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Post-Op Visit Discussions
The surgeon performs a mastectomy. The patient returns for a post-op E&M within the global period, and the surgeon discusses the need for chemotherapy treatment with the patient. The surgeon will not be managing the chemotherapy. Can the surgeon submit an E&M with modifier 24?
Newborn Duodenoduodenostomy without Resection
The provider repairs a duodenal atresia in a newborn with a Diamond duodenoduodenostomy. Which CPT is more appropriate to bill for 44126-52 (for no resection done) or 44130-63 (Pt under 4 kg)?
Incarcerated Appendix Removed During Inguinal Hernia Repair
I have a pt who came for repair of incarcerated inguinal hernia. The approach was laparoscopic. Aright inguinal hernia was identified. It was found to be containing incarcerated appendix. Attempts to reduce the appendix were unsuccessful with shearing of the serosa. Using scissors with cautery the peritoneum was opened from the right anterior superior iliac spine to the median umbilical ligament. The contents were dissected off the inferior flap laterally and down to the pubic tubercle medially. The round ligament was dissected off the hernia sac and the hernia sac was reduced into the abdominal cavity. The appendix was densely scarred in and dissection around the appendix was done until the hernia sac was completely cleared but the appendix did break apart. So would I code the incarcerated inguinal hernia only or how would I capture the appendectomy?
Laparoscopic Male Sling
What is the CPT code for robotic-assisted laparoscopic male sling using an in situ vascularized peritoneal flap? Is CPT 51992 applicable or is this specific for female genital system?
eTEP Hernia Repairs
Our provider is doing hernia repairs with an ETep which was explained to me as a myofascial advancement. Is this separately billable or is it considered bundled to the hernia repair?
Lipoma Question
If a surgeon excises a subcutaneous lipoma in the thigh and inadvertently violates the fascia, would the repair level be above the fascia or within the fascia for coding purposes?
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