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| Articles by James Smith |
91. Nuclear Stress Test Coding Checklist
August 22, 2012
PLEASE NOTE - Some of the codes suggested in the article below (in the white area) are deleted since it was written. Here's the latest from SuperCoder's Cardiology Coder: Q: What Might a Sample Nuclear Stress Test Claim Look Like? When your cardiologist performs a nuclear stress test for ...
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92. Are You Reporting 43246 for All Gastrostomy Placements? Not So Fast
August 22, 2012
Without a careful reading of the op note, you-re probably coding incorrectly
Not all gastrostomy placements are endoscopic, and CPT actually contains four codes for procedures of this type. In addition, if your surgeon performs other procedures at the same time, you may...
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93. Use Eyelid Modifiers (-E1, -E2, -E3, -E4) for Three Procedures
August 22, 2012
Coders are often confused about when to use the eyelid modifiers: -E1 for upper left, -E2 for lower left, -E3 for upper right, and -E4 for lower right. Three common ophthalmological procedures require the eyelid modifiers: epilation (67820-67835), punctal plug procedures (68761-68815), and chalazion...
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94. Use 92012, Not 92014, to Get Paid for Most Followup Visits
August 22, 2012
When billing followup visits for patients with chronic conditions, 92012 (ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient) is usually more appropriate than 92014 (... comprehensive, ...
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95. Code Most GERD Tests With 91034, 91010
August 22, 2012
Make sure you document other treatments on manometry, pH study claims
When your gastroenterologist suspects that a patient may have gastroesophageal reflux disease (GERD), a trial of reflux medication or an endoscopy will usually confirm the condition.
If normal meth...
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96. E/M Coding Clinic: Medical Decision Making Level Determines Difference Between 99282 and 99283
August 22, 2012
Editors Note: This is the second installment in a series on reporting emergency service evaluation and management (E/M) codes. Future articles will cover codes 99283-99285.
Code 99282, the Level 2 emergency department E/M code , is considered the least controversial of ...
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97. Optimize Reimbursement by Coding Epilation Per Lid for Medicare, Per Eye for Other Payers
August 21, 2012
Ophthalmology coders often dont know whether to code epilation (the removal of an ingrown eyelash) per lid or per eye. CPT says to CPT 67820
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98. Increase Payment for Removal Of Retained Cataract Remnants During Post-op Period
August 21, 2012
After removing remnants of a previous cataract surgery, some ophthalmologists dont bill for the second procedure. Too often, they lose revenue to which they are entitled. How should you code removal of retained nuclear material in the anterior chamber during the post-op cataract period? Diagnosis co...
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99. You Be the Coder: Watch Out for Physician Variation in Head Injury Documentation
August 21, 2012
Question: Which ICD-9 code should we report for a closed head injury""? There was no loss of consciousness. Because the physician specified the head injury as closed we were going to report 854.01 instead of 959.01.
Arkansas Subscriber
Answer: From a c...
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100. Correct Coding for Suture Placement and Removal in the ED Optimizes Reimbursement
August 20, 2012
When sutures are placed by the emergency department (ED) physician and removed by the patients primary care physician (PCP), coding becomes more complex. Using the proper modifier and billing code will ensure appropriate payment to both physician groups.
Dari L. Bonner, CPC, CPC-H, CCS-P...
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Author: James Smith
