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BILI — Bile duct, liver or pancreatic surgery – Excision of bile ducts or operative procedures on the biliary tract, liver or pancreas (does not include operations on gallbladder only) Procedure Code Category CPT Codes Code Description BILI 47010 Hepatotomy; for open drainage of abscess or cyst, 1 or 2 stages BILI 47015 Laparotomy, with … Read more
BRST — Breast Surgery – Excision of lesion or tissue of breast including radical, modified, or quadrant resection, lumpectomy, incisional biopsy, or mammoplasty Procedure Code Category CPT Codes Code Description BRST 11970 Replacement of tissue expander(s) with permanent implant BRST 19101 Biopsy of breast; open, incisional BRST 19105 Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, … Read more
CARD — Cardiac Surgery – Procedures on the heart; includes valves or septum; does not include coronary artery bypass graft, surgery on vessels, heart transplantation, or pacemaker implantation Procedure Code Category CPT Codes Code Description CARD 0051T Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy CARD 0052T Replacement or repair of … Read more
CBGB — Coronary artery bypass graft with BOTH chest and donor site incisions – Chest procedure to perform direct revascularization of the heart; includes obtaining suitable vein from donor site for grafting Procedure Code Category CPT Codes Code Description CBGB 33509 Endoscopic harvest of single upper extremity artery segment for coronary artery bypass procedure CBGB … Read more
CHOL — Gallbladder surgery – Cholecystectomy and cholecystotomy Procedure Code Category CPT Codes Code Description CHOL 47480 Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) CHOL 47562 Laparoscopy, surgical; cholecystectomy CHOL 47563 Laparoscopy, surgical; cholecystectomy with cholangiography CHOL 47564 Laparoscopy, surgical; cholecystectomy with exploration of common duct CHOL 47570 Laparoscopy, … Read more
COLO — Colon surgery – Incision, resection, or anastomosis of the large intestine; includes large-to-small and small-to-large bowel anastomosis; Procedure Code Category CPT Codes Code Description COLO 44025 Colotomy, for exploration, biopsy(s), or foreign body removal COLO 44110 Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; … Read more
CRAN — Craniotomy – Excision, repair or exploration of the brain or meninges; does not include taps or punctures Procedure Code Category CPT Codes Code Description CPT code 61105 Twist drill hole for subdural or ventricular puncture CPT code 61107 Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording … Read more
List of Status Indicators A = Active code. Medicare pays these codes separately under the physician fee schedule (PFS), if covered. Codes with this status include RVUs and payment amounts. The presence of an A indicator doesn’t mean that Medicare has made a national coverage determination about the service. A/B MACs (B) stay responsible for … Read more
ICD 10 coding guidelines has many different instructional notes which help us to follow general coding guidelines. For example, the Excludes 1 and Excludes 2 notes which are newly introduced in ICD 10, tells us whether to code these codes together or not. The same way, we have lot of codes in ICD 10 code … Read more
Basics for CPT code 99497, 99498, 1123F & 1124F Advance care planning (ACP) involves learning about and considering the types of decisions that will need to be made at the time of an eventual life-ending situation and what the patient’s preferences would be regarding those decisions. Discussions between the patient’s physician(s) or other qualified health … Read more