When to use CPT code 66821 by medical coders

Description of CPT code 66821 The patient initially had extracapsular cataract surgery in which the posterior shell of the lens was not removed from the eye. But the capsule and/or the membrane adjacent to it (the anterior hyaloid) has since become opaque and must be destroyed in this new surgery. After a topical anesthetic is … Read more

Best Coding Tips for CPT code 78070, 78071 & 78072

Best Coding Tips for CPT code 78070, 78071 & 78072

Basics about CPT code 78070 and 78071 There are many CPT codes in Radiology facility. As we have almost learnt most of the CPT codes in radiology and surgery section. If you are clever enough, you can easily self-prepare yourself for certification exams like CPC, through this information. Yes, there are lot of books available … Read more

Ambulatory Surgical Center Payment System

Medicare rates cover hospital outpatient services. OPPS covers hospital outpatient X-rays, emergency department visits, and partial hospitalization. Medicare rates determine ASC payment. The ASC Payment System pays for covered surgical procedures and ASC facility services. CMS updates OPPS/ASC regulations annually in one rule, with comment periods before implementation. The ACS is interested in CMS; OPPS … Read more

ICD 10 code for Aortic Aneurysm Coding Guide

Basic of ICD 10 code for Aortic Aneurysm An aneurysm is a localized abnormal dilation of blood vessels. Aneurysms can grow large and rupture or dissect. Aneurysms are classified primarily according to their location and, in some codes, whether rupture is present, such as: Heart (I25.3) Coronary artery (I25.41) Pulmonary artery (I28.1) Cerebral (I67.1) Thoracic … Read more

Vitamin D deficiency ICD 10 Coding Guidelines

 As a medical professional, it is essential to stay informed about the latest developments in the field of health. One such issue that continues to affect people worldwide is vitamin D deficiency. Vitamin D is a vital nutrient that helps maintain bone health, immunity functions, and muscle strength. However, many people suffer from its deficiency, … Read more

CPT code 45378 (Colonoscopy) coding guide

Basics of CPT code 45378 (colonoscopy) Colonoscopy is an examination of the entire colon, from the rectum to the cecum, and may include examination of the terminal ileum or small intestine proximal to an anastomosis. Colonoscopy is the most effective diagnostic procedure for colon polyps and early colorectal cancer. CPT code 45378 is one of … Read more

How does Medical Insurance billing work?

Medical insurance billing seems complex and often needs clarification for many individuals, healthcare providers, and insurance companies. Only some people completely understand the ins and outs of the medical billing system. In the healthcare industry, it is imperative to have a solid understanding of medical insurance billing to ensure that providers receive reimbursements from insurance … Read more

When to assign Diagnosis (ICD10) codes for Chronic Condition

When to assign Diagnosis (ICD10) codes for Chronic Condition

While assigning diagnosis codes for chronic conditions may seem straight- forward, some confusion remains regarding which conditions should be coded in the outpatient setting. Medical coders are responsible for assigning ICD-10-CM codes for all diagnoses made by a healthcare professional that affect the patient’s care. These codes tell a detailed story about the patient’s condition, … Read more

Coding guide for CPT code 99424, 99425, 99426 and 99427

Coding guide for CPT code 99424, 99425, 99426 and 99427

Basics of Principal care management CPT codes Principal care management services are provided to patients for a single high-risk disease. There is one complex condition that is chronic and expected to last a minimum of three months that puts the patient at substantial risk of exacerbation, functional decline, hospitalization, or death. The disease-specific care plan … Read more

Practice Q&A for Medical coding Certification Exams 2023

Practice Q&A for Medical coding Certification Exams 2023

Question 1 Which CPT code would be reported for a cystourethroscopy with removal of a ureteral calculus? 52320 52325 52332 52352 Question 2 A physician performs a cystourethroscopy with ureteroscopy and treatment of intra-renal stricture through balloon dilation. Which CPT code would be reported? 52344 52345 52346 52351 Question 3 Which CPT code would be … Read more

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