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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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Posted By Maria on 08-16-2019, 12:18:47 in Ob-Gyn
Hi Melanie,

Dr Coded 58571, 57283, 38571, 57135, S2900

I am thinking 57425 Lap Colp...
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Posted By Cathy on 08-16-2019, 11:37:08 in Ob-Gyn
I know that we cannot bill to repair a perforation the doctor made at the time of surgery....
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Posted By angie on 08-16-2019, 08:17:21 in Ob-Gyn
pregnant pt wanting genetic testing, no risk factors, what dx code is correct to use?

M...
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Posted By Danielle Levy on 08-08-2019, 08:30:02 in Ob-Gyn
Melanie,
Good morning, We have a group of OB/GYN'S who have 10 certified nurse midwives...
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Posted By Mandy on 07-29-2019, 17:56:48 in General Surgery
There are several surgeons in our community, some same practice, some in different practic...
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Posted By Robin Frankland on 07-29-2019, 13:56:55 in Ob-Gyn
Hi Melanie,
I have a team of 14 OB/GYN coders to which I perform monthly coding educa...
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Posted By Melanie Witt on 07-26-2019, 12:57:37 in Ob-Gyn
So one more request. Does anyone have a case showing post delivery insertion of an IUD (o...
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Posted By Melanie Witt on 07-26-2019, 12:35:08 in Ob-Gyn
Hi all my loyal network! I am interested in finding some real-life cases for IUD and Impl...
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Posted By Lillian Boyanton on 07-26-2019, 10:36:19 in Ob-Gyn
What is the difference between Urinalysis 81002 & 81003? I know they are both without micr...
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Posted By Lynn Radecky on 07-24-2019, 09:02:31 in Ob-Gyn
I have a patient who at 17weeks had PROM & Chorioamnionitis, she was induced for delivery ...
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Posted By Maria on 07-23-2019, 09:03:45 in Ob-Gyn
Hello Melanie,

I need help with a dxs code, please.

A C Section performed due to t...
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Posted By Lillian Boyanton on 07-22-2019, 10:55:52 in Ob-Gyn
Patient comes in for a NEW annual and a gyn problem is also addressed. Is this coded NEW/N...
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Posted By mary peabody on 07-19-2019, 20:46:39 in Ob-Gyn
How would you code a quadruplet pregnancy and one fetus demise.? When coding 031.31X_ , s...
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Posted By angie on 07-10-2019, 16:58:07 in Ob-Gyn
cpt code for lap IUD/removal. we tried 58578 with notes and insurance denied it....
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Posted By Angie Bouchard on 07-01-2019, 14:10:09 in Ob-Gyn
Good afternoon Melanie,

I was reading the 6/2019 AAPC Healthcare Business Monthly and ...
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Posted By jamie on 06-27-2019, 08:05:24 in Ob-Gyn
When should you use the 90384 and when should you use the J2791. If it is payer preference...
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Posted By Cathy on 06-20-2019, 12:29:27 in Ob-Gyn
Colpo was performed due to PAP with ASCUS, + HPV Path report finding from Colpo is below...
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Posted By Danielle Levy on 06-14-2019, 06:04:49 in Ob-Gyn
Our physician performed a TAH/BSO ( 58150) with a colpopexy (57280) . He made reference to...
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Posted By Peggy on 06-13-2019, 11:12:09 in Pain Management
Can you bill 99213/25 with 20553?...
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Posted By sonia p on 06-13-2019, 08:50:33 in Ob-Gyn
Hi Melanie- I find conflicting info online about this code.
!. Can it be used for either...
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Posted By angie on 06-12-2019, 11:29:09 in Ob-Gyn
waiver needed for hysterectomy for Medicare patient's? Hyst done for medical reasons. (w...
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Posted By Deborah Roorda on 06-11-2019, 13:46:51 in Ob-Gyn
Pt had placenta accrete diagnosis at delivery. She had to stay 5 extra days in hospital fo...
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Posted By mary peabody on 06-10-2019, 20:04:51 in Ob-Gyn
Hello,

If 45 minutes were spent with the patient performing genetic counseling, would y...
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Posted By mary peabody on 06-10-2019, 17:22:31 in Ob-Gyn
Hello Melanie,

Can CPT 58146 be billed if only two intramural fibroid and 2 submucosal ...
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Posted By Angie Bouchard on 06-06-2019, 13:09:07 in Ob-Gyn
Good afternoon Melanie,

I have always typically coded off pathology when there was a m...
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Posted By Gracie Ermitano on 06-03-2019, 18:14:36 in Ob-Gyn
Not an OB question but is there a way that we can edit or change the email address? When I...
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Posted By Gracie Ermitano on 06-03-2019, 18:09:09 in Ob-Gyn
This is the first time I encountered that an insurance carrier allows billing for an initi...
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Posted By sonia p on 06-03-2019, 16:19:50 in Ob-Gyn
Hi Melanie - what dx would you use when someone comes in for routine pessary cleaning/main...
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Posted By mary peabody on 06-01-2019, 20:40:18 in Ob-Gyn
Hello,

In the table of risk, how can a coder determine if a drug therapy requires inten...
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Posted By mary peabody on 05-31-2019, 13:59:00 in Ob-Gyn
Hello Melanie,

Given that the patient may have head trauma due to the MV and is on love...
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Posted By mary peabody on 05-31-2019, 13:17:57 in Ob-Gyn
Hello,

What ICD-10 codes would you assign to a pregnant 37 weeks pregnant female seen i...
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Posted By sarah on 05-30-2019, 16:02:00 in Cardiology
after reading the May Cardiology Coding Alert, I am still confused as to how often this co...
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Posted By angie on 05-30-2019, 12:45:53 in Ob-Gyn

hep c testing for pts born 1945-1965 which dx code should I use?

Z72.89? ...
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Posted By Cathy on 05-30-2019, 09:39:29 in Ob-Gyn
Melanie...We performed an EMB on 5/1 and the path report came back with Endometrium, biops...
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Posted By mary peabody on 05-28-2019, 12:03:37 in Ob-Gyn
Hello Melanie,


When reviewing GYNONC follow up visits notes, what would be the HPI el...
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Posted By mary peabody on 05-26-2019, 15:28:30 in Ob-Gyn
Hello Melanie,

Would CPT 58956 be appropriate for this case?

Please see op note and ...
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Posted By mary peabody on 05-24-2019, 15:13:50 in Ob-Gyn
If the diagnosis is mucinous ovarian carcinoma would you code CPT 58956 for this procedure...
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Posted By Angie Bouchard on 05-23-2019, 10:59:49 in Ob-Gyn
Hi Melanie,
I am unsure whether to bill this as a twin delivery (both delivered) or with...
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Posted By Danielle Levy on 05-23-2019, 06:57:58 in Ob-Gyn
Please see attached question regarding insertion of mesh and offer any assistance ...
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Posted By mary peabody on 05-21-2019, 18:25:22 in Ob-Gyn
Would you code Mucinous borderline Tumor of the ovary with the C56._ code? Is this consid...
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Posted By mary peabody on 05-19-2019, 18:20:18 in Ob-Gyn
I am coding Oncology Visit and trying to determine what would be the HPI for a follow up ...
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Posted By Lynn Radecky on 05-17-2019, 09:05:02 in Ob-Gyn
My patient delivered via C/section at 26wks due to pre-eclampsia with Hellp Syndrome. Sh...
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Posted By mary peabody on 05-16-2019, 11:37:08 in Ob-Gyn
In the table of risk, what is the difference in parenteral controlled substances and drug ...
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Posted By mary peabody on 05-16-2019, 11:37:08 in Ob-Gyn
In the table of risk, what is the difference in parenteral controlled substances and drug ...
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Posted By Tammy on 05-12-2019, 23:28:22 in Ob-Gyn
My physician who is a specialist ob/gyn wants to now charge for phone consults when she ca...
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Posted By mary peabody on 05-09-2019, 16:22:37 in Ob-Gyn
To TCI Forum

Do anyone know how to get a copy of an Audio-code Webinar presented by Mel...
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Posted By mary peabody on 05-09-2019, 16:22:35 in Ob-Gyn
To TCI Forum

Do anyone know how to get a copy of an Audio-code Webinar presented by Mel...
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Posted By mary peabody on 05-09-2019, 16:22:35 in Ob-Gyn
To TCI Forum

Do anyone know how to get a copy of an Audio-code Webinar presented by Mel...
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Posted By mary peabody on 05-09-2019, 16:22:34 in Ob-Gyn
To TCI Forum

Do anyone know how to get a copy of an Audio-code Webinar presented by Mel...
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Posted By mary peabody on 05-09-2019, 16:22:34 in Ob-Gyn
To TCI Forum

Do anyone know how to get a copy of an Audio-code Webinar presented by Mel...
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Posted By angie on 05-07-2019, 11:56:56 in Ob-Gyn
we are finding some payers like BCBS stating prior approval is needed for bv panel. 87510 ...
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Posted By Lynn Radecky on 05-01-2019, 14:00:08 in Ob-Gyn
What ICD-10 code do I use for intrauterine synechiae for a pregnant patient? Thanks!...
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Posted By angie on 05-01-2019, 12:43:35 in Ob-Gyn
we are looking at hiring a qualified, certified psychologist for our OBGYN clinic. Do ...
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Posted By angie on 04-17-2019, 10:22:28 in Ob-Gyn
If patient had surgery and is past the 10 day post op period and comes in for follow up c...
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Posted By Maria on 04-16-2019, 14:54:40 in Ob-Gyn
Melanie,

I know CMS has determined that modifier 51 is no longer needed for multiple p...
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Posted By Dorine on 04-12-2019, 11:32:10 in Ob-Gyn
Good Morning, Pt is status post robotically assisted vaginal hysterectomy in later Oct., s...
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Posted By Sharon Karonias on 04-05-2019, 21:58:50 in Neurosurgery
There are 2 codes for myelomeningocele repair - CPT 63704 - <5 cm diameter myelomeningocel...
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Posted By Maria on 04-03-2019, 13:55:49 in Ob-Gyn
Hello Melanie,

I need some CPT help, please.

Dr has 58720 and 38571. 38571 is lapar...
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Posted By angie on 03-28-2019, 17:15:09 in Ob-Gyn
We have a student currently at our clinic. Is this correct on documentation rules. The ch...
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Posted By Tammy on 03-27-2019, 20:24:32 in Ob-Gyn
would I code the attached op report with a 57180 or a 58999 or something else? Patient ha...
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Posted By Maria on 03-27-2019, 10:25:00 in Ob-Gyn
Melanie, I am not sure what way to go with this one. Path did not confirm molar pregnancy....
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Posted By angie on 03-21-2019, 12:18:32 in Ob-Gyn
what is the correct dx code to use for RH imm glob injection for pt who is RH- we have be...
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Posted By angie on 03-21-2019, 12:16:34 in Ob-Gyn
need help with CPT/ICD-10 see attachment.

Thank You ...
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Posted By Deborah Roorda on 03-20-2019, 08:43:15 in Ob-Gyn
Our doctors are doing the patient annual/preventative exam and coding it with Z01.419 w/o ...
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Posted By Lynn Radecky on 03-08-2019, 09:36:50 in Ob-Gyn
my patient had a vaginal delivery the placenta was delivered spontaneously intact, no lace...
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Posted By Maria on 03-07-2019, 10:02:42 in Ob-Gyn
Hello Melanie,

Would you please tell me if I am close to the correct coding for this p...
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Posted By angie on 03-07-2019, 09:01:27 in Ob-Gyn
wanted to confirm providers should be using Fetus 1, fetus 2 verbiage vs Baby A and Baby b...
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Posted By Deborah Roorda on 03-05-2019, 09:18:28 in Ob-Gyn
We are getting denial when a patient comes for a physical and also is treated for a prob...
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Posted By Lynn Radecky on 03-04-2019, 13:39:56 in Ob-Gyn
What is the correct DX code for DES exposure/daughter? Thanks!...
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Posted By angie on 03-04-2019, 11:21:59 in Ob-Gyn
We are having a issue with Preferrred One now asking for a modifier on a claim when billin...
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Posted By Maria on 02-27-2019, 11:49:18 in Ob-Gyn
Hello Melanie,

I do some coding for an oncologist in a teaching facility.

I want t...
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Posted By angie on 02-25-2019, 07:45:53 in Ob-Gyn
a provider asked me this question. We can only bill a face to face encounter, but if we...
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Posted By Maria on 02-21-2019, 14:55:17 in Ob-Gyn
Hello Melanie,

I see a lot of pregnant patients showing up in L&D with no compliant.
...
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Posted By Maria on 02-21-2019, 14:22:33 in Ob-Gyn
Hello Melanie,

I was hoping you could elaborate on the correct use of these two codes....
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Posted By Danielle Levy on 02-20-2019, 15:02:23 in Ob-Gyn
Melanie ,
Out physician performed a LSC bilateral salpingectomy and (L) oopherectomy as...
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Posted By Lynn Radecky on 02-18-2019, 10:53:00 in Ob-Gyn
My patient was supposed to have an operative hysteroscopy, resection of fibroid and D&C. ...
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Posted By angie on 02-14-2019, 16:33:58 in Ob-Gyn
We are billing G0101 for breast and pelvic exam. If the patient has GYN issues that are ad...
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Posted By angie on 02-12-2019, 11:52:10 in Ob-Gyn
PT HAD HYSTEROSCOPY DILATION AND CURETTAGE USING MYOSURE. SHOULD BE USING 58558 OR 58561
...
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Posted By Danielle Levy on 02-12-2019, 07:04:12 in Ob-Gyn
I have attached an operative report that I am questioning if you believe I have the correc...
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Posted By Suzanne Burmeister on 02-11-2019, 22:27:57 in Ob-Gyn
Hey everyone,

We all know Melanie Witt is an amazing lady, but do you want to know more...
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Posted By Suzanne Burmeister on 02-06-2019, 22:59:30 in Ob-Gyn
Hey everyone! Here at The Coding Institute, we are implementing a new social media initiat...
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