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Posted By Natasha Patrick on 04-13-2018, 07:08:13 in Cardiology
Good Morning,

Does anyone know the cpt code for Abdominal Aortic PTA/Stent. Thank you f...
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Posted By sonia coder on 04-10-2018, 09:22:49 in Ob-Gyn
HI Melanie-- how would you bill this? On failed attempts I am never quite sure whether to...
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Posted By anita lawnick on 04-06-2018, 07:19:23 in Ob-Gyn
20 cc of lidocaine injected into the laceration site. A rectal exam was performed and ther...
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Posted By Lynn Radecky on 04-05-2018, 08:15:23 in Ob-Gyn
pt is 36 wks pregnant and had her cervical cerclage removed with no anesthesia in the hosp...
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Posted By ob/gyn on 03-29-2018, 12:25:39 in Ob-Gyn
Any suggestions on how this surgery should be coded? The Dr. told me a rep for the injec...
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Posted By angie on 03-26-2018, 07:52:41 in Ob-Gyn
pt having materniT genetic testing. not sure what dx code to use. pt had abnormal level ...
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Posted By Deborah Roorda on 03-23-2018, 07:29:42 in Ob-Gyn
Pt had a TVH & suprapubic bladder sling in December. Returns with "Prominent fold/rugae on...
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Posted By Maria on 03-21-2018, 12:07:14 in Ob-Gyn
Hi Melainie,

Am I any where in the ball park with my codes?

Thank you for all your ...
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Posted By ob/gyn on 03-21-2018, 06:58:19 in Ob-Gyn
Is the Implants graft/packing placed in the vaginal for hemostasis bundled into the H-D&C?...
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Posted By angie on 03-21-2018, 06:31:16 in Ob-Gyn
ICD-10 code for pregnant patient having genetic testings, 11 weeks because she has materna...
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Posted By angie on 03-15-2018, 06:33:33 in Ob-Gyn
Not sure what CPT code to use

Indications:The patient is a 27 year old African America...
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Posted By sonia coder on 03-14-2018, 09:01:29 in Ob-Gyn
Hi Melanie- are images/photos required to be saved in order to bill these codes? We now h...
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Posted By dianne on 03-12-2018, 12:03:35 in Radiology
One of my accounts are a group of Radiologists and Interventional Radiologists. Apparentl...
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Posted By sonia coder on 03-12-2018, 11:25:11 in Ob-Gyn
Hi Melanie- In regards to the below guideline, if a pt is admitted at 38.6 weeks in labor...
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Posted By Dorine on 03-12-2018, 05:57:30 in Ob-Gyn
I posted this question a while back and didn't get a response, any takers? i believe I can...
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Posted By Maria on 03-08-2018, 12:01:38 in Ob-Gyn
Hi Melanie,

Thanks so much for all your help.

I do a lot of billing for afterhours ...
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Posted By Maria on 03-08-2018, 11:38:28 in Ob-Gyn
Hey Melanie,


I am thinking this is a TLH .

1) All connections are detached lapar...
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Posted By Gracie Ermitano on 03-03-2018, 22:39:59 in Ob-Gyn
Hi Melanie, another question for you which I commonly encounter with my OBGYN providers be...
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Posted By Danielle Levy on 02-27-2018, 05:31:28 in Ob-Gyn
Melanie,
Our patients come in for a prolia injection ( they bring the drug , we don't su...
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Posted By Gracie Ermitano on 02-26-2018, 20:15:58 in Ob-Gyn
Hi Melanie, i would like to ask your coding suggestion for the above procedures. I have ch...
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Posted By Maria on 02-26-2018, 10:39:30 in Ob-Gyn
Hey Melanie,

1) A Hys D&C done.

No discussion about resection/removal of fibroid. ...
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Posted By Dorine on 02-23-2018, 13:41:25 in Ob-Gyn
Hello OB/GYN Group,
Pt was prepped for surgery, uterus sounded and cervix dilated, hyster...
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Posted By Danielle Levy on 02-21-2018, 08:04:50 in Ob-Gyn
Melanie,
quick question ,
Can our physician bill for a H&P when sending patient to the...
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Posted By Gracie Ermitano on 02-20-2018, 16:23:39 in Ob-Gyn
Hi Melanie i just want to confirm if the visit status post delivery of a dead fetus at 36 ...
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Posted By Maria on 02-15-2018, 17:35:28 in Ob-Gyn
Hey Melanie,

Thank you so much for your opinion.

CPT for control of bleeding? I am...
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Posted By Maria on 02-13-2018, 15:14:18 in Ob-Gyn
Hello Melanie,

One more please.

I think the radical vulvectomy is CPT 56631. This c...
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Posted By Maria on 02-13-2018, 14:27:10 in Ob-Gyn
Hey Melanie,

CPT for control of bleeding? I am not sure about this as Dr Y located an...
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Posted By Maria on 02-08-2018, 08:49:07 in Ob-Gyn
Hi Melanie,

Physician removed Flishie clips at the same time as a Myomectomy.

The C...
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Posted By Gracie Ermitano on 02-06-2018, 15:39:31 in Ob-Gyn
Melanie, just a follow-up question and clarification on laminaria placement . IN the case ...
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Posted By Dorine on 02-01-2018, 13:41:27 in Ob-Gyn
Hello Ob-Gyn Group,

My doctor did a procedure called BLT Application and I am unsure if...
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Posted By angie on 02-01-2018, 10:35:49 in Ob-Gyn
If patient is pregnant with 1 fetus are we suppose to use say example O35.1XX0 or O35.1...
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Posted By Lillian on 01-31-2018, 06:28:52 in Ob-Gyn
The patient was in for a removal reinsertion of an IUD. After the 1st Mirena insertion the...
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Posted By Danielle Levy on 01-30-2018, 06:25:52 in Ob-Gyn
Melanie ,
Please advise ... Our physician treated a patient for all of her prenatal and ...
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Posted By Annette Veitz on 01-30-2018, 05:59:14 in Otolaryngology
Is anyone in Florida having problems with Avmed paying on 69210 cerumen removal. Do they ...
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Posted By Gracie Ermitano on 01-26-2018, 17:43:48 in Ob-Gyn
Hi Melanie, i came across and read questions in the forum pertaining to laminaria placemen...
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Posted By angie on 01-26-2018, 10:14:14 in Ob-Gyn
Awhile back with asked what is the correct dx code to use for 90384 and 96372 and we were ...
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Posted By Danielle Levy on 01-24-2018, 13:21:27 in Ob-Gyn
Our physician performed EUA of the entire vaginal vault, endocervical canal, anterior & p...
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Posted By M. on 01-24-2018, 11:26:57 in Cardiology
Anyone else getting denials for spirometry? We've always billed these with SOB dx but now...
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Posted By Lynn Radecky on 01-22-2018, 10:48:12 in Ob-Gyn
When the doctor does a sonohysterogram in the office we book a 30 minute appointment. He ...
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Posted By Angie Bouchard on 01-18-2018, 15:11:04 in Ob-Gyn
I have come across a retained Nexplanon which required putting the patient under in order ...
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Posted By angie on 01-17-2018, 06:13:55 in Ob-Gyn
we are having issues with some payers accepting Z36.89 dx code for the 20 week u/s. This ...
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Posted By Casey Delinda on 01-16-2018, 07:40:01 in Otolaryngology
We have always billed 31237-50-79 after a sinus surgery now being rejected for invalid com...
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Posted By Lillian on 01-15-2018, 05:33:29 in Ob-Gyn
If a patient had an abortion outside of your practice and comes JUST for post op visits as...
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Posted By Gracie Ermitano on 01-11-2018, 22:35:45 in Ob-Gyn
Good afternoon Melanie! Happy holidays to you! I am wondering if we have certain guide...
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Posted By angie on 01-10-2018, 12:30:24 in Ob-Gyn
UCare denied 59025-26 as CO – 4, Procedure code is inconsistent with the modifier used...
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Posted By Danielle Levy on 01-09-2018, 11:43:45 in Ob-Gyn
Our physician performed an excision of posterior vaginal scar excision. Pathology comes B...
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Posted By dawn b on 12-29-2017, 11:28:58 in Ob-Gyn
attached H&P with OP note...
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  1. tc.pdf
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Posted By dawn b on 12-27-2017, 10:55:02 in Ob-Gyn
Ok, Our physician did a supracervical hysterectomy with partial trachelectomy and bilate...
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Posted By Jan on 12-20-2017, 14:29:07 in Ob-Gyn
I have ...
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Posted By Lillian on 12-14-2017, 10:59:45 in Ob-Gyn
What percentage does the assistant surgeon get reimbursed on a surgery?...
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Posted By ob/gyn on 12-05-2017, 13:26:14 in Ob-Gyn
One of our doctors performed a Exam under Anesthesia & Evacuation/ I&D of large vaginal he...
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Posted By ob/gyn on 12-04-2017, 13:57:57 in Ob-Gyn
We had a patient that due to be Maternal Exhausted we had one doctor use forceps and deliv...
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Posted By sonia p on 11-27-2017, 08:06:02 in Ob-Gyn
Hi- I was curious was others do when a patient is seen at the hospital for an OB check out...
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Posted By Cindy on 11-27-2017, 06:10:48 in Pathology/Lab
Wondering is anyone else is getting denials from any Medicare Advantage programs for this ...
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Posted By Danielle Levy on 11-24-2017, 04:23:22 in Ob-Gyn
Our physician performed a vaginal Vestibulectomy with extension of opening in vagina.
Th...
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Posted By angie on 11-20-2017, 09:26:26 in Ob-Gyn
There has been discussion about billing 96161 or G8510/G8531 for depression screening duri...
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Posted By Tammy on 11-17-2017, 19:42:40 in Ob-Gyn
My physician who's an ob/gyn did an excision of a 7-8cm fibroid while another physician at...
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Posted By Lauren Rush on 11-16-2017, 10:28:07 in Urology
I have a coding question I hope someone can help me with. It's regarding a Robotic SIMPLE ...
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Posted By sonia p on 11-09-2017, 13:53:18 in Ob-Gyn
Hi there! I was wondering what the correct dx code is to use for two vessel cord (single ...
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Posted By Wendy on 11-08-2017, 08:09:32 in Ob-Gyn
Patient delivered twins, both not alive at birth. one resuscitated, one not. Z37.3 or Z37...
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Posted By ob/gyn on 11-03-2017, 07:45:11 in Ob-Gyn
How would you code the following surgery? I was thinking 11406 but wanted a 2nd opinion...
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Posted By anita lawnick on 11-03-2017, 07:33:00 in Ob-Gyn
When we do a sequential 2 testing, which is the most appropriate Z36.X code to use?
Seque...
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Posted By Lisa on 11-02-2017, 11:18:42 in Ob-Gyn
Hi Melanie, One of our office locations is in a rural area. A local FNP joined our pract...
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Posted By Danielle Levy on 11-02-2017, 10:43:46 in Ob-Gyn
Our physician performed anterior/posterior colporrhaphy, Altis sling, Acell -graft and sac...
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  1. Op Report.pdf
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Posted By Cy J on 10-31-2017, 10:57:02 in Ob-Gyn
I am new to ER billing for an OB-GYN and I was wondering if someone could help me. On the ...
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Posted By Tara on 10-30-2017, 13:06:48 in Orthopedic
NOTE: I am working with a colleague on this matter, so her wording:

I am trying to und...
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Posted By Tara on 10-30-2017, 07:27:47 in Orthopedic
Hello.... patient underwent spine surgery, meets all ICD-10 criteria. Payer has requested...
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Posted By ob/gyn on 10-25-2017, 11:27:54 in Ob-Gyn

Patient underwent a DX Hysteroscopy with fractional D&C and polypectomy. While in reco...
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Posted By angie on 10-25-2017, 09:14:05 in Ob-Gyn
NOT SURE WHAT CPT CODE TO USE
Discussed removal of skin flap. Attached at introitus with...
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Posted By anita lawnick on 10-24-2017, 07:33:58 in Ob-Gyn
a pt. had an endo ablation (58563) which has no follow up days included. My question is, w...
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Posted By Donna on 10-23-2017, 07:45:44 in Radiology
Patient has a left thyroid mass and FNA was performed. Three repeat FNA's were done each ...
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Posted By angie on 10-23-2017, 07:32:09 in Ob-Gyn
Do We use Z36.89 for following test?

AFP
Quad
MaterniT21 testing

1 hour fasting gl...
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Posted By Cathy on 10-19-2017, 11:50:58 in Ob-Gyn
Our doctor did a c-section, and while baby #2 was being delivered mom went into cardipulmo...
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Posted By Jan on 10-19-2017, 10:16:57 in Ob-Gyn
Drs. note states she sees her PCP for all her bloodwork and P.E. etc, all she is requestin...
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Posted By Lisa on 10-19-2017, 08:27:29 in Ob-Gyn
Hi Melanie, Can you please offer some assistance? The pt is s/p TLH 8 wks, cleared for  ...
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Posted By Gracie Ermitano on 10-16-2017, 18:28:19 in Ob-Gyn
Hi Melanie, I was wondering if you could check the codes that i have provided for the case...
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Posted By Angie Bouchard on 10-16-2017, 06:57:22 in Ob-Gyn
Hi Melanie,

Patient presented to hospital at 21 0/7 wks after two doses of Laminaria d...
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Posted By Gracie Ermitano on 10-15-2017, 23:16:59 in Ob-Gyn
Hi Melanie, I am just wondering if we have some documentation policies when we see a phys...
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Posted By Jan on 10-12-2017, 15:21:33 in Ob-Gyn
What would be the proper ICD-10 for an ultrasound of the surrogate female prior to implant...
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Posted By Shelley on 10-10-2017, 12:10:23 in Ob-Gyn
I wanted to see if someone can help me in choosing the correct ICD 10 code effective 10.1....
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Posted By Danielle Levy on 10-10-2017, 04:19:59 in Ob-Gyn
Pt was admitted on 09/19/2017 for a TAH/BSO , She was then readmitted on 09/23/2017 for co...
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Posted By Danielle Levy on 10-09-2017, 11:11:08 in Ob-Gyn
Melanie,
Our physician performed an Anterior/Posterior Colporrhaphy with Enterocele, Va...
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Posted By Jeff ED on 10-08-2017, 06:35:54 in Emergency Department
EMS contacts ED physician for patient having acute STEMI. Prior to patient's arrival in ED...
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Posted By dawn b on 10-06-2017, 11:20:14 in Ob-Gyn
I am questioning how to code (icd 10cm) the delivery of twins with selective reduction of ...
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Posted By Lynn Radecky on 10-06-2017, 05:02:43 in Ob-Gyn
A patient had a vaginal delivery, one hour later she was having a PP hemorrhage. The pati...
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Posted By angie on 10-05-2017, 08:33:30 in Ob-Gyn
not sure what CPT code to use. see file attached...
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Posted By Gracie Ermitano on 10-04-2017, 15:33:27 in Ob-Gyn
Melanie, just a followup question to the previous question you answered. How about in chil...
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Posted By ob/gyn on 10-04-2017, 14:01:42 in Ob-Gyn
I was hoping I could get some guidance on the new Z36 codes that just went in effect on th...
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Posted By ob/gyn on 10-03-2017, 08:11:09 in Ob-Gyn
We are wanting to start screening our patients for SMA 81401 http://www.questdiagnostics.c...
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Posted By Cathy on 09-29-2017, 14:40:06 in Ob-Gyn
I have a doctor that wants to see in writing where she has to document anywhere in her not...
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Posted By Lillian on 09-29-2017, 10:35:01 in Ob-Gyn
If a patient is in the hospital for several days being induced for a delivery, are those ...
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Posted By linda on 09-27-2017, 10:37:28 in Otolaryngology
Can we bill audiology testing for a UHC Medicare patient under the physician?
...
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Posted By Danielle Levy on 09-27-2017, 08:13:55 in Ob-Gyn
Melanie,
Our physician states he performed a posterior colporrhaphy with enterocele rep...
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Posted By anita lawnick on 09-27-2017, 06:20:01 in Ob-Gyn
When we see a patient for conformation of pregnancy, I bill a 76817 with a dx of Z32.0. I ...
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Posted By CAROL HAVENER on 09-26-2017, 09:12:59 in Ob-Gyn
When using the new Z36 codes which code would be used for a 20 week anatomy scan? Which c...
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Posted By Gracie Ermitano on 09-22-2017, 17:21:11 in Ob-Gyn
Hi Melanie, how do you code Rubella non-immune status in a pregnant patient. I can only...
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Posted By angie on 09-21-2017, 13:33:15 in Ob-Gyn
See attachment, need help on CPT code to use. Not a normal leep procedure, but not just a...
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Posted By Lynn Radecky on 09-19-2017, 11:27:08 in Ob-Gyn
I have a question about obstetrical patients in observation status. If a patient is under...
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Posted By Danielle Levy on 09-19-2017, 10:40:43 in Ob-Gyn
Our physician performed a Altis sling for urinary stress incontinence and a posterior colp...
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Posted By Danielle Levy on 09-15-2017, 10:35:06 in Ob-Gyn
Our physician performed a Altis sling for urinary stress incontinence and a posterior col...
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