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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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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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