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| Articles by Gau Gan |
191. Physical Medicine & Rehabilitation | Solutions to Nerve Conduction Study and EMG Coding Challen
March 04, 2012
Many physiatrists face big coding problems when billing for nerve conduction studies (NCSs) and electromyography (EMG). Practices that erroneously apply bilateral modifiers to nerve conduction study codes or fail to document medical necessity for these tests can avoid lengthy appeals by following ou...
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192. Ophthalmology | Tighten Up Your Ptosis Repair Coding
March 04, 2012
Document medical necessity and save $500 per procedure
Blepharoplasty and ptosis repair can be lucrative procedures - if you can meet requirements like keeping visual field data in the patient's records and appending the proper modifiers for bilateral procedures. Take a look a...
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193. General Surgery | Trach Tips: Coding Strategies To Optimize Reimbursement
March 02, 2012
General surgeons usually perform a tracheostomy (trach) for one of two reasons: the patient requires an emergency trach because of an airway obstruction or a planned trach is performed on a patient who can no longer tolerate intubation, says Marcella Bucknam, CPC, billing and compliance mana...
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194. Radiology | Understand Cystography and Urethrocystography To Ensure Proper Coding
March 02, 2012
Diagnostic studies of the bladder and urethra are frequently ordered to detect anatomic or functional abnormalities of the lower urinary tract. Cystography is performed when the ordering physician wants to examine the bladder, which collects and stores urine after the kidneys have processed it. Diff...
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195. Cardiology | Understand Carrier Guidelines on Echo Diagnosis Coding to Optimize Payment
March 01, 2012
Echocardiography is among the most commonly performed cardiology services. Coding these diagnostic tests, however, can be anything but routine. There are several variations on the basic echocardiogram, each with its own particular documentation requirements. In addition, non-physician practitioners ...
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196. General Surgery | Understanding HCFAs Special Coding Status Is Key to Billing Colonoscopies Correct
March 01, 2012
Colonoscopy billing presents a challenge for general surgeons and their coders because payment guidelines for these procedures are unique. For instance, when the surgeon performs a diagnostic colonoscopy (45378) but cannot complete the procedure, the Health Care Financing Administration (HCFA) instr...
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197. Pathology/Lab | Update Your ISH/FISH Coding - Here’s How
March 01, 2012
CPT 2005 expands 88365-88368
CPT 2005 erased the line in the sand - you should no longer use 88365 only for tissue ISH. Removing the word \"tissue\" from the code definition allows you to report this code for cyto...
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198. Ophthalmology | Use Eye Modifiers to See Your Way Past Global Period Coding Problems
March 01, 2012
The eye modifiers (-LT, Left side; and -RT, Right side) can be the key to ensuring proper reimbursement, especially when similar procedures are performed on both eyes. For example, if you perform a procedure on one eye within the global period of the same procedure on the other eye with the same dia...
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199. Pediatric | Use Four Steps to Accurately Select Laceration Repair Codes
February 29, 2012
When you repair a laceration, four elements determine the correct code:
- Classification: determine whether a repair is simple (superficial), intermediate (deeper layers), or complex (not likely in an ambulatory pediatric practice)
- Size: measure the siz...
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200. General Surgery | Use Musculoskeletal Codes For Deep Abscess I&D
February 29, 2012
"When billing for abscess procedures, coders need to look beyond the integumentary (skin) section of the CPT manual and use musculoskeletal codes when appropriate because these procedures reimburse at a higher rate than integumentary ...
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Author: Gau Gan
