Coding Challenge

How Should I Code a Fibrinolytic Agent Instillation Via Chest Tube?

Different calendar dates matter, but multiple instillations the same day do not. Question: My pulmonologist inserted a chest tube and then instilled a fibrinolytic agent to break up multiloculations to free up an entrapped lung. Usually, I use 32560 for this procedure, which is for pleurodesis, not fibrinolysis. What code should I use for fibrinolytic agent [...] Related articles:

  1. Radiology Coding: CPT 2010 Breathes New Life Into Your Respiratory CodingMaster 32561’s guidelines to prevent a major units gaffe. Flip...
  2. Signs & Symptoms Coding Coach: Chest Pain 786.50-786.59: One of the most common symptoms that cardiovascular...
  3. PFS Treasure Chest: Read Medicare’s MindIt seems like dry reading, but the physician fee schedule...

Comments Off on How Should I Code a Fibrinolytic Agent Instillation Via Chest Tube?
January 27, 2010
Coding Challenge

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 [...] Related articles:

  1. New From CPT Assistant: Help with Trunk Ultrasound Coding Do you know exactly what’s in the mediastinum? Your US...
  2. Double Ultrasound Codes Spell Double Trouble With AuditorsAuthorities scrutinize medical necessity for 76830 & 76856. The OIG...
  3. Which Ultrasound Code Is Best for Bladder Volume? Question: A urologist wants to bill for an ultrasound...

Comments Off on OB or Not OB: That’s the Ultrasound Coding Question
October 17, 2009