Coder's Cranium

Don’t Miss Out on E/M Fees by Initiating Ob Record Too Soon

Test your ob record skills with this four part challenge.

If your ob-gyn simply confirms a patient’s pregnancy during an office visit, you’ll be able to report V72.42 (Pregnancy, confirmed). But when should you start the ob record? Take this...

Comments Off on Don’t Miss Out on E/M Fees by Initiating Ob Record Too Soon
March 22, 2010
Coding Challenge / E/M

EM Coding: Should I Select 99211 for Most Med Checks?

Insurers might want to see a clear explanation as to why the E/M was necessary.

Question: An established patient with a plan of care in place for her gastroesophageal reflux disease (GERD) reports to the gastroenterologist; two weeks ago, the…

Comments Off on EM Coding: Should I Select 99211 for Most Med Checks?
March 6, 2010
Coding Challenge / E/M / ICD-9

Migraine ICD-9 Codes: How Do I Get My 5th Digits Right?

Discover what the 5th digit represents and why you need it on your claim. Question: A presents to the ED with complaints of a headache that’s worsening daily. He is experiencing visual blurring and nausea but no vomiting. This is the third headache of this nature in three weeks, and it has lasted “four or five [...] Related articles:

  1. Ahhhhh: Relief for Your Migraine ICD-9 Coding Headaches Don’t let migraines’ five subcategories and 30 codes suck...
  2. Should You Code Presenting Symptoms Along With Dx? Question: An established patient complains of trouble breathing and...
  3. Winter Laceration Repair: How Do I Code For Dermabond?Warning: Your coding will vary depending on who’s getting the...

Comments Off on Migraine ICD-9 Codes: How Do I Get My 5th Digits Right?
February 18, 2010
Coding Challenge

Infusion Coding Education: Remicade

Coding Hint: Watch for ‘add-ons’ during Remicade sessions Question: An established patient with a plan of care in place for his Crohn’s disease of the ileum reports to the gastroenterologist for a Remicade infusion. The infusion started at 10:00 a.m. and ended at 11:42. The patient reported nausea during the infusion, so the gastroenterologist administered 200 mg of Benadryl from 10:41 [...] Related articles:

  1. Oncology Coding Challenge: When Infusion Runs Long Question: The oncologist ordered a 90-minute chemotherapy infusion service,...
  2. CODING CHALLENGE: Is V58.11 Right for Patient Not on Chemo? Question: When you use a chemo admin code for...
  3. Gastroenterology Coding Education: Bravo Cap Placements Question: A new patient reports to the gastroenterologist with complaints...

Comments Off on Infusion Coding Education: Remicade
November 9, 2009