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    Wiki Can I charge 64425 done by an anesthesiologist?

    Yes, and the block needs 59 modifier and laterality modifiers. The block note needs to indicate the block was requested by the surgeon, as surgeons usually perform this service. The diagnosis for the block should be G89.18. Please see page 495 in the 2025 CPT manual for a chart that indicates...
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    Wiki Denial for Z12.11 code

    Z12.11, is the encounter code for screening colonoscopy, so it is 100% acceptable as the first diagnosis. The ICD-10 manual does not states this at all regarding this code. UPD appears next to diagnosis codes considered unacceptable primary diagnosis. Z12.11 does not have UPD next to it. It...
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    Wiki PENG-Nerve block what is correct code for 2024? 64999 or 64447/64450

    Use 64473, 64474 for IPACK or PENG blocks.
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    Wiki What coding certification would you recommend.

    I strongly suggest getting additional certifications only if you need to. More certifications is not as important as experience, which you're getting now. Stay there as long as you can to get rid of your A. I'm sorry you have what appears to be a toxic manager. If possible, maybe see if you...
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    Wiki Denial for Z12.11 code

    If the reason for the colonoscopy was a screening, Z12.11 should be listed first. Z12.11 is an encounter for a screening colonoscopy, however, I would need to see the documentation to be sure Z12.11 is appropriate. Listing the finding(s) following Z12.11 is correct. I checked the ICD-10...
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    Wiki Dx code question

    I suggest looking at "other placental disorders".
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    Wiki Average Coding per Day

    That's a difficult one to answer. My first coding position required us to only enter ASA codes into a billing system (no CPT), and I was only able to code about 50 per day from handwritten 3 page anesthesia records. We also entered providers, their start/stop times & other information. Now...
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    Wiki Pain vs Injury primary dx code

    You need to follow the ICD-10 guidelines.
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    Wiki 2025 New CPT codes for Fascial Plane Blocks

    The popliteal block targets the sciatic nerve, (64445 or 64446) and the adductor canal block targets the femoral nerve {64447 or 64448). These blocks are referred to by their approach but should be referred to by the nerves they target to avoid confusion.
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    Wiki PENG-Nerve block what is correct code for 2024? 64999 or 64447/64450

    PENG = 64999 If performed by anesthesia provider. If performed by surgeon, it's not separately billable. 64999, when performed by an anesthesia provider for post-op pain management, should be billed with 59, LT or RT. If ultrasound is used, bill 76942-26. In 2025, we should be provided with a...
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    Wiki CPC exam help

    The CPC exam is all about knowing how to use the guidelines. Learn how to find and use them, and you'll be fine. For example, you can use your knowledge of the guidelines to use the process of elimination.
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    Wiki 00813/PT

    PT is not appended to 00813 for any insurance that I am aware of.
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    Wiki Anesthesia for Colonoscopy

    You need to check each insurance's guidelines regarding coding colonoscopies, and put all that information into a spreadsheet to reference.
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    Wiki Aetna not paying Complex Skin Repairs

    My apology. I reversed the numbers to 11042.
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    Wiki Aetna not paying Complex Skin Repairs

    Please refer to page 95 of the 2024 CPT manual. Per the Complex repair description, it includes debridement as necessary preparation for closure.
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    Wiki Surgeon did nerve block, anesthesiologist provided MAC, can I bill for the anesthesiologist?

    If the procedure performed by the surgeon was the nerve block, you may bill for the anesthesia. The surgeon would bill out 64450, and you would code the ASA code 64450 crosses to (01991- other than prone or 01992 - prone). I hope this helps.
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    Wiki MAC anesthesia and post OP block

    If MAC is the anesthesia method with a block for a procedure, the primary anesthesia method is Regional per CMS. Nerve blocks are only separately billable with General or Epidural anesthesia.
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    Wiki Denial for diagnosis code I85.00

    . There's a note in the ICD-10 manual instructing you to code first liver disease if applicable. If there's liver disease, they instruct you to code I85.10 or I85.11. Correct coding would be K74.60, I85.10 based on your post.
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    Wiki Who is responsible for the code? Provider or Coder

    Providers are responsible for accurately documenting what happened during an encounter. Coders are responsible for translating that documentation into CPT, ICD-10 and ASA codes (used in anesthesia coding). Providers most often do not benefit from selecting codes, as they are not familiar with...
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    Wiki Diabetes Assumed Relationships

    You may only code a condition as being a complication of DM if it's listed under DM in the ICD-10 index or the provider documents a relationship between the conditions.
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    Wiki Gastroenterology Diagnosis clarification needed

    Per the ICD-10 guidelines, we are to code symptoms if a definitive diagnosis is not determined. [General Coding Guidelines #10]
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    Wiki Anesthesia base units and time units

    What exactly are they coding? Can you provide some examples with context?
  23. L

    Wiki 01991 vs 01961

    You're welcome. Moving forward, code the procedure. Then, take the CPT code you find and crosswalk it to the anesthesia code. 59514 is the code used for a cesarean section. This code crosswalks to 01961.
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    Wiki 01991 vs 01961

    01961 is the correct code in this scenario, as it was the primary anesthesia.
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    Wiki 45380-33 denying as frequency with 45385-59

    Modifier 33 indicates a screening. If the patient had a colonoscopy that was not a screening but to biopsy a polyp, modifier 33 is not needed.
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    Wiki 00811

    I would need to know why the procedure was performed and how it was coded.
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    Wiki Coding Anesthesia for Screening Colon

    It depends on the insurance. Which insurance does the patient have? 00811 is not always appropriate.
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    Wiki 63045 and 63048

    When a CPT code is for a single segment, and there's an add-on code for additional segments, you code 63045, 63048 per the CPT manual. There's a note indicating this below 63048.
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    Wiki Test result reviewing

    Is it appropriate for a practice to charge a patient for physician initiated review of test results? I code anesthesia, so this is out of my lane.
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    Wiki ESI Question

    62320 (without imaging guidance & 62321 (w/ imaging guidance) involve the cervical or thoracic spine 62322 (without imaging guidance & 62323 (w/ imaging guidance) involve the lumbar or sacral spine Being that T12-L1 is the thoracolumbar, 62320 or 62321 are you codes to choose from.
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    Wiki Cigna pain management denial for Anesthesia

    Check the coverage for your patient's plan. It may not be covered.
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    Wiki 64590 Payable Diagnosis Codes

    You may only code what is documented. See if the procedure is covered. If it's not covered, changing coding will not get it paid. This is the purpose of having patients sign ABNs.
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    Wiki 2025 New CPT codes for Fascial Plane Blocks

    Thank you!
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    Wiki 00811

    I would need to know why the procedure was performed and how it was coded.
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    Wiki Transesophageal Echocardiography

    It specifically needs to state that Color flow or any doppler was used to submit those codes.
  36. L

    Wiki Kyphoplasty

    If the patient is still in active treatment, the 7th character should not be an S.
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    Wiki Servicing/Billing Anesthesiologist

    If they're in the same practice, bill one claim with the total time indicating when each provider started/stopped as well. Presuming you're using anesthesia billing software, there is a place to enter each provider and when they were on the case. How this is entered should be an internal...
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    Wiki E65 for Obesity DX

    Technically, we are to code based on the documentation and not providers' coding. It's worth educating the provider to ensure accurate communication via the patients' records. I would suggest they solely document the condition and not provide any codes to avoid this confusion.
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    Wiki Missing or Invalid Diagnosis

    The correct diagnosis would be R93.3 without the PT modifier, as this is not a screening due to the abnormal finding.
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    Wiki Positive Cologaurd

    Yes, it's still a screening, as the patient is not experiencing symptoms aside from the positive Cologuard test.
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    Wiki Diabetes in Remission

    Is the patient on any DM meds?
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    Wiki Z99.11 - Dependence on Respirator [Ventilator] Status - For CPAP??

    Z99.11 is for patients who are dependent on ventilators to breath. OSA patients are not dependent on a CPAP to breathe 24/7.
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    Wiki Personal / Family history of polyps/cancer and Positive Cologuard

    A personal history of colon polyps is coded depending on the insurance. Some consider this a screening while others do not. I suggest looking into the patients' insurance first.
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    Wiki Clover Health denials for LCD A57361, CPT 00731

    You may not use Z87.19 as the first diagnosis. If the conditions have been resolved, you need Z09 first.
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    Wiki 00811

    I would need to know why the colonoscopy was performed, how the case was coded and which insurance was billed in order to provide a response.
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    Wiki Discseel Procedure

    Look at 01937, 01938 for the ASA coding, as it's an image-guide percutaneous injection procedure.
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    Wiki AKI Dx

    Is it a definitive diagnosis with the word "likely" due to?
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    Wiki Really getting discouraged

    My advise is to have your resume looked at first. Then, apply to ANY position to get a foot in the door to prove yourself. I started as an Extern, then verified insurance. I took that knowledge with me to my first coding job that was 10 years ago. Look at billing, front desk...
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    Wiki coding based off CRNA documentation

    You're welcome.
  50. L

    Wiki coding based off CRNA documentation

    All anesthesia providers are supposed to do a pre-op H&P that is recorded on the anesthesia record. That H&P is what's used to determine the Physical Status score (P1-P6). So, yes, the anesthesia record is used to determine the ASA score. Often times, the surgeon will not document...
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