Medical coding

Pre-op Diagnosis: Pelvic pain syndrome [R10.2] Chronic salpingitis [N70.11] Post-op Diagnosis: Same as Pre-op Severe pelvic adhesions  Procedure(s):  LAPAROSCOPIC LYSIS OF ADHESIONS – Wound Class: Clean Contaminated  – Incision Closure: Deep and Superficial Layers CHROMOTUBATION TUBALPLASTY LAPAROSCOPIC – Wound Class: Clean Contaminated  – Incision Closure: Deep and Superficial Layers Proc. Description(s) & CPT Code(s): LAPAROSCOPIC LYSIS OF ADHESIONS: CHROMOTUBATION … Read more

Description of CPT code 64630, 64632 & 64640  This procedure (CPT code 64630) is performed to treat chronic pain of the external genitalia, pelvis, and anorectal region. The pudendal nerve is destroyed using chemical, thermal, electrical, or radiofrequency techniques, which may be used independently or in combination. This procedure is designed to destroy the specific … Read more

Description of CPT code 22526 and 22527 Percutaneous intradiscal annuloplasty is a minimally invasive technique performed under fluoroscopic guidance to treat small tears in the annulus without an associated disc protrusion. The most common technique is intradiscal electrothermal therapy (IDET). In IDET, the physician advances a needle into the disc using x-ray image guidance. The … Read more

Description of CPT code 96547 and 96548 Procedure codes 96547, 96548 describe hyperthermic intraperitoneal chemotherapy (HIPEC) procedure that includes intraoperative perfusion of a heated chemotherapy agent into the abdominal cavity through catheters. The HIPEC procedure is distinct from the primary procedure and may include chemotherapy agent selection, confirmation of perfusion equipment settings for chemotherapy agent … Read more

Description of code 31242 and 31243 CPT code 31242 and 31243 are established from 2024 for reporting endoscopic energy-based neurolysis of the posterior nasal nerve.  Below is the description of the new cpt codes. 30117   Excision or destruction (eg, laser), intranasal lesion; internal approach 30118  external approach (lateral rhinotomy) 31237   Nasal/sinus endoscopy, surgical; with biopsy, … Read more

Sample Coded chart 1 General Chief Complaint: Altered Mental Status Time Seen by Provider: 12/07/23 19:12 History Source: Patient Mode Of Arrival: EMS Presenting Limitation(s): No Limitations – History of Present Illness HPI narrative: This is a 76-year-old male patient who presents to the emergency department tonight by ambulance  for evaluation of altered mental status … Read more

Basics of CPT code 43290 and 43291 Currently, several CPT codes describe procedures to induce weight loss, such as codes 43644 and 43645 (laparoscopic gastric bypass), codes 43770-43775 (laparoscopic gastric banding and laparoscopic sleeve gastrectomy), code 43845 (open biliopancreatic diversion), and code 43846 (open gastric bypass). These are invasive procedures that permanently alter the gastrointestinal … Read more