CPT code 63048, 63045, 63046, 63047 Coding Guide

Basics of CPT code 63045, 63046, 63047, 63048 The procedure described these CPT codes involves a laminectomy, a surgical procedure that involves the removal of the spinous process and one or both lamina of a vertebra. The purpose of this surgery is to alleviate pressure on the spinal nerves and treat conditions such as spinal stenosis, herniated discs, or tumors. During the laminectomy, the surgeon targets the affected vertebra and carefully removes the necessary bony structures to create more space in the spinal canal. This allows for the decompression of…

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Cpt code for Urinalysis: Basic Coding Guidelines for Coders

Cpt code for Urinalysis: Basic Coding Guidelines for Coders

Basics of CPT code for Urinalysis Urinalysis is examination for urine for accessing or diagnosing various disease states like urinary tract infections, bleeding in the urinary system, or kidney or liver disease as well as diabetes, some diseases of the blood, and bladder stone. Microscopic examination helps to detect the presence of cells and other formed elements. Urinalysis methods used by diagnostic laboratories include visual examination, reagent strip screening, refractometry for specific gravity, and microscopic inspection of centrifuged sediment. Hence, for different methods there are different CPT code for urinalysis.…

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CPT code 93248, 93245, 93246, 93247 Coding Rules

Basics of CPT code 93248 , 93245, 93246, 93247 Long-term wearable electrocardiographic monitoring is a diagnostic procedure that provides a record of the heart rhythm during daily activities, including sleep. This procedure can often identify the existence and determine the frequency of clinically significant rhythm disturbances and waveform abnormalities that are missed on a standard electrocardiogram (ECG). The use of external electrocardiographic recording for greater than 48 hours and up to 7 days or for greater than 7 days up to 15 days by continuous rhythm recording and storage, may…

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Coding Selective and Non Selective Catheter Placement of Lower Extremity

Coding Selective and Non Selective Catheter Placement of Lower Extremity

Selective versus Non Selective Catheter Placement There are two types of vascular catheter placements: Non-selective and Selective Non-selective catheter placement is any of the following: Placement of a catheter or intra-catheter into the access vessel and leaving it in that vessel, Advancement of the catheter more centrally in the same access vessel, or advancement of the catheter from the access vessel into the aorta. Even if the catheter is advanced more centrally or into the aorta it is still designated as a non-selective catheter placement as the catheter never diverts…

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Modifier 62 vs 80: How to choose the Correct Modifier

Modifier 62 vs 80: When to use the correct one

Modifiers are always easy to understand but difficult to apply. Yes, while reading the description of modifiers it will be clear for medical coders when to use the these modifiers, but while coding medical charts it become difficult for them to choose the correct modifier. We have already gone through modifiers like 59 or X{EPSU}, 58, 78, 79, 25, 27, 26, TC etc. Each modifier is different from other, but still they create a lot of confusion among coders while using them.  For example, coders have a lot of trouble…

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Polycythemia ICD 10 code tips for Coders

Basics of Polycythemia ICD 10 code Polycythemia vera is an abnormal increase in blood cells—primarily red blood cells—due to excess production by the bone marrow. This acquired disorder of the bone marrow may also cause overproduction of white blood cells and platelets. ICD-10 code D45 for Polycythemia vera is a medical classification as listed by WHO under the range – Neoplasms . D45 Polycythemia vera Excludes1: familial polycythemia (D75.0) secondary polycythemia (D75.1) Polycythemia vera is a rare disease that occurs more frequently in men than women, and rarely in patients…

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Emergency Department (ED) Sample Medical Coding Chart Part 2

Emergency Department (ED) sample medical coding chart 1 Chief complaint: Sore throat, cough History of present illness: The patient is a 18 year old male presenting with sore throat and cough.Three weeks ago the sore throat started and has not improved.He also has a cough productive of colorless sputum.The cough started 2 weeks ago. Denies fever, chills, night sweats, headaches, dizziness, chest pain, palpitations, shortness of breath, hemoptysis, nausea, vomiting, abdominal pain, numbness, tingling or weakness. MDM: The patient is a 18 year old male who presented to the emergency…

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Emergency Department (ED) Sample Medical Coding Chart Part 1

Emergency Department (ED) sample medical coding chart 1   Chief Complaint & History of Present Illness :   19 year old male presents for headache.Patient states his symptoms started approximately six days ago with a left sided headache.He describes his pain as a throbbing sensation on the left side of his head and rates the pain as a 4/10.His symptoms got progressively worse and he developed visual disturbances.He had one episode of emesis today.Patient denies fever and ear pain.He notes that he was taking Aspirin and Advil for his symptoms.Patient denies…

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How to utilize Time during AAPC CPC Certification exam

How to utilize Time during CPC exam

We know time is very important factor in your life. From our childhood our parents and elders tell us not to waste time and utilize it in a proper way. The more you respect time the more you succeed in life. For medical coders like us time is very important especially during your AAPC CPC certification exam. We know that AAP CPC exam has 4 hours time, but that time will go so fast during exam that you won’t even realize. Many of us prepare yourself to clear CPC exam…

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ICD-10 CM code for Angina Coding guide

Basics of ICD-10 code for Angina Angina pectoris (category I20) is an early manifestation of ischemic heart disease; however, in rare instances, it occurs as a result of congenital abnormalities of the coronary arteries or such conditions as aortic stenosis, valvular insufficiency, aortic syphilis, or Raynaud’s phenomenon. It is characterized by chest pain (usually perceived by the patient as a sensation of tightness, squeezing, pressing, choking, or burning), heartburn or gas, or an ill-defined discomfort. The pain is similar to that of unstable angina, but it is less severe, more…

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