Coding tips: CPT codes for Fine Needle Aspiration

Basics of Fine Needle aspiration CPT code 10021 Fine needle aspiration (FNA) is a percutaneous procedure performed with the use of fine gauge needle (mostly around 22 to 25 gauge). A syringe is also used to remove the sample fluid from the cyst or to remove clusters of cells from a solid mass. FNA procedure codes are not site specific. For core biopsy we have different procedure codes for  percutaneous lung biopsy or thyroid biopsy. CPT code used for fine needle aspiration is 10021 (CPT code 10022 is deleted in 2019).…

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Superb tips for Breast Tomosynthesis CPT codes

Superb tips for Breast Tomosynthesis New CPT codes

Basic about  Breast Tomosynthesis cpt codes Digital 3-D breast imaging (tomosynthesis) is able to diagnose smaller lumps and to lower false positives. Input from multiple radiology groups prompted creation of the diagnostic (77061 and 77062) and screening (77063) tomosynthesis codes in order to describe the additional resources involved with the newer technology. Breast procedures are always little complicated like breast biopsy, ultrasound exam. But, if once you understood the whole concept, it is easy to apply these codes.   Digital breast tomosynthesis (DBT), also know as three-dimensional (3D) mammography, creates…

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Moderate Conscious Sedation Coding Guidelines : Must Read

Moderate Conscious Sedation removed from CPT codes in 2017: Must Read

Basics of Moderate Conscious CPT codes Moderate conscious sedation is a drug-induced depression of consciousness which is used for performing surgeries. With moderate conscious sedation the patient responds purposefully to verbal commands. Interventional radiology and open surgery procedures requires moderate conscious sedation. The old CPT codes for conscious sedation 99143, 99144, 99145 have been deleted. We have now CPT code 99151, 99152, 99153, 99155, 99156 and 99157 for coding moderate conscious sedation from 2017. Be careful now,  since many of the CPT codes have been revised which will require to…

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Complete list of New CPT codes for 2020

Every year AMA (American Medical Assocaition) releases new updates for Current Procedural Terminology (CPT) codes. For this year 2020, again their will some new CPT codes, some codes will be deleted and some CPT codes will be revised. Their are total 394 codes have been changed of which 248 are new cpt codes, 75 codes are revised and 71 codes are deleted. The new changes in CPT codes for 202 will be effective from 1st January 2020. The most considerable changes have been made in the Medicine section, with the…

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List of New CPT codes for 2019 Part 1

There are lot of changes in the new CPT codes that are added for 2019. The first and the major change is the deletion of FNA or fine needle aspiration code 10022. CPT code 10022 is deleted and replaced with CPT 10004 for each additional lesion. The new CPT codes 10005-10012 will be used in 2019 to report the specific imaging guidance (ultrasound, fluoroscopic guidance, CT and MRI). 10022 – Fine needle aspiration; with imaging guidance The skin biopsies CPT codes 11100 and 11101 are deleted.  There are new guidelines for…

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Common Errors with Pregnancy ICD 10 codes

Common Errors with Pregnancy ICD 10 codes

Being a medical coder, I feel coding multiple ICD 10 codes is very complicated in diagnosis coding. Sequencing ICD 10 codes becomes very important when we are coding multiple diagnosis codes. Since we have very specific codes in ICD 10, the frequency of using multiple diagnosis codes has increased. Even in 2019, we will be having some new specific ICD 10 codes. Multiple ICD 10 codes are used in coding injuries like fracture, hypertensive renal heart disease, followup & Aftercare ICD 10 codes, pregnancy complication codes etc. I myself feel…

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Medical Coding Profession

Medical Coding Profession

What is Medical Coding? In US healthcare, the process of paying money to physician is done through a RCM (Revenue cycle Management) cycle. In US, the patient don’t pay money directly to physician. The doctors receive their money through Insurance companies which are also called payer. Now, here the total procedure is filed in a medical claim which explain everything about the patient diagnosis and treatment. Now, the claim doesn’t explain these things in words but with numerical codes. These codes are called Medical codes in the field of Medical…

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Secret Tricks to code Cpt Code for catheter placement

Secret Tricks to code Cpt Code for catheter placement

Cpt Code for catheter placement: Central & Peripheral catheter The central venous catheters are placed for providing medication and nutrients directly into the blood stream. Also central line placement helps in the avoiding continuous injection and also helps in the removing blood if needed for any tests. In medical coding, we have separate list for CPT code for central venous catheter placement. The CPT codes include all the codes for temporary and permanent placement of catheters. The codes are divided also into tunneled and non-tunneled catheter. The tunneled catheters are…

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New CPT codes for Telehealth Services in 2018

New CPT codes for Telehealth Services in 2018

Medicare pays for a limited number of Part B services furnished by a physician or practitioner to an eligible beneficiary via a telecommunications system. For eligible telehealth services, the use of a telecommunications system substitutes for an in-person encounter. List of Medicare Telehealth Services CPT codes HCPCS codes G0425–G0427 – Telehealth consultations, emergency department or initial inpatient  HCPCS codes G0406–G0408 – Follow-up inpatient telehealth consultations furnished to beneficiaries in hospitals or SNFs CPT codes 99201–99215 – Office or other outpatient visits CPT codes 99231–99233 Subsequent hospital care services, with the limitation of 1 telehealth visit every 3 days CPT codes…

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Learn and Earn Medical coding Examples for Coders

Medical Coding Example Report 1   PREOPERATIVE DIAGNOSIS:   Left small saphenous vein insufficiency with left lower extremity varicose veins that are symptomatic. POSTOPERATIVE DIAGNOSIS:   Left small saphenous vein insufficiency with left lower extremity varicose veins that are symptomatic. PROCEDURE:   Left small saphenous vein radiofrequency ablation. Phlebectomy of left lower extremity varicose veins with 6 incisions.   ANESTHESIA:   General. ESTIMATED BLOOD LOSS:   Minimal. COMPLICATIONS:   None. OPERATIVE FINDINGS:   The patient had a patent left popliteal vein upon completion of the procedure with good compression. She had multiple friable varicosities in the subcutaneous tissues of the…

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