Learn How to Code
Dilation of the Fallopian tubes is really more of a cleansing of the tubes than a true dilation. The tubes are very small and thin-walled. The most common cause for blockage is from an infection that results in strictures and fibrosis of the tube(s). A hydrosalpinx is the medical name for a fallopian tube that … Read more
The procedure of blood patch involves injection of patient’s own blood in the epidural space. The whole procedure is performed in sterile manner to seal the site of the dural CSF (Cerebrospinal Fluid) leak. The CSF leak is usually due to prior lumbar puncture, myelogram or epidural injection/infusion. Approximately around 20 cc of patient’s blood … Read more
Code Description of CPT code 95115, 95117, 95144, 95145, 95146, 95147, 95148, 95149, 95165, 95170 95115 – Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection 95117 – 2 or more injections Allergen immunotherapy is performed to treat seasonal allergies, such as allergies to pollen from grasses, weeds, and trees or to … Read more
Sample Chart 1 Reason For Exam cancer;Other Report PROCEDURE: PICC PLACEMENT USING ULTRASOUND AND FLUOROSCOPIC-GUIDANCE: CLINICAL INFORMATION: Malignant neoplasm of tonsil. FINDINGS: This central venous catheter was inserted with all elements of maximal sterile barrier technique, cap and mass and sterile gown and sterile gloves and sterile full body drape and hand hygiene and 2% … Read more
New Surgery Codes for 2022 33894 – Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches 33895 – not across major side branches 33897 – Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta 42975 – Drug-induced sleep endoscopy, with … Read more
Basics of CPT codes 22867, 22868, 22869 and 22870 To increase the space within the neural foramen and release nerve pressure to decrease pain, interspinous/interlaminar process stabilization/distraction device is placed. Interspinous device is placed within the vertebral spinous processes. Interlaminar devices are placed between adjoining lamina and spinous process. CPT code 22867, 22868, 22869 and … Read more
Sample Medical coding Chart 1 INDICATION: 49-year-old male with HCC TECHNIQUE: Under direct ultrasound guidance a micropuncture needle was advanced into the common femoral artery and a microwire advanced. The needle was removed and a micropuncture sheath advanced over the wire. An 035 wire was advanced into the abdominal aorta and a 5 French sheath … Read more
Medical coding Sample report 1 Pre-op Diagnosis: Left hip recurrent acetabular labral tear Post-op Diagnosis: Same Procedure: Left hip acetabular labral reconstruction using semi tendinosis allograft 6 mm in diameter. Revision cam resection or femoral osteoplasty Implants: Five cinch lock anchors and 1 NanoTack anchor from Stryker Anesthesia Type: GETA and regional (Fascia iliacus block) … Read more
Medical coding Sample Report 1 EXAM: MAMMO US BIOPSY LYMPH NODE RT COMPARISON: None REASON FOR EXAM: N63.10-Breast mass, right ADDITIONAL HISTORY: . INFORMED CONSENT: Prior to the procedure in an non-coercive space, the patient was advised as to the nature of the procedure including placement of markers, alternatives, benefits, and risks including but not … Read more
Medical coding Sample Chart 1 PREOPERATIVE DIAGNOSIS: Recurrent streptococcal adenotonsillitis POSTOPERATIVE DIAGNOSIS: Same ANESTHESIA: General by endotracheal tube. COMPLICATIONS: None. OPERATION/PROCEDURE: Traditional tonsillectomy and adenoidectomy. FINDINGS:Tonsils: 3+, significant scar to superior constrictor muscle Adenoids: 1+ INDICATION: Recurrent streptococcal adenotonsillitis DESCRIPTION OF PROCEDURE: After informed consent was obtained in the preoperative holding area, the patient was … Read more