jeudi 31 décembre 2020

Postpartum only 59430

I have a family practice physician in a hospital owned clinic who does ob/gyn care. He saw a patient 4 weeks after her c-section, and wants to code 59430 in addition to 99213. He did not perform the delivery. Is that allowed ever? If so, please help me find a link to the information stating that so that I can justify coding it that way.
Thanks in advance for your help.


* This article was originally published here

mercredi 30 décembre 2020

Diabetes and Pressure Ulcer Guidance

I am very confused with this guidance from the Coding Clinic, Third Quarter 2018: "If a patient is diagnosed with a pressure ulcer associated with diabetic neuropathy and diabetic peripheral vascular disease, it is reportable as code I96, Gangrene not elsewhere classified, and code from L89, Pressure ulcer, rather than as a diabetic skin ulcer. Report additional codes to capture the peripheral angiopathy and neurological complications of diabetes. In this instance, do not associate the...

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* This article was originally published here

mardi 29 décembre 2020

Flu shots

I am having Humana Medicare and Wellcare Medicare denying flu shots based on lcd/ncd. I am using 99213 -25 with appropriate dx code 90682 and G0008 with z23 as dx code. Humana denial reason 04@/96, I have called and called and all they say is denying for lcd/ncd. I can not figure this out. Any experience with this anyone?


* This article was originally published here

lundi 28 décembre 2020

Gain Practicode experience to get a medical coding/billing job or just move on?

I have earned my CPC-A this past Sept. and have applied to various medical coding and billing positions. It doesn't surprise me that
no one wants to give me a chance, as I'm aware that it is a difficult field to get into with no experience. I was told by a veteran medical
coder to not let the 'experience preferred' get to me and to apply anyway. So, I was thinking maybe I should gain the one year experience by
purchasing Practicode and possibly I may have a better chance...? Should I start...

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* This article was originally published here

dimanche 27 décembre 2020

2021 Guidelines--Psychometric data

Hi all! It is stated that reviewing psychometric data counts in the data section. Does anyone have examples?


* This article was originally published here

samedi 26 décembre 2020

CPC-A looking for any entry-level coding position. Resume attached.

I live in Hartford, CT. I am seeking an entry-level coding position for anyone who is willing to give me a chance to show that I am a dependable, hard worker.

Saraswathy Sankar
4 Drummond Dr, Rocky Hill, CT 06067
(732) 589-6380, sankarsaraswathy67@gmail.com

Professional Summary:​

Seeking a position where I can utilize my coding skills, experience with patient records, and background in medical terminology to accurately abstract and...

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* This article was originally published here

vendredi 25 décembre 2020

Postop Diagnosis code?

Hello!
The patient came in for a hysterectomy. The operative report list the diagnosis as:

Preoperative Diagnosis: Carcinoma In-Situ of Exocervix - D06.1
Postoperative Diagnosis: Same

I remember from my education that we should not code the Procedure until the Pathology Report was available. When it was, it listed the diagnosis as: "Invasive Squamous Cell Carcinoma of Ectocervix."
I queried the provider to clarify my choice of Diagnosis was correct, C53.1 (Malignant...

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* This article was originally published here