counting levels

Would you code 22600 * 1 and 22614 * 2 or 3 for a C3-C7 cervical fusion? I cannot remember this rule !! Please help, thank you.

3-4, 4-5, 5-6, 6-7 22600 , 22614*3=4 levels

OR

3-4 ,5-6, 6-7 22600 , 2614*2= 3 levels

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Generic name in front of domain name for an employee email

My CFO thinks that using a generic name in front of our secure domain for an employee email is a HIPAA violation . I told him i have not found that information anywhere . I also told him only time it would be HIPAA violation is if and when ePHI was used by an employee or third party that was not suppose to have access to that patient info. Our marketing team was wanting an email set up as info@....... to communicate with patients and referring physicians. I also told him that any third...

Generic name in front of domain name for an employee email

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Breast Cancer Patients

We are a Plastic Surgery Team that has many breast surgeons in the practice. One of the doctors had asked me:
"When I see breast cancer patients for follow up, yearly exam am I to use the Z08 after completed treatment for malignant neoplasm? Personal history of breast cancer z85.3 with extra designation to identify side, quadrant, and estrogen status? Then if they are on endocrine therapy do I use the code for long term use of SERM or AI, z79.810 or z79.811?
This is what she had been...

Breast Cancer Patients

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Coding surgery complication - scalpel breakage/retrieval

Greetings -
I have a situation where the surgeon was about to perform an arthroscopic meniscectomy and a complication arose at the start of the procedure:

DESCRIPTION OF PROCEDURE: The patient received a preoperative block in the preoperative suite for postoperative pain control. He was then taken to the operating room where he was placed supine on the operating table. Once an adequate LMA was achieved, the patient's right knee was prepped and draped in standard sterile...

Coding surgery complication - scalpel breakage/retrieval

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Pigtail catheter removal

The patient has a pigtail catheter is left In buttock for drainage. what is the CPT for the pigtail catheter removal was done in hospital outpatient service? or just EM code only?

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CPC-A

Looking for a job cpc-a internship here in abu dhabi

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South Carolina Canceled

This is ridiculous I cannot go to Denver, which was why I chose Charleston, SC. I cannot afford $275 a night nor can I just join virtually that does not cut the mustard. You are not paying for my flight that I paid for. I am so over paying higher memberships fees every year and not getting my money's worth.

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EKG interpretation with ER visit billing question

A patient was seen in the ER, and an ER visit 99284 was billed. An EKG was done that was ordered by the ER doctor, who reviewed it but did not do a formal interpretation. A cardiologist did an interpretation of the same tracing later on the same date. Can the cardiologist's interpretation be billed as 93010? I know if that if the ER doc had done an interpretation it would be included in the ER visit, but if a provider of a different specialty interprets it, can this be billed separately...

EKG interpretation with ER visit billing question

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Current Procedural Coding Expert vs Procedure Desk Reference Books

Can someone please explain the difference between these two books? Does anyone use them? Are they actually helpful with coding?

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Billing for Observation (PCP office)

Hi everyone....

Question for anyone that can offer some help. We had a new patient yesterday that needed observation after her appt with our physician. She was in our office for about 45min after the appt and the medical assistant checked her blood pressure every 15-20min. The physician is asking if this is something we can bill for but most of the observation codes I see are not used in our type of setting (internal med/pcp). If there is an observation code I can use, would it end up being...

Billing for Observation (PCP office)

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Arthrodesis Posterior from T5 TO PELVIS

Hi
My Dr is performing Fusion with graft from T5 TO THE PELVIS,
I HAVE COME UP WITH 22610 (T5-T6), 22614 X11 (T6-L5) IS THIS CORRECT , OR DO I NEED TO SEPARATE THE LUMBAR WITH 22612 AND BILL IT LIKE THIS 22610( T5-T6) 22614 X 7 (T6-L1) and then 22612 x4 (L1-L5)


any help is appreciated

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96130 & 96131

I have a question in mental health billing 96130 & 96131. I know that 96131 is the add on code and I was told by an insurance rep that they must be billed for the same date of service. The office I bill for have one date of service for 96130 and another date of service for 96131, so what is the correct procedure for billing these CPT codes. The techs notes show the two separate dates for the service, therefore if I bill the two CPT for the same date of service is incorrect and fraudulent...

96130 & 96131

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Place of Service

Our practice has been asked to see some patients at a church. Can anyone tell me if this is billable? What place of service code would we use? 99 ? And what CPT codes?

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Carrying over CEU's

I was wanting to know if anyone else was interested in seeing if we could carry over some of our extra CEU's that we earn. I will have extra this year and I think we should be allowed to at least carry some over to the next year instead of losing them. We have done the work and paid the money to go to seminars and I don't see why we shouldn't be allowed to carry some of them over.

Julie A. Frost, CPC

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COVID-19

Is there a CPT code for the collection of COVID-19? This swab is being sent to an outside laboratory. Thank you in advance.

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Vaping update: ICD-10-CM guidelines from the CDC

Happy Friday,

In case you all haven't seen this, the CDC has released supplemental guidance for coding e-cigarette, or vaping, product use associated lung injury (EVALI). https://www.cdc.gov/nchs/data/icd/Vapingcodingguidance2019_10_17_2019.pdf

Have a great one,

J

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Hospital Telehealth Billing-Q3014?

The more we read the more we are confused about what to code for outpatient hospital telehealth services. Should we use Q3014 or the E&M service? We know how the physician side should bill but cannot locate any clear documentation for the outpatient hospital established patient telehealth coding.

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Does G2012 and/or 99441-99443 require 95 modifier for Medicare and/or Medi-Cal?

Does anyone have an official link for the modifier or POS for Medi-Cal also?

Peace
?_?
Thanks in advance.

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HIRE ME

I will be taking the CPC Exam in May but I have 7 years experience with coding, charge review and billing. I also have management experience. Please review my resume and give me a call!

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C-Section Assist with Postpartum visit for Infection

Hello everyone,

I have a little bit of a dilemma and I'm hoping that someone can help me out. Here is the scenario:

Patient was seen in the hospital for a c-section and my OB assisted. This patient had previously not been seen in our clinic.
Patient then comes to our office a month later with an infection of the c-section site. She attempted to get into her primary OB but due to COVID was unable to be seen.

We have not billed out the delivery as per our state Medicaid guideline our assist...

C-Section Assist with Postpartum visit for Infection

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Global Surgical Package

Hello, I am an outpatient surgery coder at a hospital, I have a question about a Global surgery package.
a patient had a major procedure on 05-01 and received pain meds administered on 05/02 related to surgery
are these chargeable ?
Thanks,
Carol

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62010

For brain debridement only, can an unlisted (64999) be reported along with comparision code 62010? The neurosurgeon has only done the brain debridement,while plastics and oral maxiofacial complete the other portions. I appreciate your opinions.

PREOPERATIVE DIAGNOSIS:
Gunshot wound to the head, bilateral orbital fractures, bilateral frontal bone and temporal bone fractures and bifrontal injury.

POSTOPERATIVE DIAGNOSIS:
Gunshot wound to the head, bilateral orbital fractures, bilateral...

62010

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holter monitor billing

Hello, I'm looking for help with billing for an Ambulatory EEG. And figured a holter monitor works similary and would be billed similary. My quesiton is, with the POS being in home. What do you put as your location in box 32. (Service Facility Location Information) of the claim form. Seems weird to use the patients address. Would it be billed out under the referring provider or reading physician?

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telehealth billing location

Hello, Does anyone know if we need to change the physical location where a telehealth visit was performed? One of my physicians is going to do a few calls from home. I know POS is 2 but not sure if we change address from clinic site to his addrfess.

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Mycardio Infarction Coding

Hi all, when coding stress test if the provider notes” recent MI” would I code it is old MI?
any info on coding MI would be so helpful. Thank you

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Telehealth documentation

Hello- one of my doctor's is questioning the documentation for his video visits with patients, we are a specialist office seeing patients with audio/video connections. Is the time documentation required? I know for telephone visits it is, but for the video, is time required in the dictation/report? Any help is greatly appreciated.

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CPC Exam Test Results?

Hi, I was wondering where I can find my CPC exam test results on the website?

I know the question has been asked before but it seemed to be back from 2008; and I couldn't find any

past events tabs.

Thanks in advance.

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Abnormal Lab Findings

I work for a lab and on the order it states "elevated potassium" as the Dx. Since I don't have access to the chart notes, I don't know if this was determined based on a previous lab test or not, but I don’t know how else they would know it is elevated without a previous test. I assume it was based on a previous lab test, but we aren’t suppose to assume. Would you query the ordering provider or would you code it to abnormal lab findings? Your opinion is appreciated.

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Normal vs. Abnormal Exam

Hello,

This is my first post on the AAPC forum. I've reviewed the ICD-10 coding guidelines as well as information regarding coding for pediatric preventive care from the AAP. I can't find a clear cut answer to my question. Does an abnormal finding have to be something that's found on the physical exam portion of a well visit in order to qualify as an abnormal exam?

Example: New patient comes in for a well child exam. The patient has a history of ADHD for multiple years.
Would this...

Normal vs. Abnormal Exam

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treatment management of SAB using mifiprex and misoprostol

my office recently had a patient who had a non viable seven week pregnancy. she did not want to have a D&C instead opting for treatment using Mifepristone and misoprostol. I can't figure out how to code this. there are plenty of codes when a D&C is done, but none for pharmacological process. ICD10 and CPT codes would be appreciated.

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90887

Can 90887 be done with pt present after an E/M.

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