During a lumpectomy, if the results of an axillary lymph node excision and biopsy (38525) lead to an axillary lymphadenectomy (38745), are both codes reported in addition to 19301, the lumpectomy?
Category: CC-General Surgery
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New vs. Established Patient
If I see a new patient and during that visit I identify the need for surgery the same day, can I append a Modifier 57 to the E/M service and get paid?
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Using Modifier 57
I saw a patient on a Friday and scheduled surgery for that Monday. Do I need a 57 modifier on the E/M I did on Friday?
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Using Modifier 57
I saw a patient on a Friday and scheduled surgery for that Monday. Do I need a 57 modifier on the E/M I did on Friday?
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Source for a Consult
What is an appropriate “source” for a consult? I asked at a recent workshop and the instructor did not have an answer.
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Initial Evaluation
Can a surgeon always be paid for an initial evaluation before a major surgery, or is that included as part of the global package?
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On-Q Pain Pump Coding
My doctor repaired an inguinal hernia and also placed On-Q pain pumps. Can these be billed with an unlisted code?
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Billing an E/M with Placement of a Central Line
In a recent coding coach, you mentioned that an E/M would be inappropriate with placement of a central line. I’m not sure that is always the case. Can you clarify?