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Posted By Danielle Levy on 06-05-2020, 11:56:19 in Ob-Gyn
Our physician states he performed a secondary repair of perineal fistula . What CPT would...
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Posted By Mary Peabody on 06-03-2020, 17:51:41 in Ob-Gyn
Hello Melanie

Our GYN department is wanting to schedule new patients for a video visit ...
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Posted By Mary Peabody on 06-02-2020, 16:57:51 in Ob-Gyn
Hello Melanie,

Is modifier 25 required on an E/M if billed on the same with CPT 99358?....
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Posted By Mary Peabody on 05-20-2020, 14:30:55 in Ob-Gyn
Hello Melanie,

I have a provider who would like to see new patients over the course of ...
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Posted By Mary Peabody on 05-14-2020, 16:12:06 in Ob-Gyn
Hello Melanie

Would you give credit for a complete review of systems if the ROS is defe...
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Posted By Mary Peabody on 05-13-2020, 13:50:12 in Ob-Gyn
Hello Melanie,

would you report this procedure with an unlisted CPT 58578 and 58555? If...
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Posted By Deborah Roorda on 05-11-2020, 11:49:11 in Ob-Gyn
Pt @ 38 wks. presents with precipitate labor Doctor on call in OR w/ C/S. Back up docto...
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Posted By Mary Peabody on 05-10-2020, 15:38:14 in Ob-Gyn
Hello Melanie,

Would you give 4 HPI for the below example.

35 year old female with s...
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Posted By Mary Peabody on 05-07-2020, 18:53:11 in Ob-Gyn
Hello Melanie
If the assessment states that the patient tested positive for Covid-19, bu...
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Posted By Mary Peabody on 05-06-2020, 13:49:53 in Ob-Gyn
Hello Melanie,

I know this is not an OB/GYN coding question but if you are familiar wit...
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Posted By Mary Peabody on 05-05-2020, 16:08:57 in Ob-Gyn
Hello Melanie,

CPT 99218-99220
Documentation requirement for initial observation care ...
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Posted By Mary Peabody on 04-30-2020, 16:53:36 in Ob-Gyn
Hello Melanie,

Thank you for your assistance with my questions. You are so valuable and...
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Posted By Mary Peabody on 04-28-2020, 15:29:18 in Ob-Gyn
Hello Melanie,

Would you agree that only four organ systems are examined based on ...
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Posted By Mary Peabody on 04-21-2020, 21:53:33 in Ob-Gyn
Hello Melanie,

Due to the COV-ID 19, our providers are performing mostly tele-health vi...
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Posted By Mary Peabody on 04-20-2020, 19:16:05 in Ob-Gyn
Hello Melanie,

If the NP sees the patient as a shared visit with the physician and the ...
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Posted By Mary Peabody on 04-17-2020, 12:45:28 in Ob-Gyn
Hello Melanie,

If a patient is seen in ED by the ED physician and the ED physician requ...
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Posted By Mary Peabody on 04-15-2020, 20:57:27 in Ob-Gyn
Hello Melanie,

If a provider performs a preventive visit and orders screening services,...
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Posted By Mary Peabody on 04-15-2020, 14:15:38 in Ob-Gyn
Hello Melanie,

When billing Medicare for an E/M with a minor procedure on the same and ...
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Posted By Mary Peabody on 04-13-2020, 14:30:34 in Ob-Gyn
Hello Melanie

A TAH/BSO Omentectomy and right pelvic lymphadencectomy was performed for...
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Posted By Brian Dooreck on 04-12-2020, 09:22:28 in Gastroenterology
Hi.

Looking for guidance on our billing and coding for our SOUTH FLORIDA based Gastroen...
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Posted By Mary Peabody on 04-09-2020, 11:53:58 in Ob-Gyn
Hello Melanie,

This patient did not have global care with us, she will return for postp...
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Posted By Sandy B on 04-09-2020, 09:55:48 in Ob-Gyn
Our office doesn't normally do testing such as this so I'm not sure if/how to bill for the...
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Posted By Mary Peabody on 04-08-2020, 12:23:53 in Ob-Gyn
Hello Melanie,
Would you code this Manual Uterine Aspiration with an unlisted CPT 59899? ...
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Posted By Mary Peabody on 04-02-2020, 14:25:03 in Ob-Gyn
Hello Melanie,

I found a list of Controlled Substance Drugs under the DEA. The list has...
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Posted By Suzanne Burmeister on 03-27-2020, 13:13:17 in Ob-Gyn
Hey everyone,

I'm working on the next issue of the Ob-Gyn Coding Alert and will include...
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Posted By Mary Peabody on 03-27-2020, 12:09:59 in Ob-Gyn
Hello Melanie,

Due to Coronavirus our hospital has created a Respiratory Care Clinic an...
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Posted By Mary Peabody on 03-25-2020, 13:28:03 in Ob-Gyn
Hello Melanie
Would you code this procedure with CPT 58150-22 or 58953. I am confused wit...
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Posted By angie on 03-25-2020, 13:18:52 in Ob-Gyn
can you use Z32.01 for ultrasound confirmation of pregnancy? or just on pregnancy test and...
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Posted By Tina on 03-25-2020, 11:36:33 in Family Practice
Claims are getting denied for CO-236 for code 99497 with modifier 33 did the rules change ...
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Posted By Cathy on 03-24-2020, 14:32:55 in Ob-Gyn
Melanie, during a Posterior colporraphy with entercocele repair the doctor noted there w...
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Posted By Mary Peabody on 03-23-2020, 19:35:15 in Ob-Gyn
Hello Melanie

Would you give credit under musulosketetal if the documentation states? H...
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Posted By angie on 03-17-2020, 15:28:08 in Ob-Gyn
do you know what the requirements are for telemedicine for medicare since they passed it t...
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Posted By Mary Peabody on 03-17-2020, 12:07:28 in Ob-Gyn
Hello Melanie,

Would you code this procedure with an unlisted laparoscopy procedure, in...
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Posted By Mary Peabody on 03-16-2020, 20:54:53 in Ob-Gyn
Hello Melanie,

Can you bill placement of cervical dilators, CPT 57200 with D & E, CPT 5...
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Posted By Mary Peabody on 03-15-2020, 19:02:14 in Ob-Gyn
Hello Melanie,

If the patient is seen in the post operative period for follow up to dis...
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Posted By Mary Peabody on 03-15-2020, 18:44:56 in Ob-Gyn
Hello Melanie,

On the table of risk, would a diagnosis of endometrial cancer or ovarian...
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Posted By Maria on 03-14-2020, 21:54:33 in Ob-Gyn
Hi Melanie,

The physician performed a TAH BSO.

The physician noted that BSO was do...
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Posted By Maria on 03-14-2020, 21:50:22 in Ob-Gyn
Hello Melanie,

If the physician on the delivery reports states delivery between 39 to ...
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Posted By Maria on 03-14-2020, 21:47:47 in Ob-Gyn
Hi Melanie,

I am coding a C section for repeat with Insulin Dependent Diabetes.

#1 ...
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Posted By Mary Peabody on 03-09-2020, 16:38:25 in Ob-Gyn
Hello Melanie,

If physical examination is not performed and documented for a new patie...
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Posted By Danielle Levy on 03-05-2020, 14:40:57 in Ob-Gyn
Melanie,
Our physician performed LSC bilateral oophorectomy with urethral dilation and ...
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Posted By Mary Peabody on 03-04-2020, 18:30:44 in Ob-Gyn
Hello Melanie,

Thank you so much for response to my coding questions.

If during a ...
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Posted By Mary Peabody on 03-02-2020, 13:14:27 in Ob-Gyn
Hello Melanie,

Would you report the closure of hysterotomy by a different physician wit...
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Posted By Mary Peabody on 02-28-2020, 11:50:32 in Ob-Gyn
Hello Melanie

Would you report CPT 15839 and 56605, 56606 for this surgery? The provid...
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Posted By Suzanne C on 02-26-2020, 09:46:55 in Oncology
I'm receiving denials from Medicare (Noridian) effective 10/1/19 for CPT code 96446 when u...
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Posted By angie on 02-24-2020, 18:24:25 in Ob-Gyn
for procedures 58555 58558 58563 there is a 0 post of days. can you still bill a normal...
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Posted By Mary Peabody on 02-21-2020, 14:55:56 in Ob-Gyn
Hello Melanie,

I am really confused regarding coding modified radical abdominal hystere...
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Posted By Mary Peabody on 02-20-2020, 14:45:31 in Ob-Gyn
Hello Melanie

Would you report the D & D with 59160 and the cervical laceration repair ...
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Posted By Mary Peabody on 02-18-2020, 15:02:29 in Ob-Gyn
Hello Melanie,

If a bilateral sentinel pelvic lymph node is performed with a TAH, would...
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Posted By Mary Peabody on 02-14-2020, 14:26:26 in Ob-Gyn
Hello Melanie,

Would CPT 58548 be appropriate for this case or 58571 and 38572?.

PR...
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Posted By Deborah Roorda on 02-11-2020, 08:53:24 in Ob-Gyn
Pt came in to have IUD inserted after C/S delivery. Doctor inserted IUD with resistance a...
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Posted By Mary Peabody on 02-06-2020, 20:21:47 in Ob-Gyn
Hello Melanie

If a patient was seen by her Primary Care Physician for an annual checkup...
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Posted By Mary Peabody on 02-06-2020, 12:28:17 in Internal Medicine
Hello,

When patient's are seen by the primary care physician for an annual checkup for ...
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Posted By Jordan on 02-05-2020, 18:34:41 in Pediatric
Can Sports Physicals be billed seperatly from a well child exam? If so, what is the best C...
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Posted By Jordan on 02-05-2020, 18:18:30 in Pediatric
Can a Medical provider doctor or Nurse Practitioner bill for after hour calls? If so, what...
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Posted By Lynn Radecky on 01-29-2020, 10:19:27 in Ob-Gyn
HI Melanie,

I have a patient who is bi-polar and has an intellectual disability. She i...
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Posted By Sandy B on 01-28-2020, 16:32:34 in Ob-Gyn
Looking for codes for laparotomy with removal of foreign body and repair of vaginal cuff d...
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Posted By Lynn Radecky on 01-28-2020, 13:31:11 in Ob-Gyn
If a patient is seen in obs on say 1/1/20 and then admitted on 1/2/20 what code do I use f...
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Posted By Melanie Witt on 01-27-2020, 15:28:37 in Ob-Gyn
Does anyone have any good LARC cases they could share with me? Especially ones for immedi...
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Posted By Maria on 01-17-2020, 15:54:58 in Ob-Gyn
Hello Melanie,

The definition of ICD 10 code 036.019X is Maternal care for Rheusus isoi...
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Posted By angie on 01-16-2020, 16:36:26 in Ob-Gyn
not sure what dx code to use on this see below.

Chief Complaint
Patient New to practi...
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Posted By Mary Peabody on 01-10-2020, 15:18:54 in Ob-Gyn
Is CPT 59855 Induced abortion by 1 or more vaginal suppositories including hospital admiss...
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Posted By Cathy on 01-06-2020, 14:03:26 in Ob-Gyn
Melanie, I am going to sit for the exam this year. Under references it has: Optional Refe...
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Posted By Cathy on 01-06-2020, 11:57:46 in Ob-Gyn
I overthink on these!
Patient had a Colpo on 11/25/19 that came back as CIN III. Doctor...
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Posted By Lynn Radecky on 01-03-2020, 10:22:27 in Ob-Gyn
When a Medicare pt. only comes in only for a pessary cleaning what cpt code is used for th...
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Posted By Mary Peabody on 01-02-2020, 11:55:31 in Ob-Gyn
Hi Melanie,

If a D & E is performed on a fetal demise at 21 weeks, do we report procedu...
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Posted By Maria on 12-26-2019, 07:03:13 in Ob-Gyn
Hello Melanie,

Please help with CPT codes. Dr has 58571,50715,58958,s2900

Thanks, Ma...
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Posted By Danielle Levy on 12-17-2019, 12:35:50 in Ob-Gyn
Melanie,
Our physician stated he did a perineal fistula repair, however after reading th...
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Posted By Mary Peabody on 12-12-2019, 19:50:51 in Ob-Gyn
Hello Melanie

If a Laparoscopic Total Hysterectomy with BSO and Laparoscopic excision o...
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Posted By Maria on 12-11-2019, 12:54:42 in Ob-Gyn
Hello Melanie,

Would you please help me with a CPT for this procedure?


INDICATI...
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Posted By Maria on 12-06-2019, 05:51:45 in Ob-Gyn
Hello Melanie,

Could you please help with CPT codes?

Dr has not given laparoscopic ...
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Posted By angie on 12-04-2019, 16:57:54 in Ob-Gyn
does anyone know the link for the LCD edit for dexa for medicare? My link no longer works...
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Posted By Mary Peabody on 12-03-2019, 16:26:42 in Ob-Gyn
If a cervical dilation was also performed when performing an endometrial biopsy, but no cu...
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Posted By Maria on 12-03-2019, 12:16:11 in Ob-Gyn
Hey Melanie,

Would you please help me with a CPT for this procedure?

Thanks, Maria...
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Posted By Danielle Levy on 12-03-2019, 08:00:51 in Ob-Gyn
Melanie,
Please assist. We have an OB patient who is covered under BC/BS as primary with...
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Posted By Danielle Levy on 11-20-2019, 08:44:04 in Ob-Gyn
Melanie,
I am pretty sure I am aware of the answer but I just need clarification . Our p...
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Posted By Mary Peabody on 11-18-2019, 19:54:07 in Ob-Gyn
Hi Melanie Witt,

When billing myomectomy, CPT 58146 or 58546, if the myomas are not int...
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Posted By Mary Peabody on 11-15-2019, 19:38:30 in Ob-Gyn
Hello Melanie Witt

Are there any coding guidance on coding for Laparoscopy, excision of...
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Posted By angie on 11-13-2019, 15:15:16 in Ob-Gyn

CPT code ??

Indications:The patient is a 52 year old Caucasian/White female who was r...
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Posted By Maria on 11-08-2019, 12:00:20 in Ob-Gyn
Hello Melanie,

What CPT code would you recommend for a Radical Robotic hysterectomy wi...
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Posted By Danielle Levy on 11-01-2019, 12:00:49 in Ob-Gyn
Our Physician performed an anal sphincteroplasty, posterior colporapphy, muscle transplant...
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Posted By angie on 10-17-2019, 10:32:09 in Ob-Gyn
can someone explain how they came up with this cci edit that 81241 is bundled with gonorrh...
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Posted By angie on 10-14-2019, 10:22:38 in Ob-Gyn
cpt code for infibulation take down?...
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Posted By angie on 10-14-2019, 08:26:50 in Ob-Gyn
which CPT code is correct see attachment. Do we go by measuring weeks or weeks patient sh...
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Posted By DICK BURNAL on 09-27-2019, 08:09:27 in Podiatry
Hi,

In our Podiatry documentation we are getting most of the cases with Hematoma remova...
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Posted By DICK BURNAL on 09-27-2019, 06:44:07 in Podiatry
Hi,

I am working as a Podiatry verifier,while coding the nail debridement the Principal...
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Posted By Maria on 09-23-2019, 10:26:51 in Ob-Gyn
Hello Melanie,

Welcome Back!!

Would this be considered DX PP complications even tho...
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Posted By angie on 09-19-2019, 10:40:27 in Ob-Gyn
question on CPT to use on this case. I feel like the provider needs to note the size of th...
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Posted By Crystal on 09-18-2019, 14:50:38 in Ophthalmology
Has anyone started doing In office Cataract surgery? If so, I know Medicare doesn't pay ye...
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Posted By Danielle Levy on 09-18-2019, 13:43:37 in Ob-Gyn
Our physician is looking to bill out a 57109 for the attached Operative report. After revi...
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Posted By mary peabody on 09-16-2019, 12:18:48 in Ob-Gyn
Coding Laparoscopy excision of endometriosis, bilateral uretolysis, cystoscopy, proctoscop...
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Posted By Maria on 08-27-2019, 12:16:03 in Ob-Gyn
Hi Melanie,

Hope I catch you before you leave tomorrow!
Such a nice vacation!

Dr ...
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Posted By Dorine on 08-27-2019, 09:51:56 in Ob-Gyn
Good Morning Group,

Would I use the unlisted CPT code for this? Please advise. Thank y...
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Posted By Suzanne Burmeister on 08-21-2019, 00:18:48 in Oncology
Hey everyone,

I'm the editor of the Oncology Coding Alert. Just wanted to remind you th...
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Posted By Suzanne Burmeister on 08-21-2019, 00:16:49 in Ob-Gyn
Hey everyone,

I'm the editor of the Ob-gyn Coding Alert. Just wanted to remind you that...
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Posted By Melanie Witt on 08-20-2019, 18:29:59 in Ob-Gyn
Well, it looks like the forum is up and running again - just in time for me to start my va...
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Posted By Lynn Radecky on 08-19-2019, 11:47:48 in Ob-Gyn
My patient went in for diagnostic hysteroscopy and D&C for Post menopausal bleeding. He c...
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Posted By Lillian Boyanton on 08-19-2019, 10:29:23 in General Surgery
The patient went back to the OR for a resection of the eviscerated omentum reduction and ...
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Posted By Lillian Boyanton on 08-19-2019, 10:28:39 in Multi-Specialty
The patient went back to the OR for a resection of the eviscerated omentum reduction and ...
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Posted By Lillian Boyanton on 08-19-2019, 08:56:37 in Gastroenterology
I'm having difficulty coding this procedure and need some help.

The patient went back t...
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