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Reader Question: Understand When G0268 Outweighs 69210

Question: I billed G0268 with 92511 and had the appropriate documentation for support. One of our private payers denied the G0268 because the “related qualifying service” (Audiologic Function Testing)...

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Reader Question: Sometimes 20552 Applies Instead of 27096

Question: Our physician did an SI injection in the office without any image guidance as the C-arm was not functioning. Should I bill 20552 or 20610? Minnesota Subscriber Answer: Actually, neither code...

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Reader Question: Choose Best Code for Follow-Ups, Not Just 99212

Question: We recently finished our first internal audit and found a potential issue: One of the doctors told me that he only chooses level 99212 when it is a follow-up from Read More...

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Reader Question: Beware Fundoplication Bundles

Question: We had a case where the surgeon had to “redo” an old fundoplication while performing a laparoscopic hiatal hernia repair with placement of Sirgisis mesh. How should we code this, Read More...

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Reader Question: Turn To 64493 for Lumbar Pars Injection

Question: For a patient who is diagnosed with lumbar pars defect, can we report code 64493 for a lumbar pars injection? Is this the correct CPT® code? North Carolina Subscriber Answer: Read More...

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Reader Question: PPD Test May Warrant E/M

Question: Our insurance company bundles an office visit with the code for PPD administration and paying one or the other, but not both. Should we file something differently? North Carolina Subscriber...

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Reader Question: Single Lesion Removal Using Different Techniques

Question: Our internal medicine physician recently performed removal of a plantar wart approximately 5mm in diameter. He initially shaved the lesion and then cauterized it with silver nitrate. He...

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Reader Question: Find Out Whose Chart Gets the Fetal Fracture Dx

Question: Patient was about 6cm and began to have decelerations into the 80’s. They decided to perform an emergency C-section. Because the fetal head was wedged tightly into the pelvis, the Read More...

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Reader Question: Select Glucose Code by Method

Question: We’re getting denials when we bill a blood glucose test with 82962. The payer says that the test isn’t payable under contractual agreement. Is this the correct code? SuperCoder Subscriber...

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Reader Question: Don’t Make This $104 Mistake

Question: Our surgeon removed a mass from a patient’s nose (1.3 cm, including margins), and the pathologist diagnosed it as a dermoid cyst. Should we report 11442 for the service? Nevada Subscriber...

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Reader Question: Stick with 52282 for Permanent Stent

Question: I saw your article on new 2015 codes 52441 and 52442. Is there a specific code for a permanent intra-urethral urethral stent or prostatic stent? Will I be able to Read More...

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Reader Question: Bill for X-rays and Contrast in Prostate Cystogram

Question: How should I report prostate cyst aspiration and prostate cystogram? How do we report for the injection of contrast into the prostatic cyst? Virginia Subscriber Answer: You report code 10021...

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Reader Question: Get Clarification on “Dilation” and 58100

Question: The Feb. 2012 issue of the Ob-gyn Coding Alert has an example of CPT® 58100-endometrial sampling (biopsy) as: “…plastic catheter into the uterus and suctions out a small amount of Read More...

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Reader’s Question: Swine Flu Out of Pandemic Vaccine List

Question: Our practice has been receiving queries for H1N1 vaccinations. What are our coding options and restrictions? New Jersey Subscriber Answer: You should now code H1N1 vaccination as you would...

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Reader Question: Document Donor Site to Code Advancement Flaps

Question: Our surgeon closed a deep abdominal wall defect that was approximately 440 sq. cm. using 300 sq. cm. flaps on each side. Should I report just the repair, or Read More...

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Reader Question: Demonstrate Distinct Multiple Procedures to Unbundle CCI Edits

Question: Our podiatrist visited an established patient at a nursing home but noted an infection and tinea pedis not previously seen. His notes describe an I&D on the left hallux, and Read More...

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Reader Question: CCI Edits Direct Whether 96372 Is Allowed With Scope

Question: When the otolaryngologist performs a scope in the office and also gives a shot (using 96372 for administration and a separate code for the medication), is there any reason to Read More...

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Reader Question: Procedure Specifics Dictate Whether 96372 Can Be Billed With...

Question: A patient visited our office for therapeutic injections of Toradol and Kenalog. Do I report the injection codes or HCPCS medication codes? Would they be billable with an epidural injection?...

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Reader Question: Don’t Prioritize Mass of Uterus

Question: I’ve heard that the mass of a uterus is important for choosing the proper code, so how do I use that information in my code selection for the pathologist’s uterus Read More...

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Reader Question: Meet All the Criteria Before Reporting Bilateral Injections

Question: We have been facing challenges for reporting bilateral procedures like injection codes 64483 (Injection[s], anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance...

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