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Closure Following Mohs Surgery
If a patient is referred to a plastic surgeon after a Mohs surgeon performs a Mohs procedure, to perform a complex repair, do I need to add a modifier to the plastic surgeon's repair code?
Are All Injections Billable?
Patient wants doctor to do injection of BPC 157 [Peptide] which the patient buys and provides. Can I bill 96372 for this service? The BPC 157 is not FDA approved, and is considered experimental. Can I bill this service, since no J code is available?
Posterior Pack for a Nasal Hemorrhage
I am a new ENT coder, and I am not certain how to bill this. If the emergency department physician placed a posterior pack and they came into our office and one of my doctors removes the pack, can I report CPT code 30906?
Interlaminar vs. Transforaminal Injections
If my physician does an interlaminar epidural steroid injection with imaging, should I be coding this as a 62321 or 62323? I know the guidelines state if a Transforaminal is done at that level to code as a 64479, but it doesn't state specifically for the interlaminar approach. I would appreciate any guidance given.
Inferior Dermal Flap
Is there a code for an inferior dermal flap in breast reconstruction?
Incarcerated Appendix Removed During Inguinal Hernia Repair
I have a pt who came for repair of incarcerated inguinal hernia. The approach was laparoscopic. Aright inguinal hernia was identified. It was found to be containing incarcerated appendix. Attempts to reduce the appendix were unsuccessful with shearing of the serosa. Using scissors with cautery the peritoneum was opened from the right anterior superior iliac spine to the median umbilical ligament. The contents were dissected off the inferior flap laterally and down to the pubic tubercle medially. The round ligament was dissected off the hernia sac and the hernia sac was reduced into the abdominal cavity. The appendix was densely scarred in and dissection around the appendix was done until the hernia sac was completely cleared but the appendix did break apart. So would I code the incarcerated inguinal hernia only or how would I capture the appendectomy?
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