94060 Coding Tips

Basics for Pulmonary function test CPT code 94010 & 94060 Spirometry is a critical component for diagnosing and managing pulmonary disease.The test allows the physician to evaluate the degree of airway obstruction, the effectiveness of the current therapy, and gives the opportunity to customize medications to ensure adequate daily control.Test results are available immediately following the procedure for evaluation and interpretation. Mainly CPT code 94010 & 94060 are used to report pulmonary function testing in medical coding. General indications for any of the pulmonary function tests include: • To determine…

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