The clinical examples that are provided here are limited to Office or Other Outpatient Services, Hospital Inpatient Services, Consultation, Emergency and Critical Care services. These clinical examples do not encompass the entire scope of medical practice. Inclusion or exclusion of any particular specialty group does not infer any judgment of importance or lack thereof; nor…
CPC sample question # 1 CPT 26123, CPT 26125, ICD-9-CM 728.6 CPT 26123 is used for reporting the Fasciectomy, with release of 1 single digit and CPT 26125 is for the additional dight. Diagnosis code 728.6 is used to report the Dupuytren’s contraction CPC sample question # 2 CPT 33208, ICD-9-CM 426.12 CPT 33208 is…
Modifier – as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbursement. Modifiers may add information or change the description according to the physician documentation to give more specificity for the service or procedure rendered. Appending of an appropriate modifier will effectively respond to…
Hypokalemia is when the potassium level in the blood is too low. Potassium is an important electrolyte for the function of nerve and muscle cells as well as muscle cells in the heart. Your kidneys control the potassium content of your body and allow excess potassium to leave the body in urine and sweat. In…
Dysphagia is a medical term used to describe difficulty swallowing. It can include the difficulty swallowing (so-called oropharyngeal dysphagia) or the sensation of food sticking to the neck or the chest (so-called esophageal dysphagia). Oropharyngeal dysphagia is the result of the abnormal function of the nerves and muscles in the mouth (pharynx) and the throat…
Chronic back pain (LBP) is one of the most common disability causes among US adults under 45, and 10% to 20% of American workers report persistent back pain. When back pain disappears with rest, home remedies or medical treatments may become necessary, such as over-the-counter painkillers and non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. Epidural…
Chest pain is one of the most common reasons people visit the emergency room. Chest pain can vary from person to person. It can feel like a sharp sting or a dull pain. It can also be a sign of a more serious heart problem. If you have chest pain, your first thought might be…
Definition Of Osteopenia Osteopenia is a condition that requires low bone mass. It means that bones of a person are not as strong as they should be and are more likely to drench off. A person with osteopenia may have less dense bones than expected, but their condition is not serious enough to qualify as…
Hernia is a common problem that causes a localised bulge in the abdomen or the groin. Incision or abdominal fracture is a condition that occurs when tissue is dragged or surgical wounds in the abdomen do not heal properly. Integrating positive lifestyle habits can help the long term to treat the symptoms of hernia. These…
Vitamin D deficiency can occur when the normal intake is lower than recommended or during a period when sunlight is limited. Vitamin D deficiency can result from inadequate nutrition, impaired absorption, excessive consumption, increased need or increased excretion. It can also be due to the inability of the kidneys to convert vitamin D into its…
Two basic criteria must be met for Medicare to provide testing and diagnostic services. Tests and diagnostic services are covered by Medicare for certain procedures, such as routine exams, but are not covered until they are medically necessary or indicated. Medicares payments for clinical laboratory tests are usually less than the fee plan amount and…
According to the CPT manual, the correct code for venous puncture encoding is CPT 36415 (venous blood collection by venous puncture). This code is not intended for specific purposes, but for the total number of venous punctures. For a significant number of doctors who take blood in their practice to perform a laboratory test, the…
The CPT Code 76942 is used for all ultrasonic guided needle placements, including biopsy, aspiration and injection, and is a CPT-4 specific code for ultrasonic guided procedures. This code is not used for vascular surgery. CPT Code 76937 is an add-on code that is assigned to a procedure code that has never been assigned before….