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Two Procedures on the Same Day
If a patient develops a complication from a surgical procedure and needs to return to the OR for treatment, will the second procedure require a modifier and if so, which modifier? We are debating whether it would be a modifier 58 for staged procedure, or 78 for an unplanned return to the OR.
Measuring an ED&C
How are measurements determined for electrodessication and curettage (ED&C) procedures for destruction of malignant lesions CPT codes 17260-17286? Is it the lesion only or the lesion after curettage?
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.
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