[medical_billing] Clearinghouses
| Hi Everyone, I wanted to know if any of you belong to a clearing house for electronic billing? How does a person research to find a clearing house and the costs? Can someone also explain whats the purpose of having a clearinghouse and what are their functions? Donna |
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[medical_billing] Re: Need help with coding scenario
Hi Brenda!
I'm a student as well....I may be of some help....
In this case, the physician is describing his conclusion to a cardiac
procedure: angioplasty
What is happening in this scenario is that the patient had an
angiography on the left internal illiac artery. We do not know how long
this was done but it was obvious that there were problems with her
circulation; therefore a new angiography was replaced through an
angioplasty procedure
In this case, it is a procedure, therefore, you have to check first on
ICD - 9 under Cardiology....find first angioplasty and then left femoral
artery.
You should do the same with CPT. A lot of times I look on the back
pages....they do help quite a bit.
Good luck on your exam....and keep us posted.
Also, if you could offer information about the certificate, let me know.
Thanks!
La Yuya
--- In medical_billing@yahoogroups.com, "Brenda" <pacermom@...> wrote:
>
> Hi everyone! I'm new to the group, and am scheduled to take my
> certification exam in May. As of right now, I'm stumped with a
> problem in my coding class. Can anyone help me determine how to
> code the following scenario? You don't have to give me the exact
> codes... if you could just tell me WHAT to code... that would be a
> big help. Thanks for any help you can give me. Here's the scenario:
>
> A 70-year-old woman is evaluated in a clinic for symptoms of
> increasing claudication. After noninvasive vascular studies were
> performed, the decision was made to proceed with diagnostic
> angiography and possible angioplasty of the suspected internal
> femoral artery stenosis. After normal preparation for the
> angioplasty procedure, the left common femoral artery is punctured
> and the catheter is passed proximally into the left internal iliac
> artery. Images were then taken to establish and localize the
> lesion. The vessel is also measured to determine the size of the
> angioplasty balloon. Using the Seldinger technique, the angiography
> catheter was removed and an angioplasty catheter with a balloon
> diameter of 8mm was advanced into the left internal iliac artery and
> into the lesion without difficulty. After two inflations to 8mm,
> the follow-up angiography was performed and showed good flow across
> the lesion. Pressures measured confirm the adequacy of the therapy
> and that there is no residual gradient.
>
> I'm suppose to find the CPT code(s) and ICD-9 code(s). Cardiology
> confuses me to start with, and with some things being included with
> certain procedures, that's where I get all mixed up. I can't even
> figure out the ICD code because she was evaluated for "symptoms
> of"....Can anyone advise? Thanks:)
>
> Brenda
>
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posted by Chad K at 12:01 PM
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