Epicondylar Musculature Repair CPT/DX?

How would you code the repair of a lateral epicondylar muscle rupture? Would that fall into the 24357 - 24359 range, or is there a different CPT code that better suits this procedure? Also, for the dx, would lateral epicondylitis be used? Any advice would be greatly appreciated, thank you.

Here is the part of the op note where the procedure is described:

"Attention was next towards the left lateral epicondyle. A long incision was made over the lateral epicondyle. Dissection was carried...

Epicondylar Musculature Repair CPT/DX?

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OWCP

Has anyone been able to reach anyone at OWCP since they changed administrators? Every time I call I get a message saying due to call volume they are unable to take my call and I get disconnected. I never had this issue with Conduent. CNSI has been a nightmare. Approvals have stalled, claims aren't being processed, and although I have found some information on the portal its been like beating my head against a brick wall. I don't even know who to go to to try to get some resolution!

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Need official reference for documentation of LT heart cath crossing aortic valve

Good morning,

I'm looking for an official reference to prove that documentation of the crossing of the aortic valve is necessary in order to code a left heart catheterization. Some at my facility have been told that as long as pressures are documented, a LT heart cath can be coded. In my experience, I have been told those pressures could be obtained on the aorta side of the aortic valve without the catheter traversing the aortic valve.

Thank you!
Michelle

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Billing 45385 and 45381 to Blue Cross Medicare packages

I really need some help!
Lately I am having difficulty getting 45381 paid when coded with 45385. I have sent supporting documentation as well as "clear Connect" screen shot from Web Dennis showing this code combination is allowable. On one of my appeals it was stated to reference the CMS processing manual chapter 12 section 40.6. This section states that 51 modifier should be attached to the lesser of the two codes. I sent in a corrected claim and complied and received a denial stating...

Billing 45385 and 45381 to Blue Cross Medicare packages

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Telemedicine Critical Care Codes

Hello
I bill Tele CC 99291,G0508 and G0509 for telemedicine company. I understand that those codes are not covered by Medicaid and Medicaid replacement products (such as Amerigroup etc) But what codes should the doctors be using? or is Critical care just not covered by them? Thank you for your help!

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Mechanical pleurodesis

A mechanical pleurodesis was performed along with thoracoscopic upper and lower lobe wedge resections (32666 and 32667).
The procedure note states: Is this enough to code for the mechanical pleurodesis also?

An incision was created at the seventh intercostal space at the posterior axillary line. Camera was inserted. Anterior worker was placed under direct visualization. The apex of the left upper lobe was grasped, small...

Mechanical pleurodesis

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I have my CPC-A. Now I want my CPB. Is this redundant?

In my area, I see a lot of medical billing positions. Way more than coding. I now landed a medical billing job which I start Monday. I graduated from a medical billing and coding program but it was very coding heavy, not so much billing. I feel like CPB would complement my CPC, as well as make me more marketable for future billing positions.

CPB is also one of those certifications I never see anyone have. Is there a point to getting it when you can learn on the job? Also, will I get paid...

I have my CPC-A. Now I want my CPB. Is this redundant?

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coding colonoscopies

If you have a patient that comes in for colonoscopy with history of colon polyps but no symptoms, is it appropriate to bill 00182 with Z12.11 and Z86.010 or should you only use Z86.010

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Accessing practice exams on blackboard

I recently purchased the practice exams for the CIC exam. I am studying this on my own and did not enroll in a course. I logged in to AAPC today to access one of my practice exams and it took me to blackboard. I don't remember every doing anything on there but it prompts me for a username and password. It did send me an email to change my password but I don't know what to do about my username. Does anyone know anything about this or had this same issue?

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punch biopsy 11104 & 11105 or BX of lip 40490 x2

located on the right upper and lower lip mass. Plan: Counseling - Benign neoplasm lip. Please refer to the education handout for detailed counseling. Plan: Biopsy by Punch Method. Accession Number: . Location: right upper and lower lip mass Pre-op Size: 0.7 cm. Written consent was obtained and risks were reviewed including but not limited to scarring, infection, bleeding, scabbing, incomplete removal, nerve damage and allergy to anesthesia. The area was prepped with Alcohol. Approximately...

punch biopsy 11104 & 11105 or BX of lip 40490 x2

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Tracheostomy with lipectomy

Can I code 31610 (tracheostomy, fenestration with skin flaps) with 15839 (cervical lipectomy)? Or is it included in the procedure?

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Modifier CS

Are we to apply modifier CS to the E/M service only, or do we apply it to the COVID test and related tests ordered due to COVID?

Thanks!

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question

We are trying to start doing epidural injections in the office coming this fall. I have never coded anesthesia and help would be appreciated. I keep getting confused on units.....

thanks,
Teresa

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Signing note≠ Review or verification?

Hello,
I hope that I'm posting this in the correct section.
I am a coder at a physician's practice and recently noticed that one of our providers that uses software to dictate their notes from speech has a note that seems rather problematic, it reads:
"Portions of this note were generated using Dragon Naturally Speaking software. Dictation may not have been thoroughly reviewed."
Some fellow coworkers and myself think this would directly contradict a signature on the note as our understanding...

Signing note≠ Review or verification?

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New Coder

Hello all,

Hope everyone is well! I recently earned my CPC certificate in June and I am currently enrolled in the CIC course. Has anyone had difficulty finding work as an Apprentice?

Thank you for the time and feedback.

Cassandra Rogers

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Credentialing

In CAQH, is an ER considered a practice location?

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Application of free (pro bono) skin substitutes for Medicare.

I work for a wound care clinic that applies free samples given to us by pharmaceutical rep to patients. I wanted to know if there's a way to receive reimbursement from Medicare for the application only. If so, how would I bill this? I attended a seminar that stated that modifier "FB" was required to indicate that we are billing the application for a free product. Once billed the claim is denied stating that we used an invalid modifier.

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Chiropractic Coding

Anyone please provide me which modifiers mostly used for chiropractic coding.

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E & M query

I am CPC certifed. As i compeleted my course i started working for ICD 10 and now i try to get into For E & M i m not getting opportunities. The companies where e & m works carried on wont accept my cv further only because i m into icd coding.
please give any solution that what i can do in this circumstances.

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palatoplasty with pharygeal wall augmentation

I am hoping someone can help me. Is the Posterior Pharyngeal Wall Augmentation included in the Palatoplasty procedure?

"The patient was placed in the Rose position and the palate was injected with 4 cc of 1% lidocaine with 1:100,00 epinephrine. After approximately 10 minutes and putting the patient back in the Rose position, an initial incision was made along the hard and soft palate on the left side through the oral mucosa and musculature, but leaving the nasal mucosa intact. At this...

palatoplasty with pharygeal wall augmentation

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Looking for Medical Billing Specialist / In-Office Job Opportunity / Sacramento, CA

Immediate Hire - Employment Opportunity - Immediate Hire

Medical Billing Specialist

Specialty-Oriented Dental Office billing Medical Insurance​

Our dental group is looking for a full-time employee, as a Medical Billing Specialists to work insurance billing, collections, account management, etc in our Sacramento, CA office.

This is an Office-based position, i.e. you are required to be in the office, working closely with Doctors and staff, bill for services...

Looking for Medical Billing Specialist / In-Office Job Opportunity / Sacramento, CA

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Primary Insurance and Secondary insurance.

If a primary insurance pays telehealth with no modifier, we bill secondary insurance and they deny because no modifier. It is a covered charge, they do require a modifier when billed as primary. Are we required to add the modifier for the secondary claim or should be process and pay with out the modifier based on what the primary did.

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GA Veterans Administration Claims - Help!!

Hi Everybody,

I am being told by the VA that due to a new system implementation that all UB-04 claims have to now come on CMS-1500 forms. Does anyone know if this is true. I have been told two differnet things by two differnt people today and can't get a straight answer.

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EP Study

It's been a LONG while since I coded an EP study. My MD wants 93563, 93655, 93613, 93462, 93623 + 93662. Please help. So my question is all of it but is the Atrial EGM was mapped using carto system = 3D mappping? I googled but...? TIA

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How to find a job with CPC-A

Hi this is sandhya very recently got my CPC-A certification,can anyone help where to start my career and how to search for a job or project extern
Please give your suggestions
That means a lot
Thanks in advance

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In-office surgical suite

Can anyone help with the coding/billing for a new in-office surgery suite? I have googled this but am not having any luck with guidance.
i.e can it be billed with POS 11 and can we get a facility fee

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I am new to AAPC and AAPC Community

Good Morning Everyone,

My name is Jessenia. I am new to Medical Coding. This is my first post ever to AAPC. First post in my life on AAPC. Hello Hello!
Question: Will I be taking my classes through this website? Or will it be via Blackboard? Also happy 4th of July. That is today's date.

7/4/2020 2:17AM
Best Regards,
Jessenia

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Medical Billing Software for small practice

Looking for suggestions / recommendations for medical billing software for 4 doctor medical practice. The practice specialty is physical medicine & rehabilitation (physiatry) and see a large percentage of workers compensation injured patients. Their current medical billing software is being discontinued the end of this year. Also if there is any software that anyone would comment on to stay away from, it would be appreciated. Thanks!

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3D GYN imaging

what is CPT code for 3D transvaginal ultrasound for IUD placement check?

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Does New Patient E/M require Modifier -25 with injection?

Hello Everyone!

I have a quick question, as I am seeing conflicting information. Does a new patient E/M require Modifier -25 when the patient receives an injection on the same day?

Example) New patient is evaluated, diagnosed with right knee osteoarthritis, and receives an injection (methylprednisolone) into his/ right her knee. Does the E/M code need modifier -25?

99203 -25 (?)
20610...

Does New Patient E/M require Modifier -25 with injection?

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