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PREOPERATIVE DIAGNOSIS: 1. Suspected abdominal wall abscess POSTOPERATIVE DIAGNOSIS: 1. Abdominal wall abscess PROCEDURE: 1. Exploration of abdominal wall post op fluid collection, incidion and drainage of abdominal wall abscess ANESTHESIA: General INDICATION FOR PROCEDURE: This unfortunate 63y.o. lady underwent free flap reconstruction of her left arm wound with an abdominal donor site. She is … Read more
Ultrasound guided right thoracentesis Indication: Pleural effusion Findings: Written informed consent was obtained from the patient after explanation of risks, benefits and alternatives. Limited ultrasound scanning over the back for localization of the right pleural effusion. Overlying skin posteriorly was marked with ultrasound and then sterilely prepped and draped. Local anesthesia with 1% lidocaine. A … Read more
What is RVUs, wRVUs & RVU Calculator ? RVU stands for Relative value unit. It is a cost or value assigned for each CPT and HCPCS code by CMS (Centre for Medicare and Medicaid) for providing a service. It has majorly three components, physician work, physician expenses and malpractice overhead. The values of cost of … Read more
Basic about urethral catheterization CPT code Urinary catheters are used when patient is unable to empty his or her bladder. If the urine is retained in bladder, pressure is developed in the kidney. Such pressure can lead to harmful disorder like kidney failure. The urinary catheter has a tiny balloon attached at the end. When … Read more
Basics about Polypectomy & Myomectomy CPT code Endometrial polyps are one of the most common causes of abnormal vaginal bleeding in both premenopausal and postmenopausal women. Endometrial polyps can also be an overgrowth (tumor) of cells. Hence, polypectomy is done to get rid of such harmful diseases. Polypectomy is a minimally invasive procedure in which doctors remove … Read more
Basics of trigger finger/point injection cpt code 20550-20551 The physician injects a therapeutic agent into a single tendon sheath, or ligament, aponeurosis such as the plantar fascia in 20550 and into a single tendon origin/insertion site in 20551. The physician identifies the injection site by palpation or radiographs (reported separately) and marks the injection site. … Read more
Basics of ORIF distal Radius CPT codes ORIF stands for Open Reduction Internal Fixation. Distal radial fractures can be very complex. Open treatment of a distal radial fracture is significantly more complex today than when the CPT code for open reduction and internal fixation was originally introduced, due to new technology (eg, fracture specific fixation, … Read more
Basics of Joint replacement procedures Joint replacement procedure are very common in old age patient. With growing age the bone density decreases and hence joint problems increases. In most of the case joint replacement procedure help in treatment problems like arthritis, osteoarthritis etc. Medical coders has lot of confusion in coding joint replacement or arthroplasty … Read more
Basics about 62270 CPT code (Lumbar Puncture) A lumbar spinal puncture is performed for diagnostic or therapeutic purposes. A lumbar puncture (spinal tap) is performed in your lower back, in the lumbar region. During a lumbar puncture, a needle is inserted between two lumbar bones (vertebrae) to remove a sample of cerebrospinal fluid. This is the fluid that surrounds your brain and spinal cord to protect … Read more
Basics of Critical Care 99291 & 99292 CPT code Critical care is defined as a physician’s (or physicians’) direct delivery of medical care for a critically ill or critically injured patient. A critical illness or injury acutely impairs one or more vital organ systems such that there is a high probability of imminent or life … Read more