mercredi 30 septembre 2020

Staged ACL Revision

Procedure performed
Medal meniscal Repair [29882]

Debridement ACL Graft and Allograft bone grafting and debridement of femoral and tibial tunnels CPT ???

Am unsure of how to code for this debridement and bone grafting for the ACL staged revision
.....ACL graft was debrided with use of shaver. Femoral tunnel addressed first. An 8 spacer was placed in femoral tunnel. Guide pin drilled into bone. Femoral tunnel was drilled up to 10.5 reamer. 10 mm graft placed into femoral tunnel.
Guide...

Staged ACL Revision

Can practices share records?

As a multi-specialty group practice, can outside records/information that is scanned into a patient chart at one practice location be "shared/used" at another practice/provider to obtain missing information? Specifically, the past family, surgical and social history for the patient is part of the records for ENT and the patient is establishing care with a new PCP within the group and this information is missing on his initial visit.

BAHA Question

Hello, Is anyone doing two stage BAHA's? According to my MD, some of the younger patients need time for the device to ossify to the bone and 3-6 months after initial surgery, need to go back in to complete. Not sure how this should be billed? 69714-52(first part) and 694714-58(if appropriate)-52 (second part)? Any advice is helpful. Thanks.

mardi 29 septembre 2020

Modifier help

Does anyone know if there is a modifier that can be used when billing J0490 with 2 different NDC #'s such as J0490.

TIA

Endarterectomy and Vascular Revascularization

MD coded: 35355, 37221 RT, 37221 LT, 37223 x2, 36200, 36247, 75625, 75710

Myself: 35355, 37221-50, 37223-50, 75625-26

Not too sure about that 50 mod. Any input would help, thank you :)

Operation

1. Right lower extremity ileal femoral endarterectomy with bovine patch angioplasty
2. Diagnostic aortogram with final catheter placement in the abdominal aorta
3. Placement of a left common iliac 8 mm x 59 mm Omnilink balloon expandable stent
4. Placement of a right common iliac 8 mm x 59 mm...

Endarterectomy and Vascular Revascularization

LAA Ligation and Closure of PFO

Good Morning,

Can you tell me if Ligation of left atrial appendage and a closure of a PFO is included in CABG or MV replacement?

Thank you
Tina

Vaccine admin code 90473

Is cpt code 90473 (immunization administered by intranasal or oral route for patients >18 years?