Obstetrics|Gynecology - Articles

Why Is Medicare Denying My Claims for Mammography and Breast Biopsies?
June 4th, 2018 - BC Advantage
When Medicare updated their systems with the updates to mammography and breast biopsy policies some ICD-10-CM codes were inadvertently left out. The omitted new codes are N63.11-N63.14, N63.21-N63.24, N63.31, N63.32, N63.41, and N63.42, which will replace the truncated ICD-10 diagnosis N63. The Centers for Medicare & Medicaid Services (CMS) will...
Preventive Medicine: Breastfeeding Supplies
May 9th, 2018 - Find-A-Code™
Preventive Medicine Topics Page Breastfeeding Supplies Procedure Codes A4286: Locking ring for breast pump, replacement E0602: Breast pump, manual, any type E0603: Breast pump, electric (ac and/or dc), any type E0604: Breast pump, hospital grade, electric (ac and / or dc), any type S9443: Lactation classes, non-physician provider, per session ICD-10-CM ...
Preventive Medicine: Cervical Dysplasia Screening
May 9th, 2018 - Find-A-Code™
Preventive Medicine Topics Page Cervical Dysplasia Screening Procedure Codes 88141: Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician 88142: Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision 88143: Cytopathology, cervical or vaginal (any reporting system), collected ...
Preventive Medicine: Contraceptive Methods
May 9th, 2018 - Find-A-Code™
Preventive Medicine Topics Page Contraceptive Methods Procedure Codes A4261: Cervical cap for contraceptive use A4266: Diaphragm for contraceptive use A4264: Permanent implantable contraceptive intratubal occlusion device(s) and delivery system J7300: Intrauterine copper contraceptive J7301: Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg J7303: Contraceptive supply, hormone containing vaginal ring, each J7304: ...
Preventive Medicine: Screening Gynecological Examination
May 9th, 2018 - Find-A-Code™
Preventive Medicine Topics Page Screening Gynecological Examination Procedure Codes G0101: Cervical or vaginal cancer screening; pelvic and clinical breast examination S0610: Annual gynecological examination; clinical breast examination without pelvic evaluation S0612: Annual gynecological examination, established patient S0613: Annual gynecological examination, new patient ICD-10-CM G0101:Low risk patients - Z01.411, Z01.419, Z12.4, Z12.72, ...
Pre-Existing or Gestational?
February 1st, 2018 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
It is important to make a clear distinction between pre-existing conditions and conditions brought on by the pregnancy (gestational) or pregnancy related conditions. Condition Detail: Was the condition pre-existing (i.e., present before pregnancy)? Trimester: When did the pregnancy-related condition develop? Casual Relationship: Establish the relationship between the pregnancy and the complication (e.g., preeclampsia) Code examples: O99.011 Anemia ...
Excluded from the Global OB Package
April 6th, 2017 - Chris Woolstenhulme, CPC, CMRS
First three antepartum E&M visits Laboratory tests Maternal or fetal echography procedures (CPT codes 76801, 76802, 76805, 76810, 76811, 76812, 76813, 76814, 76815, 76816, 76817, 76820, 76821, 76825, 76826, 76827 and 76828) Amniocentesis, any method (CPT codes 59000 or 59001) Amniofusion (CPT code 59070) Chorionic villus sampling (CPT code 59015) Fetal contraction stress test (CPT code 59020) Fetal non-stress test (CPT code 59025) External cephalic version (CPT code 59412) Insertion of cervical dilator (CPT code 59200) more than 24 hr before delivery E&M services which is unrelated ...
Endocervical Curettage and Colposcopy
March 7th, 2017 - Chris Woolstenhulme, CPC, CMRS
If you are coding for endocervical curettage only, use 57505 "Endocervical curettage (not done as part of a dilation and curettage)." If an endometrial sampling (biopsy) was performed in conjunction with a colposcopy, use 57420 "Colposcopy of the entire vagina, with cervix if present," 57421 for "with biopsy(s) of vagina/cervix, or 57452-57461 for "colposcopy of the cervix including upper ...
Endometrial Sampling (Biopsy)
March 7th, 2017 - Chris Woolstenhulme, CPC, CMRS
If a procedure such as an excision of a polyp took significant additional time, work, and effort, you could append modifier 22 (unusual procedural service) to add to your fee when using 58100 "Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)." If a coloposcopy is performed in conjunction, use 58110 in addition to the ...
Alcohol and Tobacco Use During Pregnancy
March 3rd, 2017 - Chris Woolstenhulme, CPC, CMRS
If a mother uses alcohol or tobacco during pregnancy, be sure to assign O99.31 "Alcohol use complicating pregnancy, childbirth, and the puerperium." Document the time of the encounter (such as the trimester), during childbirth, or during the puerperium. NOTE: You also need to assign a secondary code from category F10- to identify manifestation of the alcohol use. The following ...
Diabetes Mellitus in Pregnancy
March 3rd, 2017 - Chris Woolstenhulme, CPC, CMRS
Diabetes mellitus is a significant complicating factor in pregnancy. Pregnant women who are diabetic should first be assigned a code from category O24 (diabetes mellitus in pregnancy, childbirth, and the puerperium) followed by the appropriate diabetes code(s) (E08-E13) from Chapter 4. Diabetes mellitus due to underlying condition: with proliferative diabetic retinopathy without macular edemaE08.3591 right eye E08.3592 left eye E08.3593 bilateral E08.3599 unspecified eye E08.36 with diabetic cataract with diabetic macular edemaE08.37X1 right eye E08.37X2 left eye E08.37X3 bilateral E08.37X9 unspecified eye E08.39 with other diabetic opthalmic complication with ...
Pre-Existing or Gestational?
January 20th, 2017 - Chris Woolstenhulme, CPC, CMRS
It is important to make a clear distinction between pre-existing conditions and conditions brought on by the pregnancy (gestational) or pregnancy related conditions. Condition Detail: Was the condition pre-existing (i.e., present before pregnancy)? Trimester: When did the pregnancy-related condition develop? Casual Relationship: Establish the relationship between the pregnancy and the complication (e.g., preeclampsia). Code examples: O99.011 Anemia ...

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