Sample Coded report for Shoulder Arthroscopy CPT code

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PREOPERATIVE DIAGNOSIS: 1. Left shoulder Rotator cuff tear. 2. Subacromial bursitis.  3.  Subacromial impingement. 4.  Acromioclavicular arthritis.  5. Biceps tendon tear. POSTOPERATIVE DIAGNOSIS: 1. Same PROCEDURE: 1. Left shoulder arthroscopic rotator cuff repair.with soft tissue augmentation. 2. Subacromial decompression/acromioplasty. 3. Arthroscopic debridement of subacromial space and glenohumeral joint.  4.  Arthroscopic distal clavicle excision/Mumford procedure. 5. Mini-open subpectoral biceps tenodesis.  ANESTHESIA GIVEN: General with interscalene block PREOPERATIVE … Read more

Biophysical profile CPT code 76818 & 76819 knowledge Guide

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Awesome tips for Biophysical profile coding

Basics or biophysical profile CPT code 76818 & 76819 Fetal biophysical profile score (BPS or BPP) refers to assessment of four discrete biophysical variables by ultrasound. It is often a standard tool in antepartum fetal assessment. It is usually  assessed after 28 weeks of gestation. The BPP combines data from two machines, ultrasonographic imaging and … Read more

Superb Diabetes ICD 10 Coding tips for Pregnancy Chapter

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Diabetes Coding tips for Pregnancy for Medical coders

Diabetes mellitus is one of the most common chronic disease in old age. In medical coding, the diagnosis coding for normal women and pregnant women has separate coding guidelines. This disease has a  significant complicating factor in pregnancy. We have learned  a lot of Pregnancy ICD and CPT codes, you can find some information about them … Read more

Clinical Examples for CPT code 86328 & 86769

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Clinical Example (86328) A 67-year-old female with a history of diabetes mellitus and hypertension presented to the emergency department with a 5-day history of malaise, a nonproductive cough, and low-grade fever (eg, 100.4° F/ 38° C). A SARS-CoV-2 IgG/IgM reagent strip antibody test for COVID-19 was ordered. Blood or serum is collected from the patient … Read more

Model Questions & answers for CPC or CCS exam

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Model Practice Questions for CPC or CCS exam for Medical coders

Which code(s) describe(s) selective catheterization, imaging, and infusion of verapamil over 20 minutes in the right ICA distribution, followed by a similar infusion in the left ICA distribution? 61645 61650 61650, 61651 61650, 61651, 36224-50, 75898 x       2. Which CPT code describes an inpatient-only procedure for Medicare patients? 37212 37187 61624 61626 … Read more

Don’t know about CPT code 79101 and 79005: Read this

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Basics of CPT code 79101 and 79005 There are many radiology procedure codes in CPT codebook. But, it is really difficult to understand the procedure performed behind the CPT code. As we have seen previously, the use of radioactive agent for parathyroid imaging and bone scan procedure codes, which are also a part of radiology … Read more

Sample Coded report of URETEROSCOPY CPT code

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Pre-op Diagnosis: Renal stones, Recurrent UTI, solitary Left Kidney  Post-op Diagnosis: Same, Bladder lesion overlying bladder neck and LEFT Ureteral orfice Proc. Description(s) & CPT Code(s): LEFT URETEROSCOPIC LITHO, STONE EXTRACTION: BLADDER BIOPSY; URETEROSCOPY CYSTOSCOPY WITH STENT PLACEMENT:  Anesthesia: General Complications: none Findings: 1.  Stones mostly matrix material with small pebble like consistency. Removed with prolonged basketing and irrigation.  Papillary … Read more

When to use Lab code 83880 Natriuretic Peptide Testing

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When to use Lab code 83880 Natriuretic Peptide Testing

Introduction of CPT code 83880 B-type natriuretic peptide (BNP) is a cardiac neurohormone produced mainly in the left ventricle. It is secreted in response to ventricular volume expansion and pressure overload, factors often found in congestive heart failure (CHF). BNP is increased in congestive heart failure, left ventricular hypertrophy, acute myocardial infarction, coronary angioplasty, and hypertension. … Read more

Sample Coded report for Rotator Cuff repair CPT code

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PREOPERATIVE DIAGNOSIS: Right shoulder rotator cuff tear. Right shoulder SLAP tear. Right shoulder impingement. Right shoulder AC DJD. POSTOPERATIVE DIAGNOSIS: Right shoulder rotator cuff tear. Right shoulder SLAP tear. Right shoulder impingement. Right shoulder AC DJD. Right shoulder biceps tear INDICATION FOR PROCEDURE: Brief History:  A 76 y.o. -year-old male  has had persistent shoulder pain and functional limitation despite conservative management.  MRI showed above-mentioned findings.  Operative and … Read more

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