Their are many new HCPCS level II codes will be used effectively 1st April 2024. Also, you will get to see some changes or revision on some codes from April 2024. With some additions and revision their are some deletion of codes as well which will not be used after 1st April 2024. These all are the quarterly updates about HCPCS codes by CMS. The Medical coders have to follow the new updates and used codes accordingly to get paid for all the services provided based on the documentation. New…
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Superb tips for CPT code 37246, 37247, 37248 and 37249
There are many CPT codes for Angioplasty in vascular surgery coding. We will discuss the use of CPT code 37246, 37247, 37248 and 37249, which are used for angioplasty. These CPT codes describe angioplasty procedures in the aorta and the brachiocephalic (and branches), renal, visceral arteries and venous region. There are two initial and two add-on codes for both arteries and veins. Today we focus more on the angioplasty procedure codes. So, let us check out more in detail about CPT codes 37246, 37247, 37248 and 37249. Read also: How…
Read MoreCoding Guidelines for Injectable Drugs (HCPCS codes)
General Guidelines Use the appropriate Healthcare Common Procedure Coding System (HCPCS) based on code descriptor. Not Otherwise Classified (NOC) codes should only be reported for those drugs that do not have a valid HCPCS code which describes the drug being administered. Remarks are required to include dosage, name of drug, and route of administration. You cannot bill for drugs that can be self-administered. The injection must be administered by physician. If there is no expense to the physician for the drug, don’t bill for it. Units of drugs must be…
Read MoreModel Questions & answers for CPC or CCS exam
Which code(s) describe(s) selective catheterization, imaging, and infusion of verapamil over 20 minutes in the right ICA distribution, followed by a similar infusion in the left ICA distribution? 61645 61650 61650, 61651 61650, 61651, 36224-50, 75898 x 2. Which CPT code describes an inpatient-only procedure for Medicare patients? 37212 37187 61624 61626 Read also: How to remove Apprentice from CPC-A 3. True or False: After five years, every Category III CPT code is automatically replaced by an equivalent Category I CPT code. True False 4. Which…
Read MoreWhen to use Lab code 83880 Natriuretic Peptide Testing
Introduction of CPT code 83880 B-type natriuretic peptide (BNP) is a cardiac neurohormone produced mainly in the left ventricle. It is secreted in response to ventricular volume expansion and pressure overload, factors often found in congestive heart failure (CHF). BNP is increased in congestive heart failure, left ventricular hypertrophy, acute myocardial infarction, coronary angioplasty, and hypertension. Elevations are also observed in pulmonary hypertension (indicating right ventricular dysfunction), acute lung injury, hypervolemic states, chronic renal failure and cirrhosis. Decreasing levels indicate therapeutic response to anti-hypertensive therapy. CPT lab code 83880 is used…
Read MoreSample Coded report Humerus Fracture CPT code
Pre-op Diagnosis: Closed fracture of distal left humerus Post-op Diagnosis: Same as Pre-op Procedure(s): Left – OPEN REDUCTION INTERNAL FIXATION DISTAL HUMERUS VIA OLECRANON OSTEOTOMY- Wound Class: Clean Proc. Description(s) & CPT Code(s): OPEN REDUCTION INTERNAL FIXATION DISTAL HUMERUS: Anesthesia: General Complications: none Findings: complex fx Technique: The patient was taken to the OR and given general anesthesia. A foley catheter was placed. A time out was done. Prophylactic IV antibiotics were given. He was placed in the lateral position on the beanbag with all bony prominences padded. The patient and site were identified. The left upper extremity was prepped and draped in the usual…
Read MoreCPT code 85730 (Partial thromboplastin time PTT) Coding Guide
Code Description of CPT code 85730 ((Partial thromboplastin time PTT) 85730 – Thromboplastin time, partial (PTT); plasma or whole blood This exam may be ordered as a partial thromboplastin time or PTT, or as an activated partial thromboplastin time or APTT. The specimen is plasma. The method is automated coagulation instrument. The partial thromboplastin time is prolonged when deficiencies of coagulation factors VIII, IX, XI, and XII are present. This test is used to monitor the effectiveness of the anticoagulant drug heparin, which is prescribed for patients who have had…
Read MoreWhen to use ICD 10 Status Z codes as Secondary diagnosis
We have now almost became familiar with the ICD 10 codes. We all are now familiar with the difference between the ICD 9 and ICD 10 codes. The new diagnosis codes are huge in numbers. The ICD 10 codes are more specific compared to ICD 9 codes. Also, the new terms like Excludes 1 and Excludes 2 helps in coding correct diagnosis codes. In ICD 10 codes, the most of the errors happens in sequencing the ICD 10 codes. If their are multiple diagnosis codes in a medical report, then…
Read MoreHow to choose Primary diagnosis in Medical coding
In all medical coding facility, ICD codes play a very important role. The sequencing of diagnosis codes should be correct for proper payment of the Procedure. As a medical coder, I have seen how coders struggle to code the ICD 10 diagnosis codes. Today, I am just here to share my knowledge on coding the primary diagnosis. When there are multiple diagnosis codes in a medical report, medical coders struggle to choose primary diagnosis and secondary diagnosis. Sometimes even the coders have confusion in coding admit diagnosis, Reason for Visit(ROS)…
Read MoreCPT code 90689 for Influenza Virus Vaccine Coding guide
From January 1, 2019 coders are using influenza virus vaccine CPT code 90689 (Influenza virus vaccine quadrivalent (IIV4). The short descriptor is VACC IIV4 NO PRSRV 0.25ML IM. Full description of CPT code 90689 90689 – Influenza virus vaccine quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use Payment Basis for Institutional Claims MACs will pay for influenza virus vaccine code 90689 with a Type of Service (TOS) of V based on reasonable cost to Hospitals (Type of Bill 12X and 13X) Skilled Nursing Facilities (22X and…
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