Sample coded surgery Medical coding charts Part 14

Medical coding Sample report 1 Pre-op Diagnosis: Left hip recurrent acetabular labral tear Post-op Diagnosis: Same Procedure: Left hip acetabular labral reconstruction using semi tendinosis allograft 6 mm in diameter.  Revision cam resection or femoral osteoplasty Implants:  Five cinch lock anchors and 1 NanoTack anchor from Stryker Anesthesia Type: GETA and regional (Fascia iliacus block) … Read more

Medicare covered COVID-19 Vaccine Boosters

Make sure claims and documentation support medical necessity. Healthcare providers have been given the go-ahead to provide an additional dose of the COVID-19 vaccine to certain patients. Here’s what you need to know for Medicare claims. The U.S. Food and Drug Administration (FDA) amended the emergency use authorization for both the Pfizer BioNTech COVID-19 vaccine … Read more

New HCPCS Codes for COVID-19 Treatments

New HCPCS Codes for COVID-19 Treatments On June 24, the Food and Drug Administration (FDA) released an Emergency Use Authorization for tocilizumab (Actemra), a monoclonal antibody product used for the treatment of COVID-19. Providers should use the following new HCPCS Level II codes when billing this product: Q0249     Injection, tocilizumab, for hospitalized adults and pediatric patients (2 … Read more

Sample Coded Surgery Medical coding charts Part 13

Medical coding Sample Report 1 EXAM: MAMMO US BIOPSY LYMPH NODE RT COMPARISON: None REASON FOR EXAM: N63.10-Breast mass, right ADDITIONAL HISTORY: . INFORMED CONSENT: Prior to the procedure in an non-coercive space, the patient was advised as to the nature of the procedure including placement of markers, alternatives, benefits, and risks including but not … Read more

Sample Coded Surgery Medical coding charts Part 12

Medical coding Sample Report 1 EXAM DESCRIPTION:  IR cvc port removal CLINICAL HISTORY:  Port removal CONSENT:  The procedure, risks, benefits, and alternatives were discussed with thepatient, and all questions were answered. Informed consent was obtained verbally and in writing. NURSING/MEDICATIONS:  Continuous cardiorespiratory monitoring was provided throughout the examination.  Local anesthesia only PROCEDURE:  The patient was … Read more

ICD-10-CM 2022 : What is New in ICD-10 in 2022

Highly anticipated, the Centers for Medicare & Medicaid Services (CMS) released the ICD-10-CM code descriptions, tables and index, and addendum for fiscal year 2022. Although still pending are the 2022 Official Guidelines for Coding and Reporting, which were not included in the package of new codes. This update brings 159 additions, 25 deletions, and 27 revisions. … Read more

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