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Reader Question: Remember 93924 Includes Treadmill Testing

20. August 2014

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Question: Does the code 93924 include the charge for treadmill stress testing?

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Reader Question: Gastrostomy Tube Change Leads to 43760

16. July 2014

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Question:  A patient presented with a partially dislocated gastrostomy tube with pain at the site. The surgeon enlarged the skin opening and attempted unsuccessfully to remove the gastrostomy tube. After further enlarging the opening, the op note states that the…

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Reader question: Don’t Include Time as a Component in Your ED E/M Coding

18. June 2014

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Question:  A patient with a chronic gastric ulcer reports to the ED complaining of nausea, vomiting, and headache. One of our nurse practitioners spends 34 minutes with the patient, and performs an expanded problem focused history, problem focused examination with…

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Reader Question: Use Time Documentation to Determine Critical Care, CPR, or Both

20. May 2014

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Question: A 65-year-old disabled patient presented to the ED with nausea, vomiting, and diarrhea, along with extreme weakness. While staff was initiating an IV and blood draw, the patient went into full cardiopulmonary arrest. CPR was initiated and after a…

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Reader Question: Let Documentation Guide Your Selection of Principal Diagnosis

16. April 2014

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Question: A patient was admitted through the Emergency Department with fluid overload. He has ESRD and missed his dialysis last week. The patient also has a history of congestive heart failure (CHF) along with systolic dysfunction and diastolic dysfunction. Now the patient…

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Inpatient Admissions: Get the Facts on ‘Unforeseen Circumstances’ vs. ‘Exceptions’ to 2-Midnight Rule

19. March 2014

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Here’s the scoop from the latest CMS provider call. The FY 2014 Inpatient Prospective Payment System (IPPS) final rule gave providers a definition of what constitutes an “appropriate” inpatient admission—when a patient needs to stay at your hospital for over…

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Reader Questions: Stick With Single Code When Same Mesh Covers Two Hernias

19. February 2014

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Question: I’m coding for a laparoscopic inguinal hernia repair (right side) for a patient covered by Blue Cross. The surgeon repaired the hernia with mesh. He also documented the following: The dissection was carried out, reducing the indirect hernia and separating…

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Reader Question: ICD-9 Procedure Codes Aren’t Required for ED Facility Claims

14. January 2014

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Question: Should we be capturing ICD-9 procedure codes for ED facility coding?  I understand it is not required; however, I’d like to get an idea of the standard practice among other hospitals.

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Ensure Convenient CPT Code Look-up 2014 and Stay Compliant

8. January 2014

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Effective January 1, 2014; you have distinct areas of CPT® changes affecting your practice. Supercoder’s Physician Coder provides in-depth CPT® code guidance by combining CPT® code lookup, tools and advice that will keep you compliant and save costs. This web-based…

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ICD-10-PCS: Here’s Your Guide to Endovascular Embolization Coding Under PCS

18. December 2013

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ICD-10-PCS: Here’s Your Guide to Endovascular Embolization Coding Under PCS Tip: Don’t overlook additional guidelines. Endovascular embolization involves inserting a catheter into an artery (usually in the groin) and threading a device into the aneurysm to disrupt the blood…

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