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The procedure of blood patch involves injection of patient’s own blood in the epidural space. The whole procedure is performed in sterile manner to seal the site of the dural CSF (Cerebrospinal Fluid) leak. The CSF leak is usually due to prior lumbar puncture, myelogram or epidural injection/infusion. Approximately around 20 cc of patient’s blood … Read more
Medical Coding Sample Chart 1 Procedure: CERVICAL FACET INJECTION LEFT C5-6 and C6-7 Diagnosis: Cervical Spondylosis The patient has been referred to the Pain Management Center for cervical facet injection treatment of chronic axial neck pain. The patient has had long standing cervical pain thought to be facet joint generated and which has been refractory … Read more
Sample Chart 1 Reason For Exam cancer;Other Report PROCEDURE: PICC PLACEMENT USING ULTRASOUND AND FLUOROSCOPIC-GUIDANCE: CLINICAL INFORMATION: Malignant neoplasm of tonsil. FINDINGS: This central venous catheter was inserted with all elements of maximal sterile barrier technique, cap and mass and sterile gown and sterile gloves and sterile full body drape and hand hygiene and 2% … Read more
Basics of CPT codes 22867, 22868, 22869 and 22870 To increase the space within the neural foramen and release nerve pressure to decrease pain, interspinous/interlaminar process stabilization/distraction device is placed. Interspinous device is placed within the vertebral spinous processes. Interlaminar devices are placed between adjoining lamina and spinous process. CPT code 22867, 22868, 22869 and … Read more
Sample Medical coding Chart 1 INDICATION: 49-year-old male with HCC TECHNIQUE: Under direct ultrasound guidance a micropuncture needle was advanced into the common femoral artery and a microwire advanced. The needle was removed and a micropuncture sheath advanced over the wire. An 035 wire was advanced into the abdominal aorta and a 5 French sheath … Read more
For coding Vascular procedures, it is very important to understand the concept of vascular families. Vascular families are located in Appendix L in CPT codebook. Vascular family is made of branches of arteries arising from aorta. We have different vascular families from head to leg. You can refer the below image and know how they … Read more
Basics for Revascularization CPT codes (37220-37235) The revascularization CPT codes (37220-37235) are mainly used for vascular intervention procedures. This mainly includes the angioplasty, stent placement and atherectomy. The CPT codes for angioplasty, stent and atherectomy are bundled codes and includes most of the small services. Angioplasty: It is a procedure used to open clogged heart … Read more
Medical coding field has lot of different facilities. Medical coders who took medical coding as their career will not be aware of so many facilities before. However, with time we all will know how difficult job it is to be a medical coder. If there is slight mistake in a single numerical digit in CPT … Read more
Basics about CPT code 47533, 47534 Before going ahead about biliary drainage catheter, we have to understand about difference between external and internal biliary drainage catheter. If you are not aware of biliary procedure, you can refer the cholangiogram procedure first. In Eternal biliary drainage catheter, one end of the catheter is in a bile … Read more
Moderate Conscious Sedation coding 99151-99157 Moderate conscious sedation (MCS) is a drug given for performing major procedures. The MCS helps in inducing depression of consciousness. MCS includes administration of agents, maintenance of sedation, monitoring of oxygen saturation, heart rate, blood pressure and establishment of IV access. There are few common CPT codes used for coding … Read more