Anesthesia Coding Education: Sciatic Nerve Block & Same-Day General Anesthesia

Question: My anesthesiologist performed a sciatic nerve block for a patient with postoperative pain on the same day he provided general anesthesia for that patient’s knee surgery. How should I code this?
Answer: Use modifier 59 (Distinct procedural service) when you need to show that your physician performed two distinct services on the same day. When […]

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Radiology Billing Checklist: Rules for Additional Tests without Treating Physician’s Order

Keep these additional test rules at your fingertips if your want to keep auditors out of your hair.
The Office of Inspector General and Recovery Audit Contractors are out to audit non-compliant ultrasound claims, so knowing the rules is more important than ever. And we’ve got a link and a handy checklist to keep you out […]

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Medical Office Billing: 7 Ways to Escape Computer Claim Casualties

Pay attention to EOBs and keep talking to your MAC.
You could be losing money to a computer glitch and not know it, experts say.
If you don’t nip a computer glitch in the bud, you may be plagued with improper denials and other claim holdups. Here are seven things you can do to seek out and […]

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Get a Free Medical Coding Practice Exam

http://www.medicalcodingpro.com. Medical Coding Pro is the coders destination for information. Get a free medical coding practice exam. Just visit our site, enter your email, and instantly it is on its way!

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Medica Coding – Evaluation and Management Selection, What code should I use?

http://www.medicalcodingpro.com. Medical Coding Pro is the coders destination for information. Evaluation and Management Coding is a key part to becoming an effective coder. Watch this valuable tip.

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Tip #2 on How to Pass the Medical Coding Certification Exam

http://www.medicalcodingpro.com. Medical Coding Pro is the coders destination for information. Learn how to pass the medical coding certification exam. Watch this valuable tip.

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Tip #4 on How to Pass the Medical Coding Certification Exam

http://www.medicalcodingpro.com. Medical Coding Pro is the coders destination for information. Learn how to pass the medical coding certification exam. Watch this valuable tip.

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Tip #3 on How to Pass the Medical Coding Certification Exam

http://www.medicalcodingpro.com. Medical Coding Pro is the coders destination for information. Learn how to pass the medical coding certification exam. Watch this valuable tip.

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OIG Auditors to Cardiologist: You’re Billing Medicare Properly

Report reveals what he and his billing staff did right. Does your practice have the right stuff?
Turns out the old saying is true: If you haven’t done anything wrong, an OIG audit is nothing to worry about.
A New York cardiologist who collected over $1.3 million over a three-year period for 5,061 claims caught the OIG’s […]

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Service Doesn’t Meet Incident-To Rules? Report Under NPP’s NPI

Heads up: These vaccine admin codes are excluded from incident-to requirements.
Incident-to rules don’t always apply to diagnostic services, but many medical practices aren’t aware of that.
And based on a new wave of scrutiny directed toward incident-to claims, you should know physician supervision rules inside and out.
A recent audit from the HHS Office of the Inspector […]

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What’s the Correct Diagnosis Code for a Urine Drug Test?

Question: What is the proper ICD-9 code when the lab performs a urine drug test?
Answer: ICD-9 does not provide one specific code for a urine drug test. The correct diagnosis code to report when billing for the lab test depends on the signs, symptoms, patient condition, or other reason for the test, such as screening. […]

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Coders: Watch Out for Claim-Denying Computer Glitches

Don’t wait for your MAC to alert you to an error — be on the lookout for them.
If you’ve been losing reimbursement to computer hiccups at your carrier, you’re not alone. Earlier this year, thousands of Medicare recipients in one state were wrongly told their benefits were being cut by $300 — but the state decided not to notify those affected with a letter. Instead, the state only told […]

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OB or Not OB: That’s the Ultrasound Coding Question

Question: For an ultrasound, the radiologist documented measurements of the uterus, endometrial complex, and ovaries. She noted no evidence of intrauterine pregnancy, no free fluid in the cul-de-sac, physiologic follicle formation, and positive Doppler flow in the ovaries. The patient had syncope but no confirmed pregnancy. Should I report an obstetric or nonobstetric ultrasound?
Answer: Because the patient […]

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Head of right tibia, seen from above

ASC Coding Education: Knee Diagnoses & Procedures

Choose this ICD-9 code if you see ‘jumper’s knee’ in the orthopedic surgeon’s note.
Here’s a handy introduction to common ICD-9 codes related to the knee, along with examples of CPT codes for procedures physicians perform to treat knee diagnoses.
Chondromalacia Patella
Chondromalacia patella (717.7) is also known as “patellofemoral syndrome” or “runner’s knee.” This condition results when […]

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Toolkit: Chart Cardiology’s CCI 15.3 Changes At-a-Glance

Hang on to this handy table to avoid cath placement coding temptations.
Correct Coding Initiative (CCI) 15.3 offered long lists of new edits, but we’ve boiled them down to the ones that affect cardiology coders and billers most.

Cardiology Coders: A CCC™ Exam Prep Training Camp is coming to a city near you.

Related articles:Take Heart, Cardiology Coders: CCI […]

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5 Lessons Radiology Coders Should Learn From CCI 15.3

Wonder if there’s a method to the 76001 madness? Here’s where to look for answers.
The silver lining to the 18,000 Correct Coding Initiative (CCI) that just came rumbling in with CCI 15.3. Analyzing them can help you master radiology coding essentials — including follow-up CTs, fluoro, and more. Apply these five lessons to keep your claims looking […]

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