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Inpatient E/M Coding
I did an inpatient consultation and coded 99253 (non-Medicare). I did not need to follow the patient so I signed off. They asked me to re-consult a week later. What is the code for a re-consult?
Intraoperative ICG Dye Angiography
Can we bill the 92242 for the indocyanine green injection intraoperatively, for example to assess perfusion after a procedure? Can we bill for the injection using 15860?
Coding a Hand Assisted Laparoscopy
The surgeon described the procedure as a ‘hand assisted laparoscopy”. He brought part of the bowel outside of the body for evaluation. Does this convert the procedure to open?
Cerebellopontine Angle Surgery
I did a posterior fossa craniectomy for resection of a cerebellopontine angle tumor requiring the dura to be repaired with a synthetic graft and reconstruction of the cranial defect with a titanium mesh cranioplasty. I know I will use 61520 for the tumor removal. Can I use 62140 for the cranioplasty? What about 15769 for the synthetic graft? Lastly, I was told I could also use 15733 for the flap closure.
Tendon Repair
I am new to orthopaedic hand coding. I have a case where the surgeon repaired two flexor tendons in the finger. I am being told that I may only report one CPT code because they were both repaired via the same incision. Is this correct? The surgeon, who is new, disagrees and says both repairs are reportable.
Gender Reassignment “Top” Surgery Coding
We are having a debate on whether to use a mastectomy code or breast reduction code for “top” female-to-male procedures. What’s your advice?
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