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Introduction about CPT code for upper GI The codes for upper GI are very important. These codes are used very frequently in radiology coding. The coders have lot of confusion while coding CPT code for upper GI. The upper GI coding is little tricky due to use of single and double contrast. Cpt Code for … Read more
Basics of Bariatric Surgery CPT codes 43770-43775 Bariatric Surgery codes 43770-43775 also report procedures performed for gastric restrictive procedures that are accomplished by placing a restrictive device around the stomach to decrease its functional size. Code 43770 reports “placement of adjustable gastric restrictive device (e.g., gastric band and subcutaneous port components)” . The band is … Read more
Basics of CPT code 43290 and 43291 Currently, several CPT codes describe procedures to induce weight loss, such as codes 43644 and 43645 (laparoscopic gastric bypass), codes 43770-43775 (laparoscopic gastric banding and laparoscopic sleeve gastrectomy), code 43845 (open biliopancreatic diversion), and code 43846 (open gastric bypass). These are invasive procedures that permanently alter the gastrointestinal … Read more
For patients receiving preoperative evaluations only, sequence first a code from subcategory Z01.81, Encounter for pre-procedural examinations, to describe the pre-op consultations. Assign a code for the condition to describe the reason for the surgery as an additional diagnosis. Code also any findings related to the pre-op evaluation. Usually, a surgeon will want a preoperative … Read more
For patients receiving therapeutic services only during an encounter/visit, sequence first the diagnosis, condition, problem, or other reason for encounter/visit shown in the medical record to be chiefly responsible for the outpatient services provided during the encounter/visit. Codes for other diagnoses (e.g., chronic conditions) may be sequenced as additional diagnoses. The only exception to this … Read more
Introduction Nursing facility services A nursing facility is not a hospital but does have inpatient beds and a professional health care staff that provides health care to persons who do not require the level of service provided in an acute care facility. A skilled nursing facility (SNF) is one that has a professional staff that … Read more
For patients receiving diagnostic services only during an encounter/visit, sequence first the diagnosis, condition, problem, or other reason for encounter/visit shown in the medical record to be chiefly responsible for the outpatient services provided during the encounter/visit. Codes for other diagnoses (e.g., chronic conditions) may be sequenced as additional diagnoses. For encounters for routine laboratory/radiology … Read more
Selection of first-listed condition in ICD-10 CM In the outpatient setting, the term first-listed diagnosis is used in lieu of principal diagnosis. In determining the first-listed diagnosis the coding conventions of ICD-10-CM, as well as the general and disease specific guidelines take precedence over the outpatient guidelines. Diagnoses often are not established at the time … Read more
Basics of Excludes Notes Excludes notes are introduced in ICD-10 to differentiate when two or more diagnosis codes should be coded together and when not. This feature help in coding the diagnosis codes correctly by medical coders. ICD-10-CM has 2 kinds of Excludes Notes: Excludes1 and Excludes2. Each note has a different definition for use; … Read more
1. A surgical pathology, gross and microscopic examination was performed for a colorectal polyp by a CLIA waived lab. How is this coded? A. 88305 B. 88305QW C. 88307 D. 88307QW Rationale :A surgical pathology, gross and microscopic examination performed for a colorectal polyp will be coded with 88305. Since the service was performed in … Read more