Category: Coding Coach

Billing for Vascular Access
Post

Billing for Vascular Access

July 28, 2022 Question: I’m new to vascular coding, can we bill for vascular access for a catheterization? The provider documents this, so I’m thinking I am missing a code. Answer: No, vascular access itself is not separately billable with a catheterization. However, the provider must document the vessel accessed , what side of the...

Diagnosis Coding Help
Post

Diagnosis Coding Help

July 28, 2022 Question: Can you please assist with the diagnosis for a Compound Dysplastic Nevi of back? Biopsy confirmed and not completely excused. Patient comes in for excision of lesion. What diagnosis code should I use? Answer: The correct diagnosis code for a dysplastic nevi of the trunk is D22.5 (melanocytic nevi of trunk)...

Separate Procedure Billing
Post

Separate Procedure Billing

July 28, 2022 Question: The surgeon performed an open colectomy and found a tear in the mesentery close to the incision, 44850 Suture of mesentery is listed as a “separate procedure”, does that mean we can bill for it separately in addition to the colectomy? Answer: No, codes designated as a “separate procedure” are intended...

Removal of Interbody Device
Post

Removal of Interbody Device

July 28, 2022 Question: Can code 20680, removal of implant, be used for removal of a previously placed intervertebral device, such as a PEEK cage? Answer: No. There is no code for removal of an intervertebral device – this would be part of an exploration of arthrodesis or new arthrodesis, if performed. Do not use...

Co-Surgery Due to Complex Procedure
Post

Co-Surgery Due to Complex Procedure

July 14, 2022 Question:  I have 2 vascular surgeons from the same practice that want to bill co-surgery for a complex open abdominal aneurysm repair. They both performed the same code but say that it should be co-surgery because it was complex and needed both surgeons. Can we bill with modifier -62? Answer: The surgery...

New vs Established Patient
Post

New vs Established Patient

July 14, 2022 Question: I am a contracted physician with a group practice (Practice A) in our town. I have an opportunity to contract with another practice (Practice B) not in the same town, but near enough that my patients could see me in either location. My question has to do with the definition of...

Sign up for KZAlertsSign up for KZAlerts

Coding Coaches