Costochondritis ICD 10 Coding Guide

Basic information on Costochondritis ICD 10 codes Costochondritis is a condition where the cartilage in the breastbone becomes inflamed, causing severe chest pain. ICD-Code M94.0 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Chondrocostal Junction Syndrome [Tietze]. Its corresponding ICD-9 code is 733.6. Clinical Information A benign inflammation of one or more of the costal cartilages Idiopathic painful nonsuppurative swellings of one or more costal cartilages, especially of the second rib. The anterior chest pain may mimic that of coronary artery disease. Related ICD 10 code description…

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When to use CB HCPCS level II modifier

Definition of CB HCPCS level II modifier Services ordered by a dialysis facility physician as part of the ESRD beneficiary’s dialysis benefit, is not part of the composite rate, and is separately reimbursable. Suppliers who report modifier CB must exercise due diligence to ensure the following conditions: The beneficiary has ESRD entitlement, The test has been ordered by a dialysis facility, The test is not included in the dialysis facility’s composite rate payment, and The test is related to the dialysis treatment of the beneficiary’s Medicare does not require a supplier to report…

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CPT code 90670 : Coding tips

Description of CPT code 90670 Pneumococcal vaccine provides protection against infections of the lungs, blood, and brain. A vaccine produces active immunization by inducing the immune system to build its own antibodies against specific microorganisms/viruses. The body retains memory of the antibody production pattern for long-term protection. CPT code 90670 describes an active suspension conjugate vaccine for intramuscular use. Report this code for supply of the 13 valent (PCV13) variety. 90670 Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use Codes 90460 and 90461 must be reported in addition to…

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Sample Coded Surgery Charts for Medical Coders Part 17

Medical Coding Sample Chart 1 Preoperative Diagnosis: Umbilical hernia Postoperative Diagnosis: Umbilical hernia Procedure: Open umbilical hernia repair with mesh (Covidien Parietex mesh patch, 8.6 cm). Anesthesia: GETA plus 0.25% Marcaine local Estimated Blood Loss: Scant Complication: None Indication for Procedure: He is a 55-year-old gentleman seen by me in November 2018 with complaints of an umbilical hernia. We discussed options for repair at that time, but he could not find a convenient time frame for surgery. He returns today with complaints of enlargement of the hernia over the past…

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Coding tips for CPT code 99453, 99454 & 99457

Today, we will checkout the coding guidelines for remote monitoring cpt codes for medical coders. These codes needs have been added in 2019 and have separate coding guidelines. The three new CPT code 99453, 99454 & 99457 that cover remote patient monitoring equipment, setup and monitoring services are added.  These codes represent how health care professionals can use technology to connect with patients remotely while gathering important physiological data to more efficiently manage their care. Read also: How to become 99% perfect in Surgery coding  Description of CPT code 99453, 99454…

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Difference between Closed and Open treatment of Fractures in coding

Basics about Fracture Fracture is a break in bone or cartilage. Although usually a result of trauma, a fracture can be the result of an acquired disease of bone, such as osteoporosis. Most bone fractures are caused by falls and accidents. There are a number of different types of fractures, including avulsion, comminuted, and hairline fractures. Fractures can be • open or closed • Simple or Compound Common causes for fractures are • Trauma • Osteoporosis • Overuse (stress fracture) A cast, splint or strapping (29000-29750) may be applied to immoblize…

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March New Update on COVID-19 Vaccine Codes

The CPT Editorial Panel (the Panel) has approved a new vaccine product code (91309) and its associated vaccine administration code (0094A) for the Moderna booster dose–specific COVID-19 vaccine product for adult patients aged 18 years and older, which will become effective upon receiving the emergency use authorization (EUA) approval from the Food and Drug Administration (FDA) Immunization Administration for Vaccines/Toxoids 0094A Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 50 mcg/0.5 mL dosage, booster dose (Report…

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Coding guide for CPT code 36595, 36596 & 36593

Coding guide for CPT code 36595, 36596 & 36593

The long-term presence of access catheters in the vascular system may result in development of clot and/or fibrin within or around the catheter, causing the catheter to become non-functional. The most common complication of a semi-permanent CVC is the formation of a fibrin sheath at the tip of the catheter that causes obstruction or reduced flow through the CVC. A separately reportable venogram is performed and the existence of a fibrin sheath or other pericatheter obstructive material confirmed. The fibrin sheath or other obstructive material is mechanically removed by stripping it…

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Coding rules for Modifier 32 and 33

Coding rules for Modifier 32 and 33

We have different set of codes in medical coding. CPT codes, ICD 10 and Modifiers are the main pillars of Medical coding. If you are good in finding correct code, you will be perfect medical coder. CPT code are responsible for payment of procedures, since each CPT code represent a Procedure or Exam and has as particular dollar value. But, we can increase or decrease the CPT code dollar value by adding Modifiers to it. Yes, Modifiers affects the reimbursement of the procedure. Modifier are two digit numerical codes like…

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Top 5 errors done by Radiology Medical coder

Top 5 errors done by Radiology Medical coder

In radiology facility, the medical charts are very descriptive. Yes, there are certain specific information given in chart for coding correct CPT and ICD 10 codes. As per my experience, the Technique, Reason for exam & the Conclusion (impression) are the main section of radiology medical charts to code them perfectly. Now, to code a medical report with proper CPT, ICD 10 & HCPCS codes, coder need a have ask themselves few questions before finalizing the chart and sending it to billing. Are Modifiers used correctly with CPT codes? If…

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