Recent content by bennieyoung

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    Wiki Femoral Cutdown

    I wanted to code this with 34812 but a primary code is needed for that and I'm unsure what I need to use since it appears the primary procedure wasn't done. On induction of anesthesia, the patient had a cardiac arrest. CPR was immediately instituted. CPR went on for 25-30 minutes, with an...
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    Wiki Electrophysiology

    I first thought to code this 93656, 93655, 93655, 93623 but I am now considering using 93657 instead of 93655. Can anyone tell me how they would code this? Procedures: Ablation Atrial Fibrillation RF Intracardiac echocardiography (ICE) Ultrasound guided femoral vein access Transseptal...
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    Wiki add 33362?

    Thank you so much for your response!
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    Wiki I42.2 vs I42.1

    you have helped! thank you very much for your response!
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    Wiki Diagnosis I51.89 vs I51.3

    Thanks so much for your response!
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    Wiki T82.857A

    Thank you so much for your response! I appreciate it!
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    Wiki I42.2 vs I42.1

    My auditor wants me to use I42.1 instead of I42.2. I chose I42.2 because in the note it says she was more of a circumferential hypertrophic than a true outflow tract obstruction. PREOPERATIVE DIAGNOSIS: 1. Mitral insufficiency. 2. Patent foramen ovale. 3. Hypertrophic...
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    Wiki T82.857A

    My auditor wants me to add T82.857A. The physician documents "Prosthetic mitral valve stenosis." This should be listed as the first listed diagnosis per coding guidelines "code also." I coded this 33430 and 33530 with I34.2 and I27.20. Is she right? I was thinking for some reason that the...
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    Wiki Diagnosis I51.89 vs I51.3

    I am being audited and I used I51.89 as a diagnosis. The auditor wants me to Revise I51.89 to I51.3. She says...The physician documents under findings: "The mass appeared to be subacute thrombotic mass associated with an area in the right atrium that was fibrotic and thickened. It appeared in...
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    Wiki Auditing PA assist at surgery

    well, dang... she did this on two claims and I was hoping to get two of those points back. Again, thanks so much for responding!
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    Wiki Auditing PA assist at surgery

    I'm sorry, I should have been more clear. I had coded a 33426 (repair) when it was actually a 33430 (replacement). I agreed with the auditor on these findings. The surgeon wrote his note and included that the PA was an assist so all of that was done properly. I only have the one report from...
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    Wiki Auditing PA assist at surgery

    I’m being audited once again and I have a claim that I billed for the surgeon and on that same claim I billed for the AS who is a PA. So, when the auditor was listing her findings she dinged me twice. Once for the surgeon charge and again for the AS charge. They were on the same claim but only...
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    Wiki add 33362?

    PREOPERATIVE DIAGNOSIS: Acute type A aortic dissection. I coded this 33858. I am being audited and the auditor suggested that I add 33362. I think that's wrong. They didn’t do a TAVR and there isn't documentation for a TAVR. They do open the skin for the femoral artery and vein but that’s...
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    Wiki CO-50 denial what am I doing wrong?

    oh! I'm so sorry... All 3 codes denied.
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    Wiki Complication Codes

    I would like to get other opinions if possible...My auditor says If a device is placed for a specific reason (in this case, the Mitra Clip and mitral regurgitation respectively), if the disease returns, it would be considered a complication since the device isn't doing it's job anymore. She...
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