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Office Visits, Unna Boot Application, and Wound Debridement
Could you provide guidance regarding office visits, the use of an Unna boot or Profore (application or removal), and wound debridement at the time of the visit. I am unclear if the codes for Unna boots, office visits, and debridements on the same day are mutually exclusive, need special modifiers, or flat out cannot be billed simultaneously. Thank you.
Reduction of Hernia Sac
General surgeon performs a laparoscopic repair of a hiatal hernia, reducing the hernia sac, constructs a Toupet fundoplication, and places mesh. He states 43282 can be reported regardless of the "type" of hiatal hernia, because the work is the same. Is he correct, and 43282 can be reported for repair of a sliding Type 1 hiatal hernia?
Sigmoid Sinus Resurfacing During Mastoidectomy
I have an ENT provider that performed a Mastoidectomy (69502) with sigmoid sinus resurfacing for pulsatile tinnitus. What CPT would I use for the sigmoid sinus resurfacing using bone cement and dust?
X-Ray Coding: Is it the Hip or the Pelvis?
Can someone please answer the question of if the AP pelvis view is counted as a few when coding hip codes. For example, AP pelvis then 2 individual pictures of each hip AP & Lat; would this be coded as a 73523 (1V pelvis + 2V LT + 2V RT) or would this be coded as 73521 (AP and Lateral Views)? How would you code AP pelvis and 1V of LT Hip? 73501 since it is 1V Hip including AP Pelvis or 73502? There is conflicting information about whether you count the Pelvis as a view and whether you count the individual views done for each side.
Are There Special Documentation Requirements for an Assistant-at-Surgery?
We are seeking your advice on how to report to an assistant during surgery and what should be documented.
Help! Can You Clarify Radiology Documentation Requirements?
We are just looking for clarification of the Interpretation for Radiology services. We have been including them in our E/M notes for years. Can you please explain exactly what it is payors like UHC are requesting/requiring? Are they wanting a report of that Radiology exam on a separate form altogether?
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