Help with Toe amputation an Flap closure

Procedure:
Left Hallux partial amputation
Myocutaneous flap closure of left hallux amputation site

Elliptical incision around the distal end of the hallux where the initial dorsal injection went across the top of the 5th toe transversely just proximal to the nail plate. Then the incision plantarly was performed distally and plantarly just proximal to the ulcer site. After the initial incision dorsally was performed a disarticulation of the interphalangeal joint was performed by releasing...

Help with Toe amputation an Flap closure

CPT 29826

Good morning coders! We are starting to get denials on CPT 29826 as "inclusive" to other procedures. Anyone trying to fight these and if so how?

Thanks in advance! Have a great day!

Help with Urology codes

My codes that I have for this are: 54360, 54300, 54161
However, I am questioning if 14040 should be added?

Thanks

Medication Management - Is there a diagnosis code

Is there a diagnosis code for Medication Management?

For example, my provider sees patients with ADHD/ADD, behavioral concerns, etc. every few months that are on medications. The reason for the visit is for management of their medications, to be sure that the child is doing ok with school work, sleeping, eating, etc. He also has them do an EKG. What diagnosis code should be used? He keeps writing Medication Management.

Thanks for any help!!
Hollie Garrett, CPC, CPEDC

help need for mandible fracture

can someone please give some help on this, i am looking at 21462 & 21470...Thank you so very much

Removal of Exostosis and Giant Cell Tumor - Same Incision Means Bundled?

Quick question, if a doctor is removing a giant cell tumor from a patient's right hallux, and, in doing so, discovers exostosis and removes it, is the latter bundled into the tumor removal? Since it's the same incision for both removals, I'm concerned on whether they can be coded separately? Any advice would be great, thank you!

Self- Pay Discounts

I work for a very rapidly growing multi- specialty clinic. One that started with 3 family practice providers over 30 years ago. Some of the providers and upper management are still in the mindset that they can make their own rules and that certain laws don't exist.

They are trying to force my staff to no charge patients who have insurance (ones we are contracted with), downcode to benefit patient, change codes to get paid for services that are normally non covered (straight Medicare PEs...

Self- Pay Discounts