CPT code 15778, 15853, 15854 Coding Guide

Basics of CPT code 15778, 15853, 15854 Three new CPT codes has been added in integumentary system. These codes will be used from 1st January 2023 by medical coders. The new codes are added for removal of sutures and/or staples not requiring anesthesia. These codes should be used along with E/M codes. CPT code 15853 and 15854 will be used for coding for removal of sutures and/or staples exam from 2023. Also we have one more new CPT code 15778 for implantation of mesh or other prosthesis for delayed closure…

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From Pap Smears to Hysterectomies: How to Navigate Gynecology CPT Codes Like a Pro

Although when coding OB/GYN, the particular ICD-10 codes are rarely used because medical coders know exactly which codes to use for which patient symptoms. These codes rarely show up in the offices of other emergency or cardiology professionals due to the delicate nature of women’s health. As a result, when coding and billing for OB/GYN services using specific popular codes, healthcare professionals and physicians must take special care. ICD-10 codes can be found in abundance for various other specializations, however.  A Complete Guide to Understanding CPT Codes for OBGYN Services…

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TURP CPT code 52601 & 52630 Coding Guide

Description of TURP CPT Code 52601 & 52630 52601  Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included) After preliminary cystourethroscopy, the physician passes the resectoscope under direct vision up the urethra to the region of the prostate. Meatotomy, cutting to enlarge the opening of the urethra, and/or dilatation of the urethra may be necessary to allow the passage of the resectoscope. The prostate gland is removed in a systematic fashion by using a series of…

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Avoiding Common Mistakes in Dual Surgeon Coding with 62 Modifier

62 modifier

Basics of 62 Modifier When two surgeons work together as primary surgeons performing distinct part(s) of a single reportable procedure, each surgeon should report his/her distinct operative work by submitting CPT modifier 62. Each surgeon should report the co-surgery once using the same procedure code. Do not submit this modifier for assistant at surgery services like HCPCS modifier AS and CPT modifiers 80, 81 and 82. This modifier may only be submitted with surgical codes. Documentation must be submitted upon request, or you may submit documentation with your initial claim,…

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Physician Quality Reporting System (PQRS) Measure or Modifiers

Eligible Professionals for PQRS Under Physician Quality Reporting System (PQRS), covered profession al services are those paid under or based on the Medicare Physician Fee Schedule (PFS). To the extent that eligible professionals are providing services which get paid under or based on the PFS, those services are eligible for PQRS incentive payments and/or payment adjustments. The following professionals are eligible to participate in PQRS: 1. Medicare physicians Doctor of Medicine Doctor of Osteopathy Doctor of Podiatric Medicine Doctor of Optometry Doctor of Oral Surgery Doctor of Dental Medicine Doctor…

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Unique Guide for Root Operation of ICD-10-PCS

Unique Guide for Root Operation of ICD-10-PCS

Basics about Root Operation of ICD-10-PCS Root operations of ICD-10- PCS include total 31 root operations. Each root operation is aunique by its definition. ICD-10-PCS will be used in place of Volume 3 codes of ICD 9, so it is very essential to get familiar with root operation of ICD -10-PCS. We know there is a lot of difference between ICD-9 and ICD-10 codes, same goes with ICD-10 Procedure coding system (PCS). These root operation are very well-defined and used for each procedure. However, they can be quite confusing while…

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CPT code 78452 & 78451 : Myocardial Perfusion Coding Guide

Basics of Mycardial Perfusion CPT code 78451, 78452, 78453 & 78454 For tomographic myocardial perfusion imaging, the patient receives an intravenous injection of a radionuclide, usually thallium or technetium-99m, which localizes only in nonischemic tissue. SPECT (single photon emission computed tomographic) images of the heart are taken immediately to identify areas of perfusion vs. infarction. SPECT imaging differs from planar imaging by using a single or multiple-head camera that rotates around the patient to give three-dimensional tomographic imaging of the heart displayed in thin slices. In the nonstress version of…

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Sample coded Medical coding reports for Coders

Sample Medical coding reports for Coders for 2019

Sample Medical Coding Report 1   PREOPERATIVE DIAGNOSIS:   Right trimalleolar ankle fracture. POSTOPERATIVE DIAGNOSIS:   Right ankle fracture in light of osteoporosis and subacute presentation. PROCEDURE:   Open reduction and internal fixation of right trimalleolar ankle fracture.   ANESTHESIA PERFORMED: General with 20 cc of 0.25% Marcaine ANTIBIOTICS:   Cefazolin 2 g IV. ESTIMATED BLOOD LOSS:  Less than 50 cc. TOURNIQUET: None. COMPLICATIONS:   Significant osteopenia requiring quad cortical fixation. IMPLANTS:   Arthrex locking and nonlocking plate through the lateral malleolus with 2.4 and 3.5 cortical screws and Arthrex 2.4 titanium T-plate and Arthrex 5th metatarsal hook…

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Coding for Simple Repair Procedures in Emergency Department

Coding for Simple Repair Procedures in Emergency Department

In Emergency Department, we have seen the importance of procedures or exams performed on the patients. Missing these procedures seriously affects the payment or reimbursement. Many immature coders are not aware of the documentation of these exam in emergency department report and missed to code them. Previously we have seen how we can report a short leg splint in a emergency department report and the supporting documentation required for it. Today we will checkout the coding of simple repair with emergency department cpt codes. The repair procedures are performed generally…

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CPT code 92081, 92082 & 92083 : Coding guide

Basics of CPT code 92081, 92081 and 92083 As medical coders we have to know about each procedure code because mainly billing is dependent on CPT codes. Even a single change in digit of CPT code will change the dollar value of that procedure code hence medical coders should accurately report the CPT codes. Today, we will discuss about the CPT code 92081, 92081 and 92083 used for visual field examination. These three CPT codes are based on limited, intermediate and extended examination of visual field. Read also : Coding…

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