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Posted By Raquel Ortega on 06-20-2017, 15:12:26 in Ob-Gyn
Having issues with payment on Pessary. Will insurances pay for A4561 Pessary? Patient's ha...
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Posted By Danielle Levy on 06-20-2017, 12:22:54 in Ob-Gyn
Our physician performed a LSC retroperitoneal sidewall dissection at the same time as a LS...
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Posted By Jill Richardson on 06-19-2017, 11:09:53 in Ob-Gyn
I know this has been addressed before, but I can't seem to find it in the archives.
I nee...
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Posted By lana on 06-14-2017, 11:52:17 in Ob-Gyn
Can someone elaborate on the new HCPCS codes (July 2017) Q9985 Inj, hydroxyprogesterone, ...
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Posted By Barbara on 06-13-2017, 12:40:16 in Ob-Gyn
Does anyone know if there is a cpt code that can be used for billing purposes in regards ...
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Posted By Glory P on 06-13-2017, 11:37:13 in Ob-Gyn
Please help. Not sure the best code for this should we bill 59899-78 or 59160-78? The pati...
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Posted By dawn on 06-13-2017, 10:24:14 in Ob-Gyn
Just questioning what I should use to code this surgery----Diagnostic laparoscopy with rem...
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Posted By Dorine on 06-07-2017, 08:02:17 in Ob-Gyn
Hello Group, My doctor performed an EMB and obtained PVR-my question is do I have enough i...
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Posted By Lisa on 06-05-2017, 11:45:24 in Ob-Gyn
Good Afternoon, Can you please offer some assistance? Would you suggest unlisted proced...
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Posted By Lisa on 06-01-2017, 04:55:54 in Ob-Gyn
Good Morning, When a provider performs a BPP and/or a Doppler without an indication and t...
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Posted By Dr. Michael Ferragamo on 05-24-2017, 03:39:45 in The Coding Council
We hope our webinar met your expectations and that you found the session informative and w...
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Posted By Glory P on 05-18-2017, 08:58:55 in Ob-Gyn
I'm having trouble selecting the correct code for this procedure. I'm thinking it's eithe...
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Posted By Lillian on 05-11-2017, 07:02:01 in Ob-Gyn
What is the coding protocol when an ob patient comes in the office to be monitored because...
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Posted By Melissa Ussery on 04-27-2017, 17:01:50 in Cardiology
Patient had an ILR implant(90 day global) for arrhythmia on the 13th by one of our EP phys...
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Posted By Cindy Rogers on 04-20-2017, 08:49:56 in Ob-Gyn
Patient had a D&C for a MAB on 4/11. On 4/17, returned to the ER with fever and pain. A r...
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Posted By Cathy on 04-18-2017, 13:12:46 in Ob-Gyn
Patient is 17 weeks. Do we use O20.8? Our EHR system maps it to O41.8x2. Thank you!...
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Posted By jamie on 04-10-2017, 12:45:52 in Ob-Gyn
Maternal Fetal Medicine office wants to charge a 93976 to check the uterine artery. Is it...
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Posted By Maria on 04-05-2017, 11:50:11 in Ob-Gyn
Hey Melanie,

You helped me before with this code description. (Your answer is below) T...
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Posted By De Nai English on 04-05-2017, 10:43:28 in Ob-Gyn
I am looking for assistance on ACOG guidelines on when we should bill CPT code 17250, Chem...
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Posted By jamie on 03-31-2017, 12:38:15 in Ob-Gyn
What would be the most comparable cpt code to the LUNA( Lap. uterosacral nerve ablation) u...
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Posted By Dorine on 03-30-2017, 13:38:36 in Ob-Gyn
Hello,

One of our doctors is investigating performing Botox injections for Vaginisum. H...
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Posted By Alma DuVernay on 03-30-2017, 04:41:03 in Ob-Gyn
Physician performed a total vaginal hysterectomy, uterosacral ligament suspension, anterio...
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Posted By Dawn on 03-29-2017, 10:02:12 in Cardiology
Can anyone help with how to code for an ablation of SVT substrate? the provider performed ...
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Posted By Cheryl on 03-27-2017, 07:03:51 in Neurosurgery
Can you bill multiple craniotomies and craniectomies in one operative session? I have a d...
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Posted By Lillian on 03-24-2017, 07:26:01 in Ob-Gyn
Patient had a Hysteroscopic removal of IUD and a Hysteroscopic Ablation Discontinued.
Can...
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Posted By Deborah Roorda on 03-23-2017, 19:00:32 in Ob-Gyn
Pt had a LEEP procedure and ten days later present to ER with vaginal bleeding. Upon exam ...
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Posted By ob/gyn on 03-23-2017, 13:28:52 in Ob-Gyn
Our PA did a Hysterosalpingogram for infertility on one of our patients because there was ...
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Posted By ob/gyn on 03-21-2017, 12:36:03 in Ob-Gyn
Patient had Evacuation of inclusion cyst.

A portion of the report reads as the followin...
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Posted By Cheryl on 03-16-2017, 07:21:41 in Neurosurgery
This was a through and through shot. My doctor wishes to bill for the following cpt codes...
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Posted By Lynn Radecky on 03-15-2017, 10:11:08 in Ob-Gyn
what dx codes should I use when a patient is pregnant and her Zika testing was negative bu...
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Posted By Kathy Harmon on 03-15-2017, 05:35:36 in Pediatric
I am new to Pediatric coding and have a question about code 99478 - 99480. From what I ha...
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Posted By ob/gyn on 03-10-2017, 07:47:44 in Ob-Gyn
We have a patient that had a Labial fusion and in office we did a separation with local an...
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Posted By Lillian on 03-09-2017, 11:44:05 in Ob-Gyn
There are several codes which to choose from and I'd like to know the difference as to whe...
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Posted By Tracey Mathew on 03-06-2017, 04:44:14 in Ob-Gyn
Do we have to put the ICD-10-CM Z3A.- weeks of gestation codes on every single encounter f...
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Posted By Lisa on 02-23-2017, 11:51:13 in Ob-Gyn
Hi Melanie, We have a little debate going on in our office and would welcome your input. ...
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Posted By Deborah Roorda on 02-22-2017, 07:18:49 in Ob-Gyn
Pt had a C/S for placenta previa @ 8:40am. A few hours later started with postpartum hemo...
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Posted By Shannon M. on 02-15-2017, 10:35:51 in Ob-Gyn
The op report states the Lone Star retractor was placed to retract the vaginal mucosa. The...
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Posted By ob/gyn on 02-15-2017, 06:55:54 in Ob-Gyn
We were asked to consult a patient in office that delivered(not our patient) over 2 months...
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Posted By Donna on 02-12-2017, 07:11:05 in Neurosurgery
If our doctor (neurosurgeon) who is NonPar with insurance and has an emergent surgery........
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Posted By jamie on 02-10-2017, 07:59:47 in Ob-Gyn
There is a set of Triplets in our office and they are Dichorionic and Triamniotic but the...
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Posted By Lisa on 02-08-2017, 10:02:46 in Ob-Gyn
Hi Melanie, If a patient has a vaginal hysterectomy, bilateral salpingectomy, uterosacral ...
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Posted By ob/gyn on 02-07-2017, 13:58:41 in Ob-Gyn
Patient had a fetal demise at 23 weeks. She was given oral cytotec and delivered infant...
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Posted By Cindy Rogers on 02-06-2017, 09:46:37 in Ob-Gyn
I've been asked to code an excision of endometrioma in a c-section scar for obtaining an a...
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Posted By Damaris S on 02-03-2017, 15:44:11 in Ob-Gyn
Dear Ms. Witt, thank you for all your help.

Damaris...
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Posted By Dorine on 02-03-2017, 12:15:55 in Ob-Gyn
Hello Melanie,
33 weeks and 3 days obstetrical patient has colposcopy, with colposcopy, a...
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Posted By Damaris S on 01-31-2017, 18:18:06 in Ob-Gyn
Dear Ms Witt,

We recently started doing diagnostic hysteroscopy in our ob/gyn office. (...
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Posted By Dorine on 01-30-2017, 13:16:11 in Ob-Gyn
Hello Ob/Gyn group, Doctor listed procedure as perirectal cystectomy and pre op diagnosis ...
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Posted By Damaris S on 01-23-2017, 17:04:55 in Ob-Gyn
Hello Ms. Melanie Witt. I need some clarification regarding a diagnostic hysteroscopy 585...
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Posted By jamie on 01-16-2017, 08:37:43 in Ob-Gyn
When a OB patient presents to the office for their routine visit and complains of sinus re...
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Posted By Lillian on 01-10-2017, 04:52:31 in Ob-Gyn
When doing an ultrasound guidance "in the office" for an iud removal is it proper to use 7...
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Posted By Barbi M on 01-04-2017, 08:20:44 in Otolaryngology
i dont see any answers to anyones questions, if this forum active, this used to be such an...
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Posted By ob/gyn on 12-29-2016, 11:04:23 in Ob-Gyn
Two of our doctors assisted each other on ONE patients surgery and I just need some reassu...
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Posted By Jill Richardson on 12-28-2016, 12:59:29 in Ob-Gyn
What would be the correct ICD10 code to use for marginal cord insertion?...
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Posted By ob/gyn on 12-27-2016, 07:53:55 in Ob-Gyn
We have some lab questions that I was hoping to get some answer to...

When an ASCUS pap...
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Posted By angie on 12-23-2016, 06:13:01 in Ob-Gyn
What is the correct ICD-10 for osteopnia in the hips and spine.

Thank You ...
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Posted By Katie Kreamer on 12-21-2016, 07:45:20 in Ob-Gyn
Patient had a c/s and was closed by 2 ob hospitalist. After the completion of the c/s she ...
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Posted By Deborah Roorda on 12-15-2016, 07:39:41 in Ob-Gyn
Pt requested an induced AB due to Trisomy 13 @ 18 wks. I think CPT 59855 is correct, bu...
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Posted By Cathy on 12-12-2016, 15:11:00 in Ob-Gyn
What diagnosis code should we use for a seroma after a C-section?

Thank you, Cathy Satk...
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Posted By Karen on 12-07-2016, 11:19:25 in Ob-Gyn
Hi, Melanie - My provider removed an IUD thru the laparoscope. She documented "it was th...
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Posted By angie on 12-06-2016, 07:40:22 in Ob-Gyn
I thought 90674 was effect 8/1/16. We are finding some payers not paying for it stating i...
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Posted By Dorine on 12-05-2016, 13:29:58 in Ob-Gyn
Hello Melanie, I billed 58571 but doctor says it should be 58552 because the way the ligam...
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Posted By jamie on 12-05-2016, 11:52:01 in Ob-Gyn
Patient comes in for an annual exam no complaints, during vaginal exam Physician notices s...
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Posted By Lisa on 12-05-2016, 11:49:53 in Ob-Gyn
Melanie, Can we bill the below? The patient had an SVD w/o anesthesia and sustained a la...
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Posted By Cathy on 12-02-2016, 11:05:02 in Ob-Gyn
On the original OB visit on 9/9/16 the doctor performed the PAP which came back LSIL. Pat...
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Posted By Cathy on 11-29-2016, 12:16:56 in Ob-Gyn
Melanie, do we have to start a new post if we have additional questions once your respond?...
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Posted By angie on 11-29-2016, 11:38:21 in Ob-Gyn
ICD-10 Code for Gestional Hypertension, postpartum...
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Posted By Deborah Roorda on 11-28-2016, 18:10:06 in Ob-Gyn
Doctor performed a Rt. Ovarian Cystectomy on a 17 week pregnant patient. We have started h...
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Posted By Fran T on 11-28-2016, 09:02:01 in Ob-Gyn
Code 58661 is done bilaterally. This is a unilateral procedure code. Our office tried bill...
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Posted By Maria on 11-22-2016, 06:23:52 in Ob-Gyn
Happy Thanksgiving to Melanie and Everyone!

An Inpt has a vaginal delivery on 11/1. T...
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Posted By Cathy on 11-21-2016, 11:16:35 in Ob-Gyn
My office has PCP's and OB/GYN doctors. We have a patient that saw her PCP on 11/2/16 and...
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Posted By Lynn Radecky on 11-21-2016, 09:02:03 in Ob-Gyn
A patient came in to the office for confirmation of pregnancy nothing was seen on the u/s,...
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Posted By Melanie Witt on 11-14-2016, 13:46:05 in Ob-Gyn
Just to let you know that I will be at the AMA conference in Chicago all week and I will n...
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Posted By Maria on 11-09-2016, 10:16:52 in Ob-Gyn
Hey Melanie,

RN sees NEW patient and confirms pregnancy. She talks patient through pr...
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Posted By Jennie Murray on 11-08-2016, 05:58:50 in Optometry
we got a denial for patient after routine eye exam due to hospice not sure how to fix this...
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Posted By Maria on 11-07-2016, 03:28:54 in Ob-Gyn
Hello Melanie,

Help with this uretrolysis please.

The physician (GYN Oncologist) is...
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Posted By Glory P on 11-04-2016, 08:08:53 in Ob-Gyn
Please help me figure out the correct application of the 7th digit in this case. I know ty...
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Posted By Charles Fordtran on 10-31-2016, 09:28:15 in Otolaryngology
Anyone ENT's out there in TX who are getting paid by TX Medicaid for Sleep Studies?...
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Posted By Vanessa Bartek on 10-28-2016, 09:06:54 in Ob-Gyn
A physician wants to order hepatic function studies on her OB patient. Only symptom the pa...
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Posted By Cathy on 10-27-2016, 06:58:47 in Ob-Gyn
Melanie, you have referenced before the ACOG guideline that a complete ROS is required for...
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Posted By Maria on 10-24-2016, 16:22:49 in Ob-Gyn
Hey Everyone,

BTL PP done one day after vaginal delivery during same hospitalization. ...
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Posted By Maria on 10-24-2016, 16:18:10 in Ob-Gyn
Hello Melanie and Everyone,

Pt had a NSVD ~ 20 minutes later began passing clots and b...
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Posted By Maria on 10-24-2016, 13:37:20 in Ob-Gyn
Hey Melanie, :)

Pt admitted on 10/14 with bulging bag in the vagina and fully dilated ...
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Posted By Vanessa Bartek on 10-20-2016, 13:35:58 in ICD-10
I am getting denials for billing Rhogam for patient's that have maternity coverage for ser...
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Posted By Cathy on 10-20-2016, 08:52:15 in Ob-Gyn
What is the difference between using F53 or O99.345?

Thank you, Cathy Satkus, CPC...
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Posted By Michelle Eckery on 10-19-2016, 13:32:32 in Ob-Gyn
There are different families of O codes for hemorrhage (we are comfortable using O26.85x1,...
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Posted By jamie on 10-19-2016, 11:03:17 in Ob-Gyn
At the beginning of every ob visit the MA will check the patient's urine for protein and g...
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Posted By Shannon M. on 10-18-2016, 06:28:48 in Ob-Gyn
The patient is at 16 6/7 weeks with a twin pregnancy, one live twin intrauterine pregnancy...
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Posted By Glory P on 10-18-2016, 05:59:34 in Ob-Gyn
We have a patient with an Established EDD that placed her at 33 weeks and 1 day today. How...
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Posted By Lillian on 10-17-2016, 10:07:49 in Ob-Gyn
With ICD10 updated now, unspecified codes are stricter than ever so we are staying as far ...
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Posted By Cathy on 10-13-2016, 14:27:43 in Ob-Gyn
This was performed in our office. Patient had endometrial ablation in 2012.

Procedure ...
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Posted By Lisa M on 10-13-2016, 10:52:12 in Ob-Gyn
Need help with the CPT codes for the surgeries performed. Please see op note below:

DE...
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Posted By ob/gyn on 10-13-2016, 08:44:38 in Ob-Gyn
Surgery: Revision of vulval laceration and resection of scar.
She did a V-like inci...
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Posted By Maria on 10-12-2016, 14:47:44 in Ob-Gyn
Hello, CPT coding help please,

I have 58662 for the ovarian cyst removal. Also think ...
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Posted By Maria on 10-12-2016, 14:25:23 in Ob-Gyn
Hello,

CPT question please and thanks very much. This is the same physician that did t...
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Posted By Carla on 10-12-2016, 11:47:53 in Cardiology
I have conflicting information on how to bill for E&M services on patients who are in an o...
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Posted By Lisa M on 10-12-2016, 11:16:18 in Ob-Gyn
Melanie,

Thank you so much for the prompt feedback. I apologize, but we are still confu...
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Posted By Lisa on 10-12-2016, 04:28:58 in Ob-Gyn
Hi Melanie,

We attended a post op/post partum webinar given by ACOG; the speaker was Br...
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Posted By dawn on 10-12-2016, 04:21:06 in Ob-Gyn
HELP! Ive searched the internet for this one, I cannot find a comparable ICD b10 code for...
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Posted By ob/gyn on 10-11-2016, 07:46:57 in Ob-Gyn
My doctor is wanting to perform a Reverse Perineorrhaphy and I need a CPT to recert it. ...
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Posted By Suzanne Atkinson on 10-04-2016, 11:17:54 in Ob-Gyn
Surgery question came up and have searched for an answer, but can't find anything about it...
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