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| Articles by James Smith |
121. What V Code Applies for Negative Urinalysis on Day 2
June 15, 2012
Question: A private pay patient visited for a well check. The internist then ordered a urinalysis, which came back abnormal. The patient came back in the next day to take the test again, which came back normal. For the second test's diagnosis, should you use V67.59 (Following other treatment...
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122. Know How to Report Discharge Services
June 14, 2012
Question: A patient gets admitted to the hospital but then his condition warrants transfer to another facility, and then he is discharged on the same day. How is the physician ought to report his services?
Answer: You must not report 99238-99239 when the patient ...
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123. ICD-9: V72.83 and V10.05
June 14, 2012
V72.83 Frequently Won't Stand Alone
Question: Your surgeon carries out a pre-bypass surgery EGD and records acute esophagitis. What ICD-9 coding options should we list for the claim?
Answer: Since you must always report the most specific diagnosis, you ...
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124. Hospital Observation Services Codes vs. The Observation Or Inpatient Care Services
June 12, 2012
Q: When do you use the hospital observation services codes (CPT 99217-99220) vs. the observation or inpatient care services, with admission as well as discharge services codes (CPT 99234-99236)? Plus, how would you deal with the hospital discharge services codes, CPT 99238-99239 and initial inpatien...
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125. CPT 99201- CPT 99205 Master these Patient Visit Billing Codes
June 12, 2012
You often face questions regarding how to bill CPT code 99201 through CPT 99205. The question that rises is: “Can I Bill this particular patient as a new patient or do I am required to bill this patient as an already existing, established patient?"
A Definition of New Patient for Selec...
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126. HCPCS and ICD-9: AVA Cream, Carcinoma Excision and Dysplastic Nevus
June 08, 2012
HCPCS Code for AVA Cream
Question: When the dermatologist carries out photodynamic therapy, can you go ahead and code distinctly for the Levulan Kerastick? Is there a particular HCPCS code for the supply?
Answer: You must report HCPCS code J7308 (Aminol...
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127. Nephrectomy Coding and Robot-Assisted Lap Fistula Repairs
June 08, 2012
Pare Down Complicated Nephrectomy Coding
Question: Your urologist saw a Medicare patient who has a transitional cell carcinoma of his left ureter. The physician then cystoscopically excised the left ureteral orifice and fulgurated the neighbouring area to let the ureter t...
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128. Increase 92135 Pay With This Insider Advice
June 06, 2012
Get expert answers for your most common SLGT coding questions.
In case your ophthalmologists are using scanning laser glaucoma testing (SLGT) for early detection of eye disease, you've most likely found that getting correct reimbursement for this newer technology is a challenge. T...
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129. Plantar Injections and Copay
June 06, 2012
Distinguish Pain Killing Agents in Plantar Injections
Question: Your clinic has a number of patients looking for treatment for pain in the sole of the foot. As an outcome, your physician administers a lot of steroid injections as well as injections of anesthetic. How shou...
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130. ED E/M Coding: Pay Attention HPI Count, or Risk Running Into Red Tape
June 06, 2012
Note minor differences in HPI rules among payers.
Coders that cannot recognize history of present illness (HPI) elements on ED encounter forms could be actually miscoding many E/M claims. Read this expert medical coding and billing article for more.
Why? HPI ele...
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Author: James Smith
