Learn How to Code
Four new vaccine product codes and two new immune globulin codes were established in the Current Procedural Terminology (CPT) 2024 code set. This article provides an overview of these new codes. Immune Globulins, Serum or Recombinant Products 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use 903811 mL dosage, for … Read more
Two new Category III codes (0811T, 0812T) were added to the CPT 2024 code set for reporting remote multi-day complex uroflowmetry services. Uroflowmetry is the measurement of urine flow during urination. Other existing uroflowmetry codes describe simple uroflowmetry using nonautomated (eg, stop-watch flow rate, mechanical uroflowmeter) equipment (51736) and complex uroflowmetry using automated (eg, calibrated … Read more
For the CPT 2024 code set, a new code (52284) was established in the Bladder subsection of the Urinary section to describe cystourethroscopy with mechanical urethral dilation and therapeutic drug delivery via coated balloon. In addition, a new code (58580) was added to the Female Genital System subsection of the Surgery section to report radiofrequency … Read more
Alcohol dependence, also called “alcoholism,” is a chronic disease. Alcohol dependence and abuse affects about 18 million people alone in United states. In general, men are more likely than women to drink excessively. ICD-10-CM includes codes for alcohol use, abuse and dependence. Code categories related to alcohol use are alcohol abuse (F10.1-), alcohol dependence (F10.2-), and unspecified … Read more
Pre-op Diagnosis: Prostate cancer (CMS/HCC) [C61] Post-op Diagnosis: Same as Pre-op Procedure(s): RADICAL PROSTATECTOMY ROBOTIC ASSISTED WITH BILATERAL PELVIC LYMPH NODE DISSECTION – Wound Class: Clean Contaminated Proc. Description(s) & CPT Code(s): RADICAL PROSTATECTOMY ROBOTIC ASSISTED WITH BILATERAL PELVIC LYMPH NODE DISSECTION: Anesthesia: General Estimated Blood Loss: less than 100 mL Quantitative Blood Loss: No data recorded Implants: * No implants in log … Read more
Pre-op Diagnosis: Morbid obesity (CMS/HCC) [E66.01] Body mass index is 43.75 kg/m². Essential hypertension, OSA with cpap Post-op Diagnosis: Same as Pre-op Procedure(s): Procedure(s): SLEEVE GASTRECTOMY ROBOTIC ASSISTED Proc. Description(s) & CPT Code(s): SLEEVE GASTRECTOMY ROBOTIC ASSISTED: Anesthesia: General Estimated Blood Loss: None Quantitative Blood Loss: No data recorded Drain: None Complications: none Findings: Liver appeared fatty Technique: Tonie Williams is electively admitted for robotic sleeve gastrectomy today … Read more
Pre-op Diagnosis: Chronic pain syndrome [G89.4] Mechanical breakdown of implanted electronic neurostimulator of spinal cord, initial encounter (CMS/HCC) [T85.112A] Post-op Diagnosis: Same as Pre-op Procedure(s): Spinal Cord Stimulator Battery Replacement – Wound Class: Clean Anesthesia: Monitor Anesthesia Care Estimated Blood Loss: None Drain: None Total IV Fluids: Per anesthesia record Specimens: No specimens Complications: None Findings: None Disposition: aroused from sedation, and taken to … Read more
Pre-op Diagnosis: Arthritis of left shoulder region [M19.012] Left shoulder rotator cuff tear arthropathy and severe degenerative changes at the level of the glenohumeral joint with inferior humeral head osteophyte formation. Post-op Diagnosis: Same as Pre-op Procedure(s): Left – LEFT REVERSE TOTAL SHOULDER ARTHROPLASTY Anesthesia: General and interscalene regional nerve block. Estimated Blood Loss: 200 mL Specimens: Standard arthroplasty specimens. Implants: DJO reverse total shoulder … Read more
Under the Medicare Physician Fee Schedule, surgical services are valued and paid for as part of “global periods” that include the procedure and the services furnished in the periods immediately before and after the surgical procedure. Surgical services are grouped into Minor Surgery (10 day post-operative period) and Major Surgery (90 day post-operative period). CMS will be … Read more
Coders are still having confusion in using some of the radiology cpt codes. This is very common because of the small or slight difference between procedure codes. Also, I have seen that coders makes lot of mistakes when they have to use a combination codes. Today, I would just to share an example of CPT … Read more