Coding guide for CPT code 23105, 23106, 29820 and 29821

  Basics of CPT code 23105 & 23106 Definitions: Arthroscopy: Use of an endoscope to examine the interior of a joint (diagnostic) or to perform surgery on joint structures (therapeutic) Arthrotomy: Surgical incision into a joint that may include exploration, drainage, or removal of a foreign body Synovectomy: Removal of the synovial membrane lining of a joint   Diagnosis and Indications for CPT code 23105, 23106, 29820 and 29821 Primary osteoarthritis Rheumatoid arthritis Rheumatoid myopathy with rheumatoid arthritis Rupture of synovium Shoulder arthritis Synovial hypertrophy Coding guidelines for CPT code…

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Coding Guide for Arthrodesis & Vertebral corpectomy CPT codes

Basics of Lateral Extracavitary Approach (LECA) Spinal exam The lateral extracavitary approach (LECA) requires resection of the ribs, pleura and/or peritoneum and dissection of spinal/paraspinal tissues to access the vertebral bodies/disc. The advantage of this technique is that it provides the surgeon with access to both the posterior and lateral aspects of the spinal canal through the same incision. Documentation of manipulation of the pleura and/or peritoneum is the clue that a LECA was used. Medical terms used in coding LECA spinal exams: Arthrodesis: Surgical fixation or fusion of a…

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Coding guide for CPT code 64400-64448 ( nerve injection procedures)

Basics of CPT code CPT code 64400 – 64448 The physician injects one or more anesthetic agents and/or steroids near a branch of the trigeminal nerve (ophthalmic, maxillary, or mandibular) in CPT code 64400 or the greater occipital nerve in 64405. The trigeminal nerve supplies sensory and motor fibers to the face, and is usually blocked superficially. The greater occipital nerve supplies sensory fibers to the scalp; nerve blocks are often administered to provide relief from occipital neuralgia, migraines, and chronic headaches. The physician draws a local anesthetic and/or steroid…

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Advanced ICD-10 Coding Guide for Pregnancy

Basics about Pregnancy ICD-10 codes Before going ahead to learn about pregnancy code we have to first learn about some the common medical terms used to assign a pregnancy ICD-10 codes. Antepartum – The duration from LNMP / Day of conception till the day before delivery Childbirth – aka labour and delivery is Day of delivery Postpartum (Puerperium) – The duration from delivery to 6 weeks after delivery Gravida – The total number of confirmed pregnancies, regardless of the outcome Para –The  total number births a female has had after…

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What is the difference between HCPCS modifiers JW and JZ?

HCPCS Level II modifiers JW, Drug amount discarded/not administered to any patient, and JZ, Zero drug amount discarded/not administered to any patient, are required by the Centers for Medicare & Medicaid Services (CMS) to report drugs and biologicals that are separately payable under Medicare Part B. Modifier JW must be reported on a claim for the amount of a drug that is discarded and eligible for payment. Modifier JZ is reported to attest that no amount of drug was discarded. Effective July 1, 2023, either modifier JW or JZ is…

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Commode CPT code guide for coders

  Coding for Commode HCPCS or cpt code is quite confusing for coders since their are different variety of commode used by old age patients depending on their requirement. If coders can understand the which type of commode of used by the patient then it will be easy to assign the correct and right code. Below I am sharing the HCPCS codes used for commode which might clear your doubts. E0163 Commode chair, mobile or stationary, with fixed arms E0165 Commode chair, mobile or stationary, with detachable arms image credit…

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Coding guide Immune Globulin and Vaccine Codes 2024

Four new vaccine product codes and two new immune globulin codes were established in the Current Procedural Terminology (CPT) 2024 code set. This article provides an overview of these new codes. Immune Globulins, Serum or Recombinant Products  90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use  903811 mL dosage, for intramuscular use Vaccines, Toxoids  90589 Chikungunya virus vaccine, live attenuated, for intramuscular use  90679 Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use  90683 Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular…

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Remote Multi-Day Complex Uroflowmetry (0811T, 0812T)

Two new Category III codes (0811T, 0812T) were added to the CPT 2024 code set for reporting remote multi-day complex uroflowmetry services. Uroflowmetry is the measurement of urine flow during urination. Other existing uroflowmetry codes describe simple uroflowmetry using nonautomated (eg, stop-watch flow rate, mechanical uroflowmeter) equipment (51736) and complex uroflowmetry using automated (eg, calibrated electronic) equipment (51741). These two new codes are used to report remote (eg, at home) multi-day complex uroflowmetry services. This article provides an overview of these changes. Description of code 0811T, 0812T 0811T Remote multi-day…

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Coding tips for Cystourethroscopy (CPT code 52284) & Radiofrequency Ablation (CPT code 58580)

For the CPT 2024 code set, a new code (52284) was established in the Bladder subsection of the Urinary section to describe cystourethroscopy with mechanical urethral dilation and therapeutic drug delivery via coated balloon. In addition, a new code (58580) was added to the Female Genital System subsection of the Surgery section to report radiofrequency (RF) transcervical fibroid ablation (TFA), including intraoperative guidance and monitoring. Guidelines and parenthetical notes were revised and added to assist with the correct reporting of these services. This article provides an overview of these changes.…

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Sample coded report for Radical Prostatectomy Robotic Assisted CPT code

Pre-op Diagnosis: Prostate cancer (CMS/HCC) [C61] Post-op Diagnosis: Same as Pre-op Procedure(s):  RADICAL PROSTATECTOMY ROBOTIC ASSISTED WITH BILATERAL PELVIC LYMPH NODE DISSECTION – Wound Class: Clean Contaminated Proc. Description(s) & CPT Code(s): RADICAL PROSTATECTOMY ROBOTIC ASSISTED WITH BILATERAL PELVIC LYMPH NODE DISSECTION: Anesthesia: General Estimated Blood Loss: less than 100 mL Quantitative Blood Loss: No data recorded Implants: * No implants in log * Complications: None Findings: Dictated Technique: RADICAL PROSTATECTOMY ROBOTIC ASSISTED WITH BILATERAL PELVIC LYMPH NODE DISSECTION  Technique: Drains: 1) 18 French Foley catheter, 2) 19 French JP drain Procedures: 1) robotic-assisted laparoscopic radical prostatectomy with bilateral nerve sparing…

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