James Smith

name

Code the More Complex Procedure With 69610-RT

20th July 2011
In a particular situation, a physician assessed the patient's right ear and cleared the canal of all cerumen. The tympanic membrane was visualized, which had retained a tube. He removed a tube in the anterior superior aspect of the eardrum with a Rosen ne... Read >

Medicare Reimbursement: Modifiers KX, EY keys to DME Reimbursement

23rd June 2011
Providing refractive lenses for cataract surgery patients is it? Well, you will need to unravel your DME MAC's complex coding and billing rules to get yourself your deserved Medicare reimbursement. Test: Often ophthalmology coders describe durable medic... Read >

When to Use 'Uncertain Behavior Diagnosis Code'?

09th June 2011
You may be in for a great loss if you always use diagnosis code 238.2 while reporting 11100 for a biopsy procedure your surgeon performs. The best way to know when to use the 'uncertain behavior' diagnosis code is understanding what that code descriptor r... Read >

Modifiers KX, EY Vital for DME Reimbursement

07th June 2011
vProviding refractive lenses for cataract surgery patients? Well, you will need to unravel your DME MAC's complex coding and billing rules to get your deserved Medicare reimbursement. Many a time optometrists describe durable medical equipment (DME) codi... Read >

Bilateral Neck Dissection with Thyroidectomy Claims

07th June 2011
Otolaryngology coding can spring a lot of surprises for you. To cite an instance, let's say your surgeon plans to carry out a bilateral neck dissection with thyroidectomyand trachea resection however ends up having to also perform plate stabilization for ... Read >

CPT 2011 Brings Two New Codes for Diabetic Foot Ulcer Treatment

25th May 2011
This year, CPT comes with two new codes to report diabetic foot ulcer treatment involving tissue cultured skin substitutes to the lower extremity - G0440-G0441. You will have to use temporary G codes when reporting diabetic foot ulcer treatment involving ... Read >

Incident to Services for Allergy Shots?

09th May 2011
Here is a question and answer that will help you while doing your daily otolaryngology coding job. Otolaryngology coding scenario: I would like to get verification on billing for allergy testing (95004), allergen prep (95165), and allergy injections (... Read >

Orthopedic coding: Code Crush Injury of Hand the Right Way

04th May 2011
There is this patient who had a severe crush injury of the left hand; this led to a comminuted fracture of the left 3rd and 5th metacarpals with an intra-articular fracture of the proximal phalanx of the left index finger. The doctor's documentation point... Read >

How Lyme disease, ear pain diagnosis will change in 2013

21st April 2011
Suggestion: Your diagnosis coding will depend on which ear was affected once ICD-10 hits. Since CMS has reiterated that it'll not push back the deadlines for the conversion to ICD-10, you will need to have your ICD-10 coding skills ready by October 1, 20... Read >

96413 + 96365: Is This Pairing Right?

12th April 2011
Authoritative coding resources sometimes address even those encounters you do not handle on a daily basis. Here are two scenarios to test your skills and see whether your responses match the official rules. Question 1: How many 'initial' codes are too m... Read >

Reporting Low-Level 99211, you Still Need Complete Documentation

11th April 2011
Just because 99211 is known as a 'nurse visit' does not mean you can code it minus the proper notes. When your practitioner carries out a level-one established patient evaluation & management (E/M service) , most likely you go for 99211 without much tho... Read >

Same-Polyp Intervention? Turn to 45383 & 45381

04th April 2011
As a gastroenterology coder, you may find yourself bowled over by coding situations such as these: The olympus scope was passed in the transverse colon. Outstanding prep. The lesion itself was at about 9 centimeter in the rectosigmoid or upper one third o... Read >

Know How Guidelines Impact New Cardiac Cath Codes

31st March 2011
This time, CPT 2011 brings major overhaul to cardiac catheterization coding. As a matter of fact, there are 19 deleted cardiac codes, 20 added cardiac cath codes and only eight cardiac cath codes that remain the same. To start with, here we will focus o... Read >

CPT 2011 Freshens Up Your IP Catheter Coding Choices

30th March 2011
For intraperitoneal (IP) catheter coding, confusing terms such as 'temporary' and 'permanent' are archaic now. Read on and find out how CPT 2011 freshens up your options: Just-in code 49418 begins the IP catheter code changes Defined as a 'complete' ... Read >

Easy Guidelines - Profit $16 from 94664

30th March 2011
One thing you should remember while reporting for inhaler demo/ evaluation is the type of service the provider is using; however do not stop with just that. When coding for inhaler services, documentation requirements and qualifying modifiers are just as ... Read >
1 2 3 4