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Pre-op Diagnosis: Excess skin [L98.7] Post-op Diagnosis: excess skin of upper arms ( bat wing deformity) bilateral Excess skin of chest wall right and left lateral chest35x10 cm, 38×12 cm right chest Painful scar abdomen 21 cm horizontal scar and 19 cm vertical component Procedure(s): Bilateral – BRACHIOPLASTY excision bilateral excess soft tissue lateral chest Right 38×12 cm … Read more
General Guidelines Use the appropriate Healthcare Common Procedure Coding System (HCPCS) based on code descriptor. Not Otherwise Classified (NOC) codes should only be reported for those drugs that do not have a valid HCPCS code which describes the drug being administered. Remarks are required to include dosage, name of drug, and route of administration. You … Read more
Basics for MRA CPT code 73225 & 73725 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 uses the natural magnetic properties of … Read more
Pre-op Diagnosis: Bilateral ovarian cysts [N83.201, N83.202] Post-op Diagnosis: Same as Pre-op s/p procedure performed Procedure(s): OVARIAN CYSTECTOMY ROBOTIC ASSISTED/ ROBOTIC ASSISTED UNILATERAL OVARIAN CYSTECTOMY, POSSIBLE UNILATERAL SALPINGOOOPHORECTOMY SALPINGOOPHORECTOMY BILATERAL ROBOTIC ASSISTED/ POSSIBLE UNILATERAL Anesthesia: General Complications: none Findings: Normal appearing female external genitalia On laparoscopic entry, uterus and right ovary normal appearing. Left ovary with an approximately 3 cm hardened … Read more
PREOPERATIVE DIAGNOSIS: 1. Left shoulder Rotator cuff tear. 2. Subacromial bursitis. 3. Subacromial impingement. 4. Acromioclavicular arthritis. 5. Biceps tendon tear. POSTOPERATIVE DIAGNOSIS: 1. Same PROCEDURE: 1. Left shoulder arthroscopic rotator cuff repair.with soft tissue augmentation. 2. Subacromial decompression/acromioplasty. 3. Arthroscopic debridement of subacromial space and glenohumeral joint. 4. Arthroscopic distal clavicle excision/Mumford procedure. 5. Mini-open subpectoral biceps tenodesis. ANESTHESIA GIVEN: General with interscalene block PREOPERATIVE … Read more
Basics or biophysical profile CPT code 76818 & 76819 Fetal biophysical profile score (BPS or BPP) refers to assessment of four discrete biophysical variables by ultrasound. It is often a standard tool in antepartum fetal assessment. It is usually assessed after 28 weeks of gestation. The BPP combines data from two machines, ultrasonographic imaging and … Read more
Diabetes mellitus is one of the most common chronic disease in old age. In medical coding, the diagnosis coding for normal women and pregnant women has separate coding guidelines. This disease has a significant complicating factor in pregnancy. We have learned a lot of Pregnancy ICD and CPT codes, you can find some information about them … Read more
Clinical Example (86328) A 67-year-old female with a history of diabetes mellitus and hypertension presented to the emergency department with a 5-day history of malaise, a nonproductive cough, and low-grade fever (eg, 100.4° F/ 38° C). A SARS-CoV-2 IgG/IgM reagent strip antibody test for COVID-19 was ordered. Blood or serum is collected from the patient … Read more
Being a surgery coder, I have almost coded most of the procedure codes in the surgery facility. To be frank, I have made lot of coding errors in surgery. Mistakes makes us to learn new things, but we should not repeat those mistakes again. In coding as well, we should always learn from our coding … Read more
Which code(s) describe(s) selective catheterization, imaging, and infusion of verapamil over 20 minutes in the right ICA distribution, followed by a similar infusion in the left ICA distribution? 61645 61650 61650, 61651 61650, 61651, 36224-50, 75898 x 2. Which CPT code describes an inpatient-only procedure for Medicare patients? 37212 37187 61624 61626 … Read more