Medical Coding Pro - Surgery Coding: Look at Service Date Before Appending Modifier 59

Published: Wed, 03/17/10


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Surgery Coding: Look at Service Date Before Appending Modifier 59 - 2010-03-12 03:18:52-05

Make sure your documentation supports the additional substantial complexity of the hernia repair and mesh.

Question: A patient presented for a colectomy for colon cancer. The physician also discovered that the patient had a ventral incarcerated hernia that required a…

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Read more: http://medicalcodingpro.com/wordpress/739/surgery-coding-look-at-service-date-before-appending-modifier-59/



Use This Sample Appeal Letter As Ammo in Your Fight Against Modifier 25 Denials - 2010-03-12 03:32:34-05

Attach your procedure notes and the OIG’s report to pack extra punch.

Even if you follow all of CMS’s rules in reporting modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the…

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Read more: http://medicalcodingpro.com/wordpress/738/use-this-sample-appeal-letter-as-ammo-in-your-fight-against-modifier-25-denials/



Learn the Ins and Outs of Add-on Codes to Ensure Payable Claims - 2010-03-12 03:52:30-05

Knowing how to use add-on codes can net you up to $258 in additional reimbursement.

CPT is full of “add-on” codes, additions to minor and major surgical procedures as well as to E/M services. Fortunately for urology there are not…

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Read more: http://medicalcodingpro.com/wordpress/737/learn-the-ins-and-outs-of-add-on-codes-to-ensure-payable-claims/



Surgery Challenge: Ensure a Clean Claim by Interpreting Detailed Central Line Note - 2010-03-15 01:23:40-04

Find out which you can report separately: a tunneled or a non-tunneled line.

Question: What code should we bill when we remove a central venous pressure (CVP) line and insert a Hickman catheter at a different site?

New York Subscriber…



Read more: http://medicalcodingpro.com/wordpress/752/surgery-challenge-ensure-a-clean-claim-by-interpreting-detailed-central-line-note/



Modifiers, not Math, Make Multi-Excision Claims Go - 2010-03-15 11:42:13-04

Measuring total removal lengths is a no-no … here’s why.

Your ED physician removes a pair of benign lesions from the patient’s left thigh; you add the repair lengths and code based on those numbers. You’ve coded correctly … right?…



Read more: http://medicalcodingpro.com/wordpress/753/modifiers-not-math-make-multi-excision-claims-go/