by Kristi Pollard | Jun 15, 2022 | Webinar Q&As
Q: Can you code “mild” valve conditions from an echocardiogram report? A: Before assigning a code for a valvular condition, regardless of the documented severity, the coder should determine if the condition meets the definition of an additional diagnosis as outlined...
by Kristi Pollard | May 18, 2022 | Webinar Q&As
Q: What is the difference between the proximal humerus and proximal shaft of humerus? Which part of the humerus should be coded? A: Proximal shaft means the upper end of the shaft, but not quite to the proximal end of the bone. A fracture of the proximal shaft is...
by Mary Bort | May 18, 2022 | Uncategorized, Webinar Q&As
Q: A physician performed a fusion at the first tarsometatarsal joint and an open reduction with internal fixation of the second TMT joint. Can I report both 28740 and 28615?A: Yes, it would be appropriate to report both codes. They are being done at separate sites....
by Mary Bort | Feb 17, 2022 | Uncategorized, Webinar Q&As
Q: Is it appropriate to wait for a pathology report before coding?A: Absolutely, I encourage it. Q: If my surgeon does not document the size of a lesion and the margins, can I take them from the pathology report? 4A: Ideally, this is not good practice. When specimens...
by Kristi Pollard | Jan 24, 2022 | Webinar Q&As
Q: We were originally educating the coders at our facility to code removal of internal fixation device from the joint per Coding Clinic 2Q 2017 pgs. 23-24 however a correction was issued in Coding Clinic 2Q2019 that states to use body part of vertebrae. But you’re...
by Kristi Pollard | Jan 20, 2022 | Webinar Q&As
Q: Can you please clarify if you can code a condition listed in the past medical history if there is a medication for it on the medication list? For example, would you code a condition like hypertension if they were on meds but weren’t given that medication during an...