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Multiple Angioplasties
I’m new at coding, just out of vascular residency, and I have a question about reimbursement. If I do three angioplasties in the right leg, 37220 iliac, 37224 femoral-popliteal, and 37228 tibial, is 37228 paid at 100 percent and 37220 and 37224 paid at 50 percent?
How Do You Bill for H&P?
The hospital requires our surgeons to perform and document an H & P prior to the patient having an elective gall bladder surgery. Sometimes it’s done in the office before the surgery and sometimes it’s done on the same day as the procedure. If this H & P is documented, can the E/M be billed? And does it make a difference if it’s done a week before the surgery?
Intraoperative Nerve Stimulation
We are having difficulty locating a code. One of our hand surgeons is performing therapeutic nerve stimulation intraoperatively for regeneration of nerve. Is this reportable, and if yes, what is the code?
63081 or Something Else?
I received feedback from an external review and am now confused. A partial cervical corpectomy (30%) was documented and reported with CPT 63081, along with fusion and instrumentation. I’ve been informed that this is not a corpectomy. I'm looking for confirmation that this is correct feedback.
I&D for Cutaneous Abscess
I am new to Dermatology coding and need help with this procedure note: An I&D was performed on the left hand for a cutaneous abscess. Consent was obtained and risks were reviewed including but not limited to delayed wound healing, infection, need for multiple I and D's, and pain. The area was prepped in the usual clean fashion. Local anesthesia was achieved with 2 cc of 1% carbocaine. The abscess was incised with a 15 blade, and pressure was applied to the wound to drain the underlying contents. Aquaphor and a dry sterile dressing were applied and wound care was reviewed. Can you tell me what CPT code I should use?
Hernia Repair and Small Bowel Resection
A patient with open repair of an incarcerated hernia is noted to have necrotic bowel within the incarcerated hernia. This area of non-viable small bowel is resected and anastomosis is performed. Is this separately billable?
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