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Diagnosis Coding for Reconstruction Following Mastectomy
Our plastic coders are debating ICD-10 coding for reconstruction following a mastectomy. We want KZA to provide some guidance. Should we be reporting breast cancer (C50.-) as primary ICD-10?
Biopsy Following Mohs Surgery
I have received conflicting information and would appreciate clarification. I had a patient referred to me by a family physician for a possible basal cell carcinoma. The patient has never had a biopsy. I did a punch biopsy and the diagnostic frozen section which confirmed a morpheaform basal cell carcinoma and performed a stage 2 Mohs procedure 17311 and 17312. Can I bill for the biopsy even when I did the Mohs surgery on the same date?
Should the Acupuncturist be Present
When a patient receives acupuncture for 30 minutes, does there need to be personal one-on-one contact with the patient in addition to re-inserting the needles?
Difference between Preoperative and Postoperative Diagnoses
Is there a difference between a pre-operative diagnosis and a post-operative diagnosis?
Is Documentation of HPI and Exam Necessary in Determining a level of E/M?
With the 2021 and 2023 Guideline changes, is it necessary to document an HPI and Exam when neither counts towards the level of service?
Esophageal Sphincter Augmentation for GERD
How is esophageal sphincter augmentation for GERD reported?
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