Sample coded report for Gastrectomy Robotic Assisted cpt code

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Pre-op Diagnosis: Morbid obesity (CMS/HCC) [E66.01] Body mass index is 43.75 kg/m². Essential hypertension, OSA with cpap Post-op Diagnosis: Same as Pre-op Procedure(s):  Procedure(s): SLEEVE GASTRECTOMY ROBOTIC ASSISTED Proc. Description(s) & CPT Code(s): SLEEVE GASTRECTOMY ROBOTIC ASSISTED:  Anesthesia: General Estimated Blood Loss: None Quantitative Blood Loss: No data recorded   Drain: None  Complications: none Findings: Liver appeared fatty Technique:  Tonie Williams is electively admitted for robotic sleeve gastrectomy today … Read more

Sample Coded report for Spinal Cord Stimulator Battery Replacement Exam

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Pre-op Diagnosis: Chronic pain syndrome [G89.4] Mechanical breakdown of implanted electronic neurostimulator of spinal cord, initial encounter (CMS/HCC) [T85.112A]    Post-op Diagnosis: Same as Pre-op Procedure(s): Spinal Cord Stimulator Battery Replacement – Wound Class: Clean Anesthesia: Monitor Anesthesia Care Estimated Blood Loss: None Drain:  None   Total IV Fluids:  Per anesthesia record   Specimens: No specimens Complications:  None Findings:  None      Disposition: aroused from sedation, and taken to … Read more

Sample Coded report for Shoulder Arthroplasty CPT code

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Pre-op Diagnosis: Arthritis of left shoulder region [M19.012] Left shoulder rotator cuff tear arthropathy and severe degenerative changes at the level of the glenohumeral joint with inferior humeral head osteophyte formation. Post-op Diagnosis: Same as Pre-op Procedure(s):  Left – LEFT REVERSE TOTAL SHOULDER ARTHROPLASTY Anesthesia: General and interscalene regional nerve block. Estimated Blood Loss: 200 mL Specimens:  Standard arthroplasty specimens. Implants: DJO reverse total shoulder … Read more

Know everything about Global Period here

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Global Period

Under the Medicare Physician Fee Schedule, surgical services are valued and paid for as part of “global periods” that include the procedure and the services furnished in the periods immediately before and after the surgical procedure. Surgical services are grouped into Minor Surgery (10 day post-operative period) and Major Surgery (90 day post-operative period). CMS will be … Read more

MRA CPT code 72198 coding Guide

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Basics of CPT code 72198 MRA CPT codes are a part of radiology facility. Magnetic resonance angiography (MRA) is magnetic resonance imaging (MRI) that specifically visualizes blood vessels and blood flow to evaluate vascular disorders within the structure being studied. Unlike CT, it does not rely on the absorption of x-ray energy. Magnetic resonance imaging … Read more

Superb tips for CPT code 37246, 37247, 37248 and 37249

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Superb tips for CPT code 37246, 37247, 37248 and 37249

There are many CPT codes for Angioplasty in vascular surgery coding. We will discuss the use of CPT code 37246, 37247, 37248 and 37249, which are used for angioplasty. These CPT codes describe angioplasty procedures in the aorta and the brachiocephalic (and branches), renal, visceral arteries and venous region. There are two initial and two … Read more

Sample Coded report for CYSTOSCOPY LITHOTRIPSY CPT code

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Pre-op Diagnosis: Uric acid nephrolithiasis [N20.0] Post-op Diagnosis: Left nephrolithiasis Procedure(s):  Left – URETEROSCOPY – Wound Class: Clean Contaminated  – Incision Closure: No Incision / NA Left – CYSTOSCOPY LITHOTRIPSY URETERAL and renal STONEs – Wound Class: Clean Contaminated  – Incision Closure: No Incision / NA Left – CYSTOSCOPY, URETERAL STENT EXCHANGE – Wound Class: Clean Contaminated  – Incision Closure: No … Read more

Clear confusion between Modifier 91 vs 59

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Clear confusion between Modifier 91 vs 59

Modifiers are always little tricky to use. The most interesting modifier to use is 59 or X{EPSU} modifiers. Medical coders are always in double mind while using X-modifiers. While we have discussed about E/M modifiers, 26 & TC modifiers etc, but still coders have confusion while using modifiers. Now, if we talk about modifier 91 … Read more

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