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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 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 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...
Files Attached:
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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 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 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 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 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 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 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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Posted By Lisa on 09-08-2017, 11:30:44 in Ob-Gyn
Hi Melanie, In preparing for the new ICD 10 codes, I have been asked for clarification on...
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Posted By Gracie Ermitano on 09-01-2017, 20:59:20 in Ob-Gyn
Hi Melanie! Hope you are doing fine! I would like to ask your opinion for hysterectomy cod...
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Posted By lana on 08-31-2017, 15:04:15 in Ob-Gyn
A representative from United Healthcare Community Plan (TN Medicaid) stated that pharmacie...
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Posted By Lisa on 08-31-2017, 09:57:10 in Ob-Gyn
Melanie, This patient had a TLH on 08/17/17 and on 08/24/17 had the surgery below. Not su...
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Posted By Danielle Levy on 08-29-2017, 09:51:12 in Ob-Gyn
Our physician performed a LSC converted to open laparotomy for bilateral salpingectomy and...
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Posted By Danielle Levy on 08-24-2017, 04:17:33 in Ob-Gyn
Our physician performed a LSC converted to open laparotomy for bilateral salpingectomy an...
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Posted By Danielle Levy on 08-24-2017, 04:01:29 in Ob-Gyn
Good Morning,
Out patient was scheduled for a LSC right oophorectomy along with left ov...
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Posted By ob/gyn on 08-23-2017, 08:37:14 in Ob-Gyn
One of our doctors were consulted at the end of a c-section on a patient to perform a "Rep...
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Posted By Lynn Radecky on 08-22-2017, 07:05:41 in Ob-Gyn
A patient has to undergo ultrasonic guidance to remove an IUD. What would the correct cpt...
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Posted By Jessica on 08-10-2017, 12:16:51 in Ob-Gyn
My physician removed an IUD laparoscopically and reinserted a new device while in the OR. ...
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Posted By Nancy on 08-09-2017, 07:04:45 in Ob-Gyn
We deliver patients in the hospital who receive no prenatal care. We perform delivery, and...
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Posted By jan on 08-07-2017, 12:38:39 in General Surgery
The pre-op plan was to remove the spleen. But due to excessive bleeding, adhesions, a sub...
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Posted By angie on 08-02-2017, 08:33:12 in Ob-Gyn
I have a old audit sheet that states for 1995 guidelines

problem Focused exam we need 1...
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Posted By Melanie Witt on 08-01-2017, 14:15:53 in Ob-Gyn
This is to let the forum watchers know that I will be on vacation from August 6-21 and wil...
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Posted By Lynn Radecky on 07-31-2017, 06:27:00 in Ob-Gyn
a patient had a primary c/section for breech and fibroids. The c/section was completed in...
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Posted By Danielle Levy on 07-28-2017, 11:31:40 in Ob-Gyn
Our physician performed an open abdominal myomectomy and removed 19 fibroids . Inclusively...
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Posted By lana on 07-28-2017, 06:52:54 in Ob-Gyn
Where can I find a list of ICD10 changes/updates/new codes for 2018? CPT changes for 2018?...
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Posted By ob/gyn on 07-25-2017, 08:25:19 in Ob-Gyn
Patient had a urethral sling and 6 months later complained in office about the mesh which ...
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Posted By ob/gyn on 07-25-2017, 07:53:56 in Ob-Gyn
Doctor had a patient with vaginal adhesion and did a procedure in the office and I could u...
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Posted By Dorine on 07-21-2017, 07:11:20 in Ob-Gyn
Hello List, Would like to confirm my code choice for this procedure please. After pt was p...
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Posted By angie on 07-18-2017, 12:40:19 in Ob-Gyn
cpt code for perineorrhaphy/excision of labial agglutination...
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Posted By kerri on 07-16-2017, 13:10:12 in General Surgery
One of the billers where I work did a rebill for a DOS going back to 2014. As we know 201...
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Posted By jamie on 07-14-2017, 08:31:53 in Ob-Gyn
We have a physician leaving the practice next month so when I bill her deliveries up until...
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Posted By Lillian on 06-30-2017, 07:39:05 in Ob-Gyn
I was under the impression that if a patient comes back for a repap AFTER an annual we sho...
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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 b 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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