Tesio Removal/Replacement

I don't know why Tesio catheter removal/replacements are always confusing to me. I'm thinking 36581 but for a Tesio would this be billed 2 x along with 77001 for the fluoroscopy guidance? See the operative course below. Any feedback is greatly appreciated.

OPERATIVE COURSE: Patient was taken to the operating room, timeout called, everyone agreed. Right neck was prepped and draped. The old catheter would not flush adequately. This was prepped and draped and local placed. We then cut...

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2021 E/M Guidelines Chronic Pain

If a patient has chronic lumbar pain and chronic knee pain does that count as 2 chronic conditions? Or would they lump it together as 1 under chronic pain? They would have to be evaluated as two seperate regions with seperate pain scales and seperate assessment/management so I would say two seperate conditions. Thoughts?

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Medicaid Billing Groups?

I was hoping that someone would know online billing groups or forums I can join for Medicaid to get help and tips for billing and coding.

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Modifier for repeat vulvectomy

Pt had right partial vulvectomy done 2 months ago ( 56620), and returned for left side this time with same diagnosis ( recurrent vulvar dysplasia/condyloma). The surgeon did not mention it was planned. Since it is still in 90 days global period, do I need to use modifier to indicate the left vulvectomy? ( I code for hospital)


Thank you for advice.

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Tonsil Injection

Patient present's with Eagle's Syndrome and we performed an injection of lidocaine with epinephrine into left tonsil. I cannot find an appropriate cpt code if there is one to appropriately fit, or would this just be included in the E/M code? Thank you for any help!!!

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Hypertension with Heart Disease guidelines

I need clarification on the Hypertension with Heart Disease combination code I11._. The way I read the Hypertension w Heart Disease ICD10, it relates only to Heart Disease as in codes I50._ or I51.4-I51.9. Is there a combo code for Hypertension with ASHD? I11._ Hypertension w Heart Disease does not appear to include ASHD. I am assuming then, that I would code I10 and I25.10 for example when reporting Hypertension and ASHD. Thanks

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Has anyone that has taken the cpc test have any advice for the diagnosis part?

Has anyone that has taken the test have any advice for the diagnosis part? I got a 20% on it all 3 times any advice thanks

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