Medical Coding Guide - Page 46 of 92

Coding guide for CPT code 99424, 99425, 99426 and 99427

February 28, 2023July 11, 2023 Jitendra M.Sc CPC

Basics of Principal care management CPT codes Principal care management services are provided to patients for a single high-risk disease. There is one complex condition that is chronic and expected to last a minimum of three months that puts the patient at substantial risk of exacerbation, functional decline, hospitalization, or death. The disease-specific care plan related to this condition requires on-going development, monitoring, or revising. Frequent adjustments to the medication regimen are required, or patient comorbidities increase the complexity of the condition’s management. Communication and care coordination between those furnishing…

Sample IVR or Interventional radiology coding charts

February 27, 2023October 22, 2023 Jitendra M.Sc CPC

Medical coding Sample coded Report – 1 US BREAST BIOPSY RIGHT HISTORY: Suspicious 11 mm solid palpable lesion 5:00 6 cm from the nipple. PROCEDURE: Risks and procedure were discussed with the patient in Spanish and written informed consent was obtained. The right breast was prepped and draped in the usual manner. Buffered 1% lidocaine was used for skin anesthesia followed by buffered 1% lidocaine mixed with epinephrine for deeper anesthesia. Small skin incision made. Under sonographic guidance, a Suros 12-guage vacuum assisted core biopsy needle device was then used to obtain six…

Pericardiocentesis CPT codes Coding Guide

February 23, 2023July 11, 2023 Jitendra M.Sc CPC

Basics of Pericardiocentesis CPT code 33016, 33017, 33018 & 33019 The physician drains excess fluid from around the heart. This is a life-saving procedure used to treat cardiac tamponade and for diagnosis and treatment of pericardial effusion. Pericardiocentesis may be performed as a “blind” subxiphoid procedure or with imaging guidance, such as CT, fluoroscopy, or echocardiography to visualize the heart and adjacent organs. Under local anesthesia, the patient is positioned supine or semirecumbent at a 30-60 degree angle to bring the heart closer to the anterior chest wall. A nasogastric…

CPT code 76825 & 76826 Coding tips

February 19, 2023July 12, 2023 Jitendra M.Sc CPC

Basics about CPT ode 76825 & 76826 Obstetric Ultrasound is a highly developed technique used to detect ectopic pregnancy and multiple pregnancies, assessing fetal life and function, diagnosing physical anomalies, and guiding physicians in their efforts to treat the fetus. Although the clinical benefit of routine ultrasonography has not been established, it is commonly performed early in pregnancy for confirmation of dates, fetal viability, and pregnancy location. Later studies at 16-20 weeks are used to assess fetal anatomy and to identify potential fetal abnormalities. In addition, there are a variety…

GERD ICD-10 CM coding Guide for Coders

February 18, 2023May 10, 2023 Jitendra M.Sc CPC

Basics of GERD ICD-10 CM code Gastroesophageal reflux disease (GERD) is a chronic digestive disease, which happens when a muscle at the end of the esophagus does not close. It occurs when the stomach content flows back into the food pipe(esophagus). This reverse flow causes reflux, that irritates the lining of your esophagus and hence causes GERD. Upper GI (gastrointestinal) procedures (74240-74250) are the common procedures performed in when the patient comes with symptoms of GERD diagnosis. GERD ICD 10 code, K21.9, is the most commonly coded primary diagnosis for…

CPT code 30520 Coding Guidelines

February 16, 2023July 21, 2023 Jitendra M.Sc CPC

Basics of CPT code 30520 Septoplasty procedure has a separate CPT code, which is little tricky to use by medical coders. Mostly the diagnosis are related to the nose and nasal sinus region. Septoplasty (SEP-toe-plas-tee) is another surgical procedure to straighten the bone and cartilage dividing the space between your two nostrils (septum). Reconstructive septoplasty is the surgical correction of defects and deformities of the nasal septum (partition between the nostrils) by altering, splinting or removing obstructive tissue while maintaining or improving the physiological function of the nose. CPT code…

Practice Q&A for Medical coding Certification Exams 2023

February 16, 2023 Jitendra M.Sc CPC

Question 1 Which CPT code would be reported for a cystourethroscopy with removal of a ureteral calculus? 52320 52325 52332 52352 Question 2 A physician performs a cystourethroscopy with ureteroscopy and treatment of intra-renal stricture through balloon dilation. Which CPT code would be reported? 52344 52345 52346 52351 Question 3 Which CPT code would be reported for a cystourethroscopy with insertion of a Gibbons ureteral stent? 52332 52334 52341 52342 Question 4 A physician performs a diagnostic cystourethroscopy with pyeloscopy. Which CPT code would be reported? 52346 52351 52352 52353…

Coding Guide for Hemodialysis CPT codes

February 15, 2023July 16, 2023 Jitendra M.Sc CPC

Basics about Hemodialysis and its CPT codes Dialysis is a process to remove toxins from the blood and to maintain fluid and electrolyte balance when the kidneys no longer function. while, in peritoneal dialysis, a fluid is introduced into the peritoneal cavity that removes toxins and electrolytes, which passively leach into the fluid. Hemofiltration, similar to hemodialysis, employs passing large volumes of blood over extracorporeal, adsorbent filters that remove waste products from the blood. Different CPT codes are used for coding dialysis for non-ESRD (like CPT code 90935 and 90937)…

Peritoneal-venous shunt Coding Guide

February 11, 2023November 24, 2023 Jitendra M.Sc CPC

Basics about Peritoneal-venous shunt CPT code 49425, 49426, 49427, 49428 & 49429 A peritoneal-venous shunt is a surgical connection made between the peritoneal space and the venous system. Peritoneovenous shunts are used in the treatment of recurrent ascites or recurrent pleural effusions. Generally speaking, the shunts allow passage of ascites or pleural effusions (by either passive or active means) back into the central venous system. The shunt is connected to a one-way valve to prevent backflow of blood into the peritoneal space. The end of the tube is placed in…

When to use Diabetes type 1.5 ICD 10 codes by medical coders

February 11, 2023October 25, 2023 Jitendra M.Sc CPC

We have learn a lot about diabetes coding perviously. Medical coders will know everything about different type of diabetes. Type 1 and 2 diabetes are the most commonly used diagnosis codes by medical coders. But, if you know the ICD 10 coding book properly, you will have come across of diabetes type 1.5 ICD 10 code as well. Most of the coder are not aware of using this type of diabetes in coding. Even I was not aware of type 1.5 diabetes in ICD 10 coding. The documentation should be…