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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
Pre-op Diagnosis: Primary osteoarthritis of left knee [M17.12] Post-op Diagnosis: Same as Pre-op Procedure(s): Left – TOTAL KNEE REPLACEMENT ROBOTIC ASSISTED – Wound Class: Clean Proc. Description(s) & CPT Code(s): TOTAL KNEE REPLACEMENT ROBOTIC ASSISTED: Stryker components: Size 2 cemented tibia, size 2 Press-Fit femur, size 9 mm posterior cruciate retaining tibial polyethylene insert. Patella not resurfaced Anesthesia: General Complications: None … Read more
From January 1, 2019 coders are using influenza virus vaccine CPT code 90689 (Influenza virus vaccine quadrivalent (IIV4). The short descriptor is VACC IIV4 NO PRSRV 0.25ML IM. Full description of CPT code 90689 90689 – Influenza virus vaccine quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use Payment Basis for Institutional Claims … Read more
Pre-op Diagnosis: Pelvic pain syndrome [R10.2] Chronic salpingitis [N70.11] Post-op Diagnosis: Same as Pre-op Severe pelvic adhesions Procedure(s): LAPAROSCOPIC LYSIS OF ADHESIONS – Wound Class: Clean Contaminated – Incision Closure: Deep and Superficial Layers CHROMOTUBATION TUBALPLASTY LAPAROSCOPIC – Wound Class: Clean Contaminated – Incision Closure: Deep and Superficial Layers Proc. Description(s) & CPT Code(s): LAPAROSCOPIC LYSIS OF ADHESIONS: CHROMOTUBATION … Read more
Neoplasm ICD 10 codes have to be used very carefully. Cancer conditions can be partially or fully present or removed from the body, hence the ICD 10 codes will also vary as per the scenario. For example, the personal history code for neoplasm should be used only when the neoplasm has been completely removed from … Read more
Description of code 31242 and 31243 CPT code 31242 and 31243 are established from 2024 for reporting endoscopic energy-based neurolysis of the posterior nasal nerve. Below is the description of the new cpt codes. 30117 Excision or destruction (eg, laser), intranasal lesion; internal approach 30118 external approach (lateral rhinotomy) 31237 Nasal/sinus endoscopy, surgical; with biopsy, … Read more
Here, we are again sharing some more new CPT codes for 2024 which will be used effectively from 1st January 2024. These CPT codes are new addition to 2024 CPT codebook. Be prepared to use these new codes from new year. The following Category III codes will be available for reporting on date of service … Read more
Some important changes were made to two existing urinary system procedural codes (CPT code 50080, 50081) for the CPT 2023 code set. The changes involved updating many terms commonly used in the past for urinary procedures that no longer reflect current clinical practice and resulted in new introductory guidelines, code descriptor revisions, and new parenthetical … Read more
Place of Service Code(s) Place of Service Name Place of Service Description 1 Pharmacy ** A facility or location where drugs and other medically related items and services are sold, dispensed, or otherwise provided directly to patients. (Effective October 1, 2003) Place of Service (POS) 2 Telehealth Provided Other than in Patient’s Home The location … Read more
For the Current Procedural Terminology (CPT®) 2023 code set, 15 new codes were established in the Abdomen, Peritoneum, and Omentum subsection in the Surgery/Digestive System section to describe reporting of anterior abdominal hernia repair (49591-49596, 49613-49618), parastomal hernia repair (49621-49622), and the removal of mesh or other prostheses (49623). Furthermore, a new code (15778) was … Read more