Medical Coding Guide - Page 18 of 91

Maximizing Reimbursements: Ultimate Guide to 97535 CPT Code

August 10, 2023January 16, 2024 Jitendra M.Sc CPC

Basics of 97535 CPT code A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease. Below is the description of 97535 CPT code. 97535 – Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes CPT code 97535 is a code used for self-care/home management training, focusing on activities of daily living and compensatory training. Self-care or home management…

Coding Guidelines for Total thyroidectomy CPT code

August 10, 2023November 1, 2023 Jitendra M.Sc CPC

In surgery facility, their are different set of cpt codes for coding thyroidectomy. These codes vary depending on the different techiques used to perform this procedure. The list of CPT code for total thyroidectomy are 60240, 60252, 60254, 60260, 60270 & 60271. These are the cpt codes used majorly for coding thyroidectomy. Let use checkout them one by one. Description of total Thyroidectomy CPT code Their are different codes for thyroidectomy depending on the different techniques used to perform this procedure. Let us checkout the one by one. 60240 Thyroidectomy,…

Mohs Micrographic Surgery CPT coding Guide

August 8, 2023August 8, 2023 Jitendra M.Sc CPC

Definition of Mohs Micrographic Surgery CPT code Mohs micrographic surgery is a special technique used to treat complex or ill-defined skin cancer and requires a single physician to provide two distinct services. The first service is surgical and involves the destruction of the lesion by a combination of chemosurgery and excision. The second service is that of a pathologist and includes mapping, color coding of specimens, microscopic examination of specimens, and complete histopathologic preparation. This work requires a specially trained physician acting as both surgeon and pathologist. CPT code 17311,…

List of I-OCE (Outpatient code edit) edits Part 2

August 8, 2023August 7, 2023 Jitendra M.Sc CPC

Edit Number Edit Hospital Type Edit Description Edit Result/Claim Disposition Provider Action/Response 81 OPPS edit Mental health service not payable outside the partial hospitilization program This edit occurs when a mental health service that is not payable outside the PH Program is submitted on a 012X or 013X TOB without condition code 41. The claim will be returned to provider. The provider should resubmit the claim once the problem(s) is/are corrected. 82 OPPS edit Charge exceeds token charge ($1.01) This edit occurs when modifier FB is attached to a procedure…

New Practice Surgery Medical Coding Charts

August 8, 2023October 28, 2023 Jitendra M.Sc CPC

Surgery Medical coding Chart 1 PREOPERATIVE DIAGNOSIS: Adenocarcinoma in situ of cervix. POSTOPERATIVE DIAGNOSIS: Awaiting pathology report. PROCEDURE: Cold conization of cervix. SURGEON: ASSISTANT: None. ANESTHESIA: Dr. PACKS: Vaginal pack of half-inch plain gauze placed in endocervix and vagina. DRAINS: None. ESTIMATED BLOOD LOSS: Less than 50 cc. FINDINGS OF PROCEDURE: The patient was brought to the operating room where she was identified, anesthetized, and placed in low lithotomy position, prepped and draped in usual manner.Time-out was taken.She was given 2 g of Ancef IV. The exam under anesthesia revealed…

List of I- OCE (Outpatient code edit) edits Part 1

August 7, 2023August 7, 2023 Jitendra M.Sc CPC

Edit Number Edit Hospital Type Edit Description Edit Result/Claim Disposition Provider Action/Response 1 Both OPPS and non-OPPS edit Invalid diagnosis code This edit occurs when the principal diagnosis field is blank, there are no diagnoses listed, or the diagnosis code is not valid for the selected version of the program. Each ICD-10-CM diagnosis code is edited for completeness and validity. Codes without the required number of digits are considered invalid. Codes are also checked to insure that they were valid at the time of the patient’s visit. Date validity is…

List of MCE (Medicare Code Editor) edits

August 7, 2023 Jitendra M.Sc CPC

Medicare Description Explanation 1 INVALID DIAGNOSIS OR PROCEDURE CODE The Medicare Code Editor checks each diagnosis including the admitting diagnosis and each procedure against a table of valid ICD-10-CM and ICD-10-PCS codes. If an entered code does not agree with any code on the internal list, it is assumed to be invalid. 2 EXTERNAL CAUSES OF MORBIDITY CODES AS PRINCIPAL External causes of morbidity codes are ICD-10-CM codes beginning with the letter V through Y. They describe the circumstance causing an injury, not the nature of the injury, and therefore…

Superb Coding tips for Brain Imaging Studies

August 7, 2023October 23, 2023 Jitendra M.Sc CPC

Basics of CPT code 78600 & 78601 Brain imaging in nuclear medicine provides functional diagnostic information of the central nervous system. Brain imaging is particularly useful when paired with information from a patient’s clinical evaluation and other brain imaging studies, such as computerized tomography (CT) and magnetic resonance imaging (MRI). In medical coding, we have separate procedure codes for brain imaging studies. 78600 – Brain imaging, less than 4 static views; 78601 – Brain imaging, less than 4 static views; with vascular flow Before we move ahead, let us check some similar…

Autoimmune hemolytic anemia ICD-10 CM Coding guide

August 6, 2023December 30, 2023 Jitendra M.Sc CPC

Basics of Autoimmune hemolytic anemia ICD-10 CM Coding Autoimmune hemolytic anemia (AIHA) is a rare immune disorder. It happens when your body mistakes red blood cells as foreign substances and attacks them. ICD-10 code D59. 10 for Autoimmune hemolytic anemia, unspecified is a medical classification as listed by WHO under the range – Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism . D59.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.…

Vertebroplasty, Kyphoplasty and Sacroplasty CPT coding tips

August 5, 2023November 3, 2023 Jitendra M.Sc CPC

Definitions of Vertebroplasty, Kyphoplasty and Sacroplasty CPT coding Percutaneous Vertebroplasty: a minimally invasive procedure performed under fluoroscopic or computed tomography guidance. The cement that is injected into the vertebral body hardens immediately, reinforcing the collapsed vertebrae and providing immediate relief of pain. Percutaneous Sacroplasty: this procedure, essentially identical, to the work done in the percutaneous vertebroplasty and entails guided injection of PMMA through a needle inserted into the fracture zone. It is most often described as a minimally invasive procedure employed as an alternative to conservative management (3-5) for sacral…