Reader Question: Physicals Are Not 1 Size Fits All

Question: When a patient reports to our pediatrician for a school- or sports-related physical, how should we report the service? South Dakota Subscriber Answer: When these [...]

Posted on: 20 April 2017 | 4:04 am

Reader Question: Mind Open, Closed Wound Definitions

Question: What is the difference between an open and closed wound, and does open wound treatment automatically mean you can choose a procedure code? New York Subscriber [...]

Posted on: 20 April 2017 | 4:04 am

Reader Question: Be Thorough with Neck Sprain Dx

Question: Our provider recently provided an evaluation and management (E/M) service to an established patient complaining of neck pain. Encounter notes indicate that the final diagnosis is “neck sprain.” What is [...]

Posted on: 20 April 2017 | 4:04 am

Reader Question: Opt for R Code when Fall Cause Unknown

Question: When our practice treats patients with a history of falling, what ICD-10 code(s) should we include on the claim? Minnesota Subscriber Answer: When a patient [...]

Posted on: 20 April 2017 | 4:04 am

You Be the Coder: Reporting Ear Wick Insertion

Question: Our pediatrician recently saw a patient with an infection of the left inner ear. Notes indicate that he inserted an antibiotic-soaked ear wick to treat the infection. Is there a [...]

Posted on: 20 April 2017 | 3:04 am

Modifiers: Keep Modifier 26 Handy for Off-Site Services

If your practice owns the equipment, you can code without modifier. When your pediatrician provides services for a patient using another facility’s equipment, payers will only reimburse [...]

Posted on: 20 April 2017 | 3:04 am

Clip And Save: Get HPI Info with These Thorough Questions

Pointed, direct language will help you sort through HPI. During the history of present illness (HPI) portion of an E/M service, the first order of business is [...]

Posted on: 20 April 2017 | 3:04 am

Procedure Coding: Now Hear This: Not All FBRs Are the Same

Keep your ear to the ground to spot these FBRs. Coders at pediatric practices will often face encounter forms that involve a foreign body removal (FBR). [...]

Posted on: 20 April 2017 | 3:04 am

Ask an Expert: Cut to the Chase with These Laceration Repair Answers

Remember, multiple repairs might not mean multiple codes. Patients that report to the pediatrician for laceration repair services often produce a pretty simple claim; the provider identifies [...]

Posted on: 20 April 2017 | 3:04 am

Reader Question: Let FB Depth Guide Your Removal Coding

Question: A patient reported to the pediatrician with a conjunctival foreign body in her right eye. The provider removed a small amount of dirt using irrigation with saline solution and a [...]

Posted on: 21 March 2017 | 5:03 am