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Basics of CPT code 69716, 69719, 69726 & 69727 The following codes are for implantation of an osseointegrated implant into the skull. These devices treat hearing loss through surgical placement of an abutment or device into the skull that facilitates transduction of acoustic energy to be received by the better-hearing inner ear or both inner … Read more
Basics of CPT code 63052 and 63053 CMS is added new CPT codes for additional decompression when performed with posterior or transforaminal lumbar interbody fusion (PLIF or TLIF). New CPT code 63052 and 63053 describe decompression when done with PLIF or TLIF procedures (22630/32 and 22634/36). 63052 describes the first level decompression and 63053 describes … Read more
Basics of Drug-induced sleep endoscopy (DISE) CPT code 42975 Drug-induced sleep endoscopy (DISE), also known as sleep nasoendoscopy or nasopharyngoscopy, is an upper airway evaluation technique which uses a flexible fiberoptic endoscope to examine the site of airway obstruction while individuals are in a sedative-induced sleep designed to mimic the natural sleep state. The purpose … Read more
Basics of Simple and Complex Cystometrogram CPT codes Cystometry, or cystometrogram, with a pressure flow study is part of urodynamic testing (or UDS). These tests measure how well the bladder functions. Simple cystometrogram (CMG) is an appropriate diagnostic test when there is no access to complex CMG during urodynamic testing. It is emerging as a reliable … Read more
Goals of ICD-11 According to the World Health Organization (WHO), the goal of ICD-11 is to enable health data comparison at an international level. For example, consider these statistics from the WHO: Approximately 70 percent of the world’s health care organizations use ICD coding for reimbursement, health initiatives and resource allocation. In addition, 110 countries … Read more
Basics about Antegrade Nephrostogram A percutaneous antegrade pyelogram is performed by placing a needle into the collecting system of a kidney with injection of contrast and image documentation. The kidney can be accessed under a variety of guidance methods. This procedure is usually performed prior to more complex renal interventions and is rarely performed as … Read more
Sample coded Medical coding chart 1 Indication for Surgery Partial tear left Achilles with retrocalcaneal bursitis Preoperative Diagnosis As above Postoperative Diagnosis As above Operation 1. Left Achilles tendon debridement/repair 2. Excision of Haglund’s deformity and retrocalcaneal bursa 3. Intraoperative radiographs with immediate interpretation by surgeon Surgeon(s) Anesthesia General anesthesia Estimated Blood Loss Minimal Findings … Read more
Medical Coding Sample Report 1 PREOPERATIVE DIAGNOSIS: Left perineal lipoma. POSTOPERATIVE DIAGNOSIS: Left perineal lipoma. PROCEDURE: Excision of 5 x 7 left perineal lipoma. SURGEON: INDICATIONS FOR SURGERY: This is a 70-year-old female who had a left perineal lipoma excised 10 years ago in Iran.Since then, it has been growing and is very uncomfortable.It bulges out of … Read more
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 … Read more
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 … Read more