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| Articles by Gau Gan |
151. Correctly Coding Ultrasound Studies of Peripheral Veins and Arteries Improves Payment
March 22, 2012
"Increased reliance on diagnostic ultrasounds of the extremities has placed demands on codersto recognize appropriate diagnosis codes supporting specific ultrasound studies, to be familiar with the various technologies (Doppler vs. duplex) used during these procedures and to better understand the va...
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152. Correctly Coding Excision of a Heel Spur
March 22, 2012
When the excision of a heel spur is complicated by associated conditions, comprehensive documentation
of those conditions and the added procedures and supplies needed to treat them will lead to appropriate reimbursement.
The coding for the removal of a heel (calcaneus) spur [see box ...
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153. Correctly Code Epoetin-Alpha (EPO [Epogen, Procrit]-Q0136) to Gain Prompt Payment
March 21, 2012
Putting the right codes in the right order helps get claims paid promptly. Any claims that include epoetin-alpha, Q0136, (EPO [Epogen, Procrit]), a biological response modifier, require a different order than claims for chemotherapy claims. Epogen and Procrit (epoetin-alpha, Q0136) are adjuncts to c...
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154. Correctly Bill Pacemaker Checks During the Global Period
March 21, 2012
"Cardiologists need to familiarize themselves with the guidelines on pacemaker checks after a pacer has been installed in a patient. Because the insertion of a pacer is one of the few procedures cardiologists perform that has a 90-day global period, some cardiologists unfamiliar with global package ...
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155. Correctly Assigning V Codes or Five-Digit Ob Diagnosis Codes Optimizes Reimbursement
March 21, 2012
"The ICD-9 manual has two separate sections of diagnostic codes for pregnancy. Understanding when to apply which codes can be the key to greater reimbursement for the supervision of high-risk or otherwise complicated pregnanci...
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156. Correct Use of Modifier -59 for Bilateral Neck Dissections Optimizes Payment
March 20, 2012
"Neck dissections are difficult to code because they often are associated with a primary procedure to remove malignancy elsewhere. In some cases, these primary procedures already include radical neck dissections (RND). With other procedures, RNDs are not included and may be billed separately.
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157. Correct Ortho Codes for Fracture Care Depend On Extent of Treatment
March 20, 2012
"Coders may apply orthopedic codes for the treatment of fractures, sprains and other orthopedic injuries only when the ED delivers definitive care, sometimes also called restorative care. Definitive care aims to repair, rather than simply stabilize, the injury. An ED physician performs definitive ca...
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158. Continue to Use Unlisted-Procedure Code for Laparoscopic Ventral Hernia Repair
March 20, 2012
General surgeons who expected CPT 2002 to include a code for reporting laparoscopic repair (LR) of ventral/incisional hernias, take note: Continue to use unlisted-procedure code 49659 (Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy) to report this procedure.
Althoug...
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159. Meet the Challenge of Thyroidectomy Coding
March 20, 2012
Thyroidectomies and other related excisions, such as parathyroidectomies, can pose difficult coding challenges.
The thyroid is the largest of the endocrine glands, consisting of two lateral lobes connected by an isthmus. A third pyramidal lobe sometimes extends from the isthmus. The gland m...
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160. Multiple Procedures, Modifiers and Endoscopy Rules Apply to Bronchoscopy Coding
March 20, 2012
Bronchoscopy is a common procedure. Codes (31622-31656) describe the various methods, often performed in one session. Reimbursement for multiple bronchoscopies can be achieved by knowing what to code separately and which modifiers to use. Use |
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Author: Gau Gan
