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| Articles by Gau Gan |
1. Follow 3 Tips for Assured Post-Op Brachial Plexus Success
June 18, 2012
Knowing when you are required to use modifier 59 is key to 64416 payment.
Brachial plexus block sounds like a challenge, and many coders wrestle with whether to involve the post-operative continuous catheter with their anesthesiologists global period billing in order to get proper re...
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2. Diagnosis Coding for Unknown Skin Rashes/Inadequate Growth and Drug Coding for J3301
June 18, 2012
Read the following Internal Medicine coding scenarios with expert answers and see what ICD-9 and HCPCS codes apply.
692.x Could Be Code of Choice for Unknown Skin Rashes
Question: You recently treated a patient for a skin rash that appeared to be an allergic re...
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3. Brush Up on These Critical Definitions to Accurately Identify MAC Cases
June 07, 2012
Tip: Don't forget to study updated ASA guidelines
Surgeons often request anesthesia for patients' comfort - as often is the case during a GI endoscopy. But many of these cases that coders routinely report as monitored anesthesia care (MAC) now qualify as general anesthesia based on t...
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4. Inducement and Complications Can Determine Proper Coding
June 07, 2012
Ob/gyn coders often report pregnancies that do not carry to term. Specific procedural codes come into play in cases more complicated than spontaneous abortion, and diagnostic coding depends on where the line is drawn between fetal demise and intrauterine death.
Although ICD-9 ...
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5. ECG Interpretations Should Be Performed or Reimbursed
June 07, 2012
Cardiologists often review ECGs at the request of other physicians or hospitals who want an expert second opinion on the data. In fact, the Joint Commission on Accreditation of Hospital Organizations (JCAHO) requires hospitals to do ECG overreads, where a cardiologist gets an ECG a few days after it...
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6. Method of Access Is Key in Determining Codes for Flank Drainage
June 07, 2012
Coding for open, laparoscopic or percutaneous drainage of the flank requires a distinction between methods of access, as well as location of the abscess or lymphocele that needs to be drained. There are no specific codes for different kinds of flank drainage procedures, so choosing an appropriate co...
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7. Check Extension in Extramedullary Tumors and Report Technique
June 06, 2012
Read these two neurosurgery coding scenarios and know what CPT codes you should apply while ealing with such situations.
Check Extension in Extramedullary Tumors
Question: How do you report a suboccipital craniectomy and C1-3 laminectomy for removal of intradur...
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8. Concentrate On Your P Modifiers or Miss Your Ethical Reimbursement
June 04, 2012
Have your documentation prepared for reporting level P4 and higher.
Physical status modifiers, also known as P modifiers, PS modifiers, ASAs or ASA P codes, are a significant element of your anesthesia medical billing and coding. In case you don’t use them appropriately, you could mi...
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9. Clear 1 Line for Accurate Swan-Ganz Coding
June 04, 2012
Reporting one placement will avoid inappropriate double billing of 93503.
The global anesthesia codes involve a lot of services, but when your anesthesiologist places a Swan-Ganz catheter, you’ll require knowing when you should -- and shouldn’t -- report CPT code 93503 (Insertion an...
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10. Ace These Pediatric-Specific Modifier 25 Issues
June 01, 2012
Hint: While billing both well and sick child visit, you should put modifier 25 on the sick visit code.
Wish to collect for both a procedure and an E/M service, or a sick and well visit carried out during the same appointment? Then modifier 25 (Significant, separately identifiable eva...
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Author: Gau Gan
