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63047 with 22633 for Interbody Fusion?
We would like some coding insight from KZA. Can you report CPT code 63047 with 22633 if you append modifier 51 to CPT code 63047 if the documentation supports the work done beyond that required for interbody fusion?
X-Ray Documentation
Is it required to have the specific xray views noted in the documentation or will the code description of the number of views be sufficient?
Coding for Traumatic Serosal Tear
How do you recommend coding for a traumatic transverse colon serosal tear? My coder used "repair of transverse colon." I am getting push back because I said it was a clean case (no spillage of GI contents and no contamination." I am told I can't use Clean classification because of how it was coded. Please advise!
Preventative Skin Check Coding
Can you clarify visit elements and review of systems are required for a preventative skin check? I have been told a full ROS is required for a preventative skin exam, as well as, medical and family hx, lifestyle counseling, and age/gender appropriate screening performed. I believe dermatology to be problem oriented and a skin cancer screening vs preventative has been a huge gray area for me. Can you clarify the difference and requirements to be truly a dermatology preventative visit?
LCD Clarification
Does the LCD L33622 Pain Management - Injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels apply to trigger finger injections? I am reading the LCD and the title but not seeing where it applies specifically to trigger finger questions.
How Do You Bill for H&P on the Same Date as an EVAR?
I saw a patient in the office, performed an examination, and scheduled an EVAR for the next week in the hospital. The day of surgery, the hospital requires that I document an H&P on the day of the procedure. Can I bill an E/M for the required H&P?
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