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Advanced ICD-10 Coding Guide for Pregnancy

Medical Coding Guide Advanced ICD-10 Coding Guide for Pregnancy Basics about Pregnancy ICD-10 codes Before going ahead to learn about pregnancy code we have to first learn about some the common medical terms used to assign a pregnancy ICD-10 codes. Antepartum – The duration from LNMP / Day of conception till the day before delivery Childbirth – aka labour and delivery is Day of delivery…

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What is the difference between HCPCS modifiers JW and JZ?

Medical Coding Guide What is the difference between HCPCS modifiers JW and JZ? HCPCS Level II modifiers JW, Drug amount discarded/not administered to any patient, and JZ, Zero drug amount discarded/not administered to any patient, are required by the Centers for Medicare & Medicaid Services (CMS) to report drugs and biologicals that are separately payable under Medicare Part B. Modifier JW must…

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What is Medical Billing and Coding? The Backbone of Healthcare Revenue

In the intricate world of healthcare, accurate and efficient billing practices are essential for ensuring smooth operations. This is where medical billing and coding come into play. Often viewed as a single entity, these two professions work hand-in-hand to translate medical services into a standardized financial language. Decoding the Medical Jargon: The Role of a Medical Coder Imagine a doctor…

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Demystifying the Medical Field: A Guide to Medical Coding and Billing

Welcome to the fascinating world of medical coding and billing! As a healthcare professional myself, I’ve witnessed firsthand the crucial role these specialists play in ensuring smooth healthcare operations. If you’re curious about this dynamic field, you’ve come to the right place. This comprehensive guide will explore everything you need to know about medical coding and billing, including…

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Commode CPT code guide for coders

Medical Coding Guide Commode CPT code guide for coders   Coding for Commode HCPCS or cpt code is quite confusing for coders since their are different variety of commode used by old age patients depending on their requirement. If coders can understand the which type of commode of used by the patient then it will be easy to assign the correct and right code. Below I am sharing the HCPCS codes used…

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Coding tips for Cystourethroscopy (CPT code 52284) & Radiofrequency Ablation (CPT code 58580)

Medical Coding Guide Coding tips for Cystourethroscopy (CPT code 52284) & Radiofrequency Ablation (CPT code 58580) For the CPT 2024 code set, a new code (52284) was established in the Bladder subsection of the Urinary section to describe cystourethroscopy with mechanical urethral dilation and therapeutic drug delivery via coated balloon. In addition, a new code (58580) was added to the Female…

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Remote Multi-Day Complex Uroflowmetry (0811T, 0812T)

Medical Coding Guide Remote Multi-Day Complex Uroflowmetry (0811T, 0812T) Two new Category III codes (0811T, 0812T) were added to the CPT 2024 code set for reporting remote multi-day complex uroflowmetry services. Uroflowmetry is the measurement of urine flow during urination. Other existing uroflowmetry codes describe simple uroflowmetry using nonautomated (eg, stop-watch flow rate, mechanical…

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Coding guide Immune Globulin and Vaccine Codes 2024

Medical Coding Guide Coding guide Immune Globulin and Vaccine Codes 2024 Four new vaccine product codes and two new immune globulin codes were established in the Current Procedural Terminology (CPT) 2024 code set. This article provides an overview of these new codes. Immune Globulins, Serum or Recombinant Products  90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL…

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Sample coded report for Gastrectomy Robotic Assisted cpt code

Medical Coding Guide Sample coded report for Gastrectomy Robotic Assisted cpt code Pre-op Diagnosis: Morbid obesity (CMS/HCC) [E66.01] Body mass index is 43.75 kg/m². Essential hypertension, OSA with cpap Post-op Diagnosis: Same as Pre-op Procedure(s):  Procedure(s): SLEEVE GASTRECTOMY ROBOTIC ASSISTED Proc. Description(s) & CPT Code(s): SLEEVE GASTRECTOMY ROBOTIC ASSISTED:  Anesthesia: General…

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Sample coded report for Radical Prostatectomy Robotic Assisted CPT code

Medical Coding Guide Sample coded report for Radical Prostatectomy Robotic Assisted CPT code Pre-op Diagnosis: Prostate cancer (CMS/HCC) [C61] Post-op Diagnosis: Same as Pre-op Procedure(s):  RADICAL PROSTATECTOMY ROBOTIC ASSISTED WITH BILATERAL PELVIC LYMPH NODE DISSECTION – Wound Class: Clean Contaminated Proc. Description(s) & CPT Code(s): RADICAL PROSTATECTOMY ROBOTIC ASSISTED WITH BILATERAL…

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Sample Coded report for Spinal Cord Stimulator Battery Replacement Exam

Medical Coding Guide Sample Coded report for Spinal Cord Stimulator Battery Replacement Exam Pre-op Diagnosis: Chronic pain syndrome [G89.4] Mechanical breakdown of implanted electronic neurostimulator of spinal cord, initial encounter (CMS/HCC) [T85.112A]    Post-op Diagnosis: Same as Pre-op Procedure(s): Spinal Cord Stimulator Battery Replacement – Wound Class: Clean Anesthesia: Monitor…

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Sample Coded report for Shoulder Arthroplasty CPT code

Medical Coding Guide Sample Coded report for Shoulder Arthroplasty CPT code Pre-op Diagnosis: Arthritis of left shoulder region [M19.012] Left shoulder rotator cuff tear arthropathy and severe degenerative changes at the level of the glenohumeral joint with inferior humeral head osteophyte formation. Post-op Diagnosis: Same as Pre-op Procedure(s):  Left – LEFT REVERSE TOTAL SHOULDER ARTHROPLASTY…

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List of New HCPCS Level II codes effective 1st April 2024

Medical Coding Guide List of New HCPCS Level II codes effective 1st April 2024 Their are many new HCPCS level II codes will be used effectively 1st April 2024. Also, you will get to see some changes or revision on some codes from April 2024. With some additions and revision their are some deletion of codes as well which will not be used after 1st April 2024. These all are the quarterly updates…

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Medical Coding Guide Pre-op...

Medical Coding Guide Pre-op Diagnosis: Malignant neoplasm of prostate (CMS/HCC) [C61]  Post-op Diagnosis: Same as Pre-op Procedure(s):  SPACE OAR BRACHYTHERAPY WITH SEED IMPLANT – Wound Class: Clean Contaminated  – Incision Closure: No Incision / NA Proc. Description(s) & CPT Code(s): SPACE OAR BRACHYTHERAPY WITH SEED IMPLANT:  Anesthesia: General Complications: no complications Findings:no…

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Sample Coded report for CYSTOSCOPY LITHOTRIPSY CPT code

Medical Coding Guide Sample Coded report for CYSTOSCOPY LITHOTRIPSY CPT code Pre-op Diagnosis: Uric acid nephrolithiasis [N20.0] Post-op Diagnosis: Left nephrolithiasis Procedure(s):  Left – URETEROSCOPY – Wound Class: Clean Contaminated  – Incision Closure: No Incision / NA Left – CYSTOSCOPY LITHOTRIPSY URETERAL and renal STONEs – Wound Class: Clean Contaminated  – Incision Closure: No Incision…

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Sample Coded report for skin Excision CPT code

Medical Coding Guide Sample Coded report for skin Excision CPT code Pre-op Diagnosis: Excess skin [L98.7] Post-op Diagnosis: excess skin of upper arms ( bat wing deformity) bilateral Excess skin of chest wall right and left lateral chest35x10 cm, 38×12 cm right chest Painful scar abdomen 21 cm horizontal scar and 19 cm vertical component Procedure(s):  Bilateral – BRACHIOPLASTY excision bilateral…

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Sample Coded report for Shoulder Arthroscopy CPT code

Medical Coding Guide Sample Coded report for Shoulder Arthroscopy CPT code PREOPERATIVE DIAGNOSIS: 1. Left shoulder Rotator cuff tear. 2. Subacromial bursitis.  3.  Subacromial impingement. 4.  Acromioclavicular arthritis.  5. Biceps tendon tear. POSTOPERATIVE DIAGNOSIS: 1. Same PROCEDURE: 1. Left shoulder arthroscopic rotator cuff repair.with soft tissue augmentation. 2. Subacromial…