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| Articles by Gau Gan |
211. Neurology Pain Management | Assigning ICD-9 Codes: Simple Strategies for Coding Seizures During EEG
February 22, 2012
Two distinct problems may plague professional coders who face the challenge of assigning proper codes during electroencephalographic (EEG) seizure monitoring, which include archaic diagnostic definitions and neglecting to code for signs and symptoms.
1. Archaic diagnostic defini...
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212. Anesthesia | What Coders Should Know: Diagnosing and Treating Sacroiliac Joint Dysfunction
February 22, 2012
Recent studies have estimated that 10 to 30 percent of those who suffer from chronic low back pain may have sacroiliac (SI) joint dysfunction. SI joint dysfunction often is related to a traumatic injury, such as falling and landing on the buttocks, or automobile accidents where the driver's leg is e...
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213. Emergency Medicine | You Be the Coder: Watch Out for Physician Variation in Head Injury Documentati
February 21, 2012
Question: Which ICD-9 code should we report for a \closed head injury\"? There was no loss of consciousness. Because the physician specified the head injury as closed we were going to report 854.01 instead of 959.01.
<...
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214. Gastroenterology | You Be the Coder: PEG Placement
February 21, 2012
Question: How do I code when two gastroenterologists perform a percutaneous placement of a gastrostomy (PEG) tube (43246)? Some of our gastroenterologists use modifier -62, and others use modifier -80. What modifier should we use if one gastroenterologist performs the endoscopy and another ...
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215. Orthopedic | Receive Reimbursement for Physician Assistants in the Surgical Setting
February 20, 2012
A certified physician assistant (PA) is a healthcare professional licensed to practice medicine with physician supervision. When working within a physicians office, clinic or hospital setting, PAs can conduct physical exams, diagnose and treat illnesses, order and interpret tests and assist in surge...
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216. Ob-Gyn | Reimbursement and Coding Tactics on Billing for Pap Smears
February 20, 2012
One of the most common procedures performed in the gynecologists offices is the collection of a screening Papanicolaou smear. According to the National Cervical Cancer Coalition, All women who are or have been sexually active, or have reached age 18, should have Pap tests and physical exams regularl...
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217. General Surgery Coding - Differentiate Thoracic Procedures To Ensure Proper Payment
February 09, 2012
Coding for thoracic procedures involving thoracotomy, which requires opening the patient's chest, and thoracoscopy, a procedure similar to laparoscopy that is performed in the chest rather than the abdomen, can prove a challenge. It's confusing enough that the CPT manual offers a choice of more t...
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218. Urology Coding | Cut the Confusion: Billing for Retrograde Pyelogram
February 08, 2012
Urology coders are often confused about what codes they can bill with 52005 (cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service) when t...
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219. Otolaryngology, Modifier 59 | CPT Pinpoints Fine Needle Aspiration Codes
February 08, 2012
CPTs introduction of 10021 (Fine needle aspiration; without imaging guidance) and 10022 ( with imaging guidance) and deletion of 88170 (Fine needle aspiration; superficial tissue [e.g., thyroid, breast, prostate]) and 88171 ( deep tissue under radiologic guidance...
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220. Anesthesia Coding - Procedural Stages for Intrathecal Pumps Provide the Key to Successful Coding
January 11, 2012
The three-stage process of using a permanent implantable pump (trial insertion and evaluation, permanent placement, and ongoing maintenance) can present a significant coding dilemma for anesthesia practices. The challenge is that how each stage is performed largely determines how the next one is cod...
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Author: Gau Gan
