What modifier do you suggest I use when we do anterior/posterior spine procedures on the same patient at the same operative session on the same day? My coder thinks we should use modifier 58 (staged) but I remember you saying, at AANS coding courses, not to use modifier 58. Please help.
Category: Coding Coach
I was told that no diagnostic angiogram can be billed with a carotid stent. Is this true?
Our surgeon saw a patient in the ER for a fracture and reported the global fracture code. The ER physician had repaired a separate wound laceration at a different site prior to our surgeon arriving in the ER. The patient is now being seen in the office and the surgeon evaluated the wound area, and removed the sutures. Is this reportable? If yes, what CPT code would I use?
What code can I use when I place acellular dermal matrix in a parotid defect? I’ve looked at 15777 and it seems to describe what I’m doing. Is it OK to use this code?
Kim, thank you for coming to our practice a few months ago for coding education. You kept everyone’s attention and my partners said they enjoyed the session. I had a coding question and was wondering if you can offer your insight. I have a patient with bilateral LeFort I, II and III fractures which were fixated on each side. Is it appropriate to code for the bilateral LeFort I, II, and III separately or do they need to be coded a different manner?
I did a carotid stent but was unable to deploy the embolic protection device. Carotid stent placement was successful with no complications. Since I attempted placement, can I still code 37215?
Our surgeon performed a bone marrow aspirate from the iliac crest when performing a spinal fusion. The surgeon gave me CPT code 38230, but I am wondering if this is correct. Can you illuminate this for me?
I did a direct laryngoscopy, bronchoscopy and esophagoscopy for tumor staging. Are all three codes billable?
I did a large wound closure of the perineum, buttock and testicles with 5 large separate local flaps (v-y, rotation/advancement and rhomboid). The total area of the defect was very large and required five local flaps for closure. I billed for the 5 flaps separately (14301-59 five times). Medicare paid once for 14031. How do I better bill this large repair to get paid?
Can I bill for programming (e.g., 95974, 95978) when the neurosurgeon dictates in the operative note that the system was “interrogated”?