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| Articles by Gau Gan |
51. Clarification Breast Lump Diagnosis
May 02, 2012
"In the You Be the Coder answer on page 45 of the May general surgery coding Alert, a surgeon sees a patient sent by a primary-care physician (PCP) with what the PCP feels is a palpable breast m...
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52. CCI Bundles Anesthesia,Injection Codes Into Orthopedic Procedures
May 02, 2012
Version 8.2 of the national Correct Coding Initiative (CCI) took effect on July 1 and bundles several anesthesia and trigger point injection codes into many of the musculoskeletal surgical procedures frequently bil...
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53. Try Coding This Hematoma and Nephrostomy Tube Revision
May 02, 2012
A post-kidney transplant scenario proves that coding success lies in the details
Complications after a kidney transplant can mean complications on the coder's desk as one coder for a urology practice in Texas discovered. No matter how many coding guides supplements and resources you ...
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54. Think You've Mastered Glaucoma Coding? Test Yourself With This Scenario
May 01, 2012
The more tests you have to perform on a glaucoma patient, the more complicated your CPT and ICD-9 coding gets, as an Arizona optometrist in a Health Professional Shortage Area (HPSA) recently learned. No matter how many...
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55. Selective Vascular Procedures Can Lead Coders Astray
May 01, 2012
"Coders need to read through the operative report before billing for a catheter that in fact may not have been performed. Otherwise, they may bill for a procedure that was not done, which can lead to charges of fraud.
In the following operative report, the cardiologist describes bilateral ...
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56. Reason for Excision of Coccyx Determines Correct Code
May 01, 2012
"When a coccygeal decubitus ulcer is excised or debrided, the patients coccyx may also be removed to relieve pressure on the ulcer. Normally, this procedure is billed using either the debridement or decubitus ulcer excision codes. In some cases, however, neither the excision nor the debridement code...
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57. Payment for Atypical Procedures Demands Operative Note Clarity
May 01, 2012
"The notion that procedures should never be billed solely on the listed procedures at the top of the operative report is well established among coding specialists. Therefore, these specialists routinely recommend that coders read the entire operative note to accurately assess which procedures were p...
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58. Optimize Reimbursement When Assistant Surgeon Takes Over Management of Patient
April 30, 2012
"Global periods for major procedures apply only to the surgeon who performed the initial surgery, not to other surgeons who may have assisted with the procedure. In the following case study, a general surgeon who assisted with a radical cystectomy and a right nephrectomy nine days earlier has taken ...
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59. Ileoscopy Payable by Using Small Bowel Endoscopy Code
April 30, 2012
"General surgeons typically do not perform many endoscopic explorations of the small intestine and may be unfamiliar with the unique coding involved in billing such procedures.
Many coders dont know what to look for in the CPT manual because these codes arent found in the typic...
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60. Clearly Written Op Note Allows Billing for More Procedures
April 30, 2012
"When a general surgery coder reads the top of a surgeons operative note that lists a left hemicolectomy, along with repairs of umbilical and incisional hernias, insertion of mesh and insertion o...
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Author: Gau Gan
