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Sphenopalatine Ganglion Block with Medication Delivery
One of our physicians is using a device to deliver medication through the nose when a sphenopalatine ganglion block is performed under fluoroscopic guidance for patients with migraine headaches. Can we report 64505 for this service? If not, what is the best code to report?
Collagen Dressings
Our physicians would like to start using and billing collagen dressings for all post-surgical patients in the global period to aid with healing and have the dressings shipped directly to the patient and used at the patient’s home. What are the coding and billing requirements for reporting the service?
New Versus Established in the Office
We have one Facial Plastic surgeon in our practice with five otolaryngologists. We have a patient who sees our facial plastic surgeon sees a patient for the first time. The patient is established to our practice and has been seen in the past three years. Is the patient considered “new” the first time the Facial Plastic surgeon sees the patient?
Collagen Dressings
Our physicians would like to start using and billing collagen dressings for all post-surgical patients in the global period to aid with healing and have the dressings shipped directly to the patient and used at the patient’s home. What are the coding and billing requirements for reporting the service?
Two Aneurysm in the Same Artery
Craniotomy was performed for a patient who had two small aneurysms located in different sections of the middle cerebral artery. Can I code these as 61700, 61700-59?
Evaluation and Management (E/M)
We had a new patient who came in for evaluation for itchy skin eruptions that had never been treated. He documented a complete history and full skin examination and diagnosed the patient with psoriasis, which was inadequately controlled, and performed an intralesional injection (11900) in the patient’s hand, which was the area of concern. He found psoriasis on the scalp, hand, and chest and wrote the patient a prescription for Clobetasol ointment and spray. My question is, can we bill an E/M service with Modifier 25 since he did a complete history and skin exam?
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