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We know that their are set of modifiers used for E/M codes for any related or unrelated services performed on the same date of service (DOS). But still many medical coders are not aware when to use these set of modifiers depending on the procedures (major or minor) performed on same DOS. Today we will … 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
Medical coding Sample Coded Report 1 Pre-op Diagnosis: Nodular sclerosis Hodgkin lymphoma of lymph nodes of multiple regions (CMS/HCC) [C81.18] Post-op Diagnosis: Same as Pre-op Procedure(s): Right – VASCULAR ACCESS – IMPLANTABLE PORT PLACEMENT – Wound Class: Clean Proc. Description(s) & CPT Code(s): VASCULAR ACCESS – IMPLANTABLE PORT PLACEMENT: Anesthesia: General Estimated Blood Loss: Minimal … Read more
Pre-op Diagnosis: Abscess of right ring finger [L02.511] Post-op Diagnosis: Same as Pre-op Procedure(s): Right – INCISION AND DRAINAGE RIGHT RING FINGER – Wound Class: Clean Contaminated – Incision Closure: Deep and Superficial Layers Proc. Description(s) & CPT Code(s): INCISION AND DRAINAGE RIGHT RING FINGER: Anesthesia: Monitor Anesthesia Care Estimated Blood Loss: less than 50 … Read more
Sample Coded report (CPT 11043, 11046) Pre-op Diagnosis: Open wound of right knee, subsequent encounter [S81.001D] Post-op Diagnosis: Same as Pre-op Procedure(s): Right medial knee irrigation and debridement Right medial knee wound VAC application Anesthesia: Monitor Anesthesia Care Estimated Blood Loss: less than 50 mL Drain: woundvac Specimens: ID Type Source Tests Collected by Time … Read more
Basics of CPT code 96160 and 96160 A provision in the Patient Protection and Affordable Care Act of 2010 (ACA) established a Medicare Wellness Visit, which included a Health Risk Assessment (HRA) and customized wellness or prevention plan. HRAs are typically completed by a patient or caregiver prior to the encounter with a physician or … Read more
Use of CPT code 99391, 99392, 99393, 99394, 99395 and 99396 Periodic comprehensive preventive medicine services are typically well-patient examinations for established patients presenting for reevaluations and/or management of overall health condition with code selection dependent upon the patient’s age. These services include applicable patient history and examination, guidance/recommendation regarding personal risk factors, and any … Read more
Documentation and coding of complications In the MS-DRG system, many MS-DRGs require a secondary diagnosis that is classified as a complication/comorbidity (CC) or major complication/comorbidity (MCC). The Medicare definition of complication is any condition that occurred after admission. Clinicians often view the term “complication” differently than the coding perspective. Clinically, complication means a condition that is caused by … Read more
Normal native connections exist when the pathway of blood flow follows the expected course through the right and left heart chambers and great vessels (ie, superior vena cava [SVC]/inferior vena cava [IVC] to right atrium, then right ventricle, then pulmonary arteries for the right heart; left atrium to left ventricle, then aorta for the left … Read more
Basics of Otorhinolaryngologic Services Coding In otorhinolaryngology, auditory processing disorders are characterized by inefficient communication between the ears and the brain resulting in an inability to process the information heard. Special otorhinolaryngologic service codes 92521-92524 are used to report diagnostic services that are not included in an evaluation and management service and that are predominantly … Read more