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| Articles by Gau Gan |
141. Coding for New Procedures: Reporting a Percutaneous Tracheostomy vs. a Surgical Tracheostomy
March 27, 2012
Sometimes a physician or group comes up with a new way of performing a procedure or service. This new procedure may work well, be more beneficial to patients and, in some circumstances, save money. But, if this service isnt clearly delineated in <...
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142. Coding for Methotrexate for Treating Ectopic Pregnancies
March 27, 2012
"Ectopic pregnancy has been increasing in recent years, and recent statistics show it now occurs in one out of 60 pregnancies. This increase is thought to be related to an increasing incidence of chlamydia, gonorrhea and other pelvic infections. For those patients who require intervention, the lapar...
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143. Coding for Hearing Tests: 92551 versus 92552
March 26, 2012
The difference between pure tone hearing tests and threshold hearing tests can confound coders. When do you use 92551 (Screening test, pure tone, air only) versus 92552 (Pure tone audiometry [threshold]; air only)? Tip: Keep in mind that one is a screening test and one is a diagnostic test.
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144. Coding for Dermabond and Simple Laceration Repairs Is Carrier-specific
March 26, 2012
To ensure proper reimbursement when using Dermabond for simple laceration repair, internists and their coders need to use a G code when reporting this service for Medicare patients, or the applicable CPT laceration c...
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145. Coding for ACL Repair and Microfracture Chondroplasty
March 26, 2012
Orthopedic surgeons often perform anterior cruciate ligament (ACL) repair and chondroplasty (to close a lesion or microfracture) during the same operating room session. Although a unique CPT code exists for each procedure, not ...
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146. Coding Case Study: Meet the Challenge of Multicode Shoulder Surgeries
March 26, 2012
Complicated arthroscopic shoulder surgeries often result in multiple surgical procedures being performed in the same session. Where it might be easiest simply to match the procedure to the appropriate code, coders need to be aware not only of the codes that best describe what was done, but also what...
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147. Coding Case Study: How to Avoid Unbundling and Head Off Audits
March 23, 2012
Editors Note: This months case is a good example of how an inexperienced coder can place an ob/gyn practice in jeopardy, through frequent unbundling. After receiving a denial for this case, the practice soon was audited for other possible coding and billing violations.
Clinical Situatio...
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148. Coding Tactics to Get Paid for Laminectomies
March 23, 2012
" Obtaining reimbursement for laminectomies is often difficult because of confusion regarding which codes to use and whether they are bundled. These are expensive and complex procedures, and an incorrect determination can cost practices considerable amounts of money.
The case studies below...
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149. Coding Tactics for Fluoroscopy Used in GI Procedures
March 23, 2012
The digestive section of the CPT 2001 manual contains several new cross-references that explain which radiological code should be reported when fluoroscopic guidance is provided during a gastrointestinal procedure. While this i...
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150. Coding Reimbursement Tactics for Well-Woman Exams
March 22, 2012
The annual preventive well-woman exam is one of the ways a progressive ob/gyn practice promotes the health of its patients. But according to Jan Rasmussen, CPC, a coding consultant and instructor for Med-Learn, a medical practice management training and consulting firm, proper coding for thes...
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Author: Gau Gan
