Become Expert in Coding Guidance CPT codes

Jitendra M.Sc CPC
Become Expert in Coding Guidance CPT codes

Use of guidance is very common for performing any radiology diagnostic exam. Interventional radiology CPT codes are mostly accompanied by guidance CPT codes. Fluoroscopy, Ultrasound, Computed tomography, MRI guidance etc. are some of guidance used with diagnostic radiology CPT codes. Now, with the new updates every year these guidance are mostly bundled with the main procedure codes. For example, breast biopsy CPT codes are now bundled with guidance CPT codes and so only one CPT code will represent the whole breast biopsy procedure. But, there are very different specific guidance…

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Sciatica ICD 10 Coding guide for coders

Jitendra M.Sc CPC

Basic information about ICD 10 code for Sciatica Sciatica is nerve pain from an injury or irritation to the sciatic nerve, which originates in your buttock/gluteal area and the longest nerve in the body. ICD-Code M54.3 is a non-billable ICD-10 code for sciatica used for healthcare diagnosis reimbursement of Sciatica. Its corresponding ICD-9 code is 724.3. Description of Sciatica ICD 10 codes Below are list of codes used of coding specific sciatica. Some of the codes already include sciatica in their code description hence do not code, again sciatica with these codes.…

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ICD 10 coding guide for High risk Pregnancy

Jitendra M.Sc CPC

Coding guideline for Supervision for high risk pregnancy Codes from category O09, Supervision of high-risk pregnancy, are intended for use only during the prenatal period.  For complications during the labor or delivery episode as a result of a high-risk pregnancy, assign the applicable complication codes from Chapter 15. If there are no complications during the labor or delivery episode, assign code O80, Encounter for full-term uncomplicated delivery. For routine prenatal outpatient visits for patients with high-risk pregnancies, a code from category O09, Supervision of high-risk pregnancy, should be used as…

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Cpt codes for Antegrade Pyelogram(Nephrostogram) coding basics

Jitendra M.Sc CPC
New Cpt codes for Antegrade Pyelogram basics

What is Antegrade Pyelogram? Antegrade Nephrostogram is also called Antegrade Pyelogram. It is a study of x-rays to diagnose the obstruction of the urinary tract. In Antegrade Pyelogram, the contrast dye is injected in the ureter, which carries the urine from the kidneys to the bladder. The flow of contrast is then studied with the x-rays images once it starts flowing from the kidneys into the ureters and urinary bladder. There are list of CPT code for antegrade Pyelogram (Nephrostogram) in surgery facility. Read also: Coding tips for CPT code for…

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Chapterwise 2023 ICD-10 codes changes in codebook

Jitendra M.Sc CPC

Exactly 1,468 new codes will be added to the ICD- 10-CM code set for fiscal year (FY) 2023. Moreover, 251 diagnosis codes will be deleted, 35 code descriptors will be revised, and 36 codes will be converted to parent codes to many of the new child codes. The changes go into effect Oct. 1, 2022. The FY 2023 ICD-10-CM code files and guidelines are available on the Centers for Medicare & Medicaid Services’ (CMS’) 2023 ICD-10-CM web page. Downloads are: 2023 Conversion Table 2023 Code Descriptions in Tabular Order 2023…

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Insomnia ICD 10 Coding Guide for coders

Jitendra M.Sc CPC

Basic information about ICD 10 code for Insomnia Insomnia is a common sleep disorder that can make it hard to fall asleep, hard to stay asleep. If you have it, you may have trouble falling asleep, staying asleep, or both. ICD-Code G47.00 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Insomnia, Unspecified. Its corresponding ICD-9 code is 780.52. Read also: ICD 10 coding guide for Gout for coders G47.0 Insomnia ICD 10 code Excludes 2 alcohol related insomnia (F10.182, F10.282, F10.982) drug-related insomnia (F11.182, F11.282, F11.982, F13.182,…

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Phentolamine uses, brand name and its mechanism of action

Jitendra M.Sc CPC

Description of Phentolamine Phentolamine is an alpha-adrenergic receptor antagonist. Phentolamine is similar in action to phenoxybenzamine but is administered parenterally and has a shorter duration of action. Approved uses of phentolamine include diagnosis of pheochromocytoma and treatment of hypertension in pheochromocytoma, prevention of tissue necrosis after norepinephrine extravasation, and reversal of soft tissue anesthesia. Phentolamine also has been used to treat hypertensive crisis associated with monoamine oxidase inhibitor (MAOI) therapy and in combination with papaverine to treat erectile dysfunction (ED). According to ED treatment guidelines, oral phosphodiesterase type 5 (PDE5) inhibitors…

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Cefepime drug dose, brand name and side effects

Jitendra M.Sc CPC

Description of Cefepime  Cefepime is a parenteral cephalosporin with pharmacokinetics and spectrum of activity similar to ceftazidime, a ‘third-generation’ cephalosporin. Because cefepime may be active against some organisms resistant to ceftazidime, some consider cefepime a ‘fourth-generation’ cephalosporin. Cefepime is comparable to ceftazidime in its coverage of Pseudomonas aeruginosa, and it may be more active than ceftazidime against Enterobacter sp. due to enhanced stability against beta-lactamases. Clinical uses of cefepime are similar to those of the third-generation cephalosporins. Cefepime was approved in January 1996. It was approved for the treatment of febrile neutropenia…

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AMA 2023 CPT Code changes in E/M Coding

Jitendra M.Sc CPC

The American Medical Association (AMA) has released the Current Procedural Terminology (CPT) code set for 2023, which contains updates that aim to reduce medical coding burden for evaluation and management (E/M) visits. Providers use the CPT code set to document patient visits, including all services provided, and the codes are used to track utilization, measure quality of care, and create medical claims for payer reimbursement. Recently, the documentation and coding requirements for E/M visits were updated by CMS to streamline the process and address administrative burdens. Specifically, in the 2020 Medicare…

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Physostigmine drug uses, side effects and Mechanism of action

Jitendra M.Sc CPC

Description of Physostigmine  Physostigmine is a parenteral and ophthalmic cholinesterase inhibitor. Physostigmine is similar to neostigmine except that it is a tertiary amine while neostigmine is a quaternary amine. This difference may explain the increased activity of physostigmine in the CNS. Physostigmine most commonly is used as an ophthalmic agent in the treatment of open-angle glaucoma. It has also been used to counteract toxic anticholinergic effects (both central and peripheral) of other drugs which cause anticholinergic toxicity, particularly in overdose situations. Until recently, physostigmine was used to treat tricyclic antidepressant…

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