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Basics for G codes & CPT code 90471, 90472, 90473, +90474 For Medicare, the use G codes is very common for billing specific procedures. For example, the Vaccine administration codes used for flu, is reported with G code G0008. Similarly there are many G codes used for Medicare patients.Also, there are diagnosis codes like Z23 … Read more
Basics about Initial observation Care E/M CPT codes Significant changes were made to the Evaluation and Management (E/M) Hospital Inpatient and Observation Care Services subsection of the Current Procedural Terminology (CPT®) 2023 code set. Other E/M subsection revisions were discussed in previous CPT Assistant issues. In this issue, the newly combined subsection of hospital inpatient and observation … Read more
Basics of CPT arm amp (CPT code 24920) CPT code 24920 is a medical billing designation that refers to the surgical procedure involving the amputation of the upper arm. This code is employed by healthcare professionals to record and bill for the extraction of the upper arm, generally due to critical injury, infection, or illness … Read more
What are Benign Lesions Benign lesions are contained, ie, they lack the ability to invade neighboring tissues, or metastasize. Skin lesions that are considered benign include lipomas, cysts, fibromas, nevi, and some moles. The codes in this series are used to report the excision of benign lesions that originate in the integumentary system. The actual … Read more
Pre-op Diagnosis: Stenosis of the proximal arteriovenous fisutla Post-op Diagnosis: Same as Pre-op Procedure(s): Left – Arteriovenous Fistulogram with angioplasty and stent graft placement Proc. Description(s) & CPT Code(s): Arteriovenous Fistulogram: Anesthesia: Procedural Sedation Estimated Blood Loss: Minimal Drain: none Total IV Fluids: minimal Specimens: No specimens Complications: none Disposition: aroused from sedation, and taken to the recovery room in a stable condition Condition: doing well Anesthesia: Monitored … Read more
When to use CPT 36478 and 36479 The physician uses percutaneous, laser, endovenous ablation therapy to treat venous incompetence in an extremity vein. Laser energy is used to heat the vein and seal the vein closed. The most common site of treatment is the greater saphenous vein. The procedure includes any imaging guidance and monitoring. … Read more
Fracture/Dislocation Treatment Definitions ( CPT code 22310) In the Musculoskeletal System subsection of the Surgery section in the CPT 2024 code set, “closed treatment” is defined as follows: The treatment site is not surgically opened (ie, not exposed to the external environment nor directly visualized). Closed treatment of a fracture/dislocation may be performed without manipulation … Read more
Basics of CPT code 36569 A central venous catheter, also called a central line, is a long, thin, flexible tube used to give medicines, fluids, nutrients, or blood products over a long period of time, usually several weeks or more. In this procedures, a catheter is often inserted in the arm or chest through the … Read more
Percutaneous procedures are little difficult to code. We have seen some of the procedures like Fine needle aspiration, arthrocentesis, Breast biopsy, myelogram etc. always have a primary procedure code followed by a imaging guidance or Radiological supervision and interpretation (RS&I) code. Since, interventional radiology charts includes multiple CPT codes for most of the procedures, hence the … Read more
Most of the fracture cases are coded in emergency department (ED) facility, hence it is important to understand the different scenarios that a coder come across for these fracture care. Scenario 1 A patient presents to the ED after falling and fracturing his tibia. The emergency physician calls an orthopedic surgeon for a … Read more