Hello I am looking for some clarification on billing these Medicare/blue codes. Do we add these codes onto the annual exam cpts? (ex:99394-99397) or if its a Medicare patient we can bill G0101 and Q0091 or BCBS s0610/s0610 by itself? Clear guidelines on this would be so helpful. Thank you ..read more

We had a new patient come in for an IUD removal and reinsertion. We were about to remove the old IUD without problem, however when it came to reinsertion we couldn't get the IUD past the cervix. We used dilators but still couldn't get it inserted. So we opened a Mirena and was able to insert that without problem. However because the failed insertion of the Liletta was due to body difficulties not device failure we are unable to get a replacement from Liletta. Are we just out the supply and... Read more ..read more

Does anyone have any guidance or resources regarding code selection (in this case I am looking at 58571 vs 58573) based on weight when a TLH/bso is performed, and a fibroid is present within the uterine specimen ..read more

Can you bill 58100 and hysteroscopy ablation (58563) done on the same day ? 58100 was done prior to the ablation. Thank you ..read more

Hello, If a patient had a bilateral labiaplasty (56620, 57250, 57283, 58571) and is seen throughout the 90-day global period, then has a revision in office after the global period has already ended (56620, 56700), are the follow ups for the revision billable? Or is there a global period for the in-office revision? Will the follow-up be considered a post-op visit or should the follow-up be treated as a regular visit? Thank you ..read more

Patient was scheduled for a dx laparoscopy to evaluate left ovary for potential torsion or cyst. As he started the procedure (per OP note), he encountered adhesions involving the omentum to the anterior abdominal wall and small bowel to the fundus of the uterus. He did the lysis of adhesions. Once that was taken care of, it was determined that ovaries and tubes were fine. Would this be coded as lysis of adhesions (58660) or would it be coded as a dx lap ..read more

Hello, Im curious if others are coding mastitis with an E/M and a 24 modifier in the pregnancy global period? If so, do you have any written documentation stating this is acceptable? TIA ..read more

Pt delivered in office at 37 weeks. Then taken by ems to the hospital for subsequent admission and repair done by same provider. My question is billing delivery as 59409 with place of service in office. The admit would normally be included in the delivery as well as the repair by the same provider if done in the hospital setting. Same office would be doing her postpartum care as well. I am a little stuck on this one - any input on correct coding practices would be most helpful ..read more

Hello my coders I am reviewing this op note and i wanted to confirm if 58661 and 58662 can be billed together in this instance. Any input is appreciated. Thank you. Operative Report Pre-procedure diagnosis: Adnexal mass Post-procedure diagnosis: Left fallopian tube cystic mass Procedures performed: Laproscopic left salpingectomy, ovarian cystectomy Technique/Procedure: laproscopic Anesthesia: general anesthesia Indications: Emergency Operative findings: large left adnexal cystic mass... Read more ..read more

Hello, I am new to coding for deliveries, I have a pt that we saw for 6 antepartum visits, we did not deliver but the pt came back to us for postpartum care. Any help on how to code this? Can I use 59425 with 59430 or would the postpartum visits be billed as a regular E/M ..read more