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Description of 88363 CPT code 88363 Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) Mutations (changes) in the KRAS gene are often found in certain human cancers and may be predictive of a poor prognosis and limited clinical response to certain therapies. The KRAS protein is … Read more
Basics about CPT or HCPCS code 0232T CPT Category III code 0232T was introduced in 2010 for reporting injection of platelet rich plasma to a targeted site; the code definition includes all harvesting, preparation, and image guidance for the service. This code is only used when PRP (Platelet rich plasma) is performed in a complete separate … Read more
Basics of Gangrene ICD-10 coding Gangrene is death of body tissue due to a lack of blood flow or a serious bacterial infection. Gangrene commonly affects the arms and legs, including the toes and fingers. I96 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Type 1 Excludes … Read more
Edit Number Edit Hospital Type Edit Description Edit Result/Claim Disposition Provider Action/Response 81 OPPS edit Mental health service not payable outside the partial hospitilization program This edit occurs when a mental health service that is not payable outside the PH Program is submitted on a 012X or 013X TOB without condition code 41. The claim … Read more
Surgery Medical coding Chart 1 PREOPERATIVE DIAGNOSIS: Adenocarcinoma in situ of cervix. POSTOPERATIVE DIAGNOSIS: Awaiting pathology report. PROCEDURE: Cold conization of cervix. SURGEON: ASSISTANT: None. ANESTHESIA: Dr. PACKS: Vaginal pack of half-inch plain gauze placed in endocervix and vagina. DRAINS: None. ESTIMATED BLOOD LOSS: Less than 50 cc. FINDINGS OF PROCEDURE: The patient was brought … Read more
Edit Number Edit Hospital Type Edit Description Edit Result/Claim Disposition Provider Action/Response 1 Both OPPS and non-OPPS edit Invalid diagnosis code This edit occurs when the principal diagnosis field is blank, there are no diagnoses listed, or the diagnosis code is not valid for the selected version of the program. Each ICD-10-CM diagnosis code is … Read more
Medicare Description Explanation 1 INVALID DIAGNOSIS OR PROCEDURE CODE The Medicare Code Editor checks each diagnosis including the admitting diagnosis and each procedure against a table of valid ICD-10-CM and ICD-10-PCS codes. If an entered code does not agree with any code on the internal list, it is assumed to be invalid. 2 EXTERNAL CAUSES … Read more
Basics of CPT code 78600 & 78601 Brain imaging in nuclear medicine provides functional diagnostic information of the central nervous system. Brain imaging is particularly useful when paired with information from a patient’s clinical evaluation and other brain imaging studies, such as computerized tomography (CT) and magnetic resonance imaging (MRI). In medical coding, we have … Read more
Definitions of Vertebroplasty, Kyphoplasty and Sacroplasty CPT coding Percutaneous Vertebroplasty: a minimally invasive procedure performed under fluoroscopic or computed tomography guidance. The cement that is injected into the vertebral body hardens immediately, reinforcing the collapsed vertebrae and providing immediate relief of pain. Percutaneous Sacroplasty: this procedure, essentially identical, to the work done in the percutaneous … Read more
Basics of Community-acquired pneumonia (CAP) ICD-10 CM coding Community-acquired pneumonia (CAP) is one of the most common infectious diseases and an important cause of mortality and morbidity worldwide. Typical bacterial pathogens that cause CAP include Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. J18.9 – Pneumonia, unspecified organism J18.9 is a billable/specific ICD-10-CM code that can be … Read more