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52214 Coding Challenge: Fulguration, Then TUIBNC

Question: If my physician went to do a TUIBNC and found bleeding of prostatic varices, fulgurated them, then did the TUIBNC, can I charge the 52214 for the fulguration of the prostatic varices?
Answer: Yes. You can report both the transurethral incision of the bladder neck contracture (TUIBNC) and the fulguration of the bleeding varices your […]

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Wake Up to This New Reimbursement Opportunities for Obstructive Sleep Apnea (OSA)

Unblock $950 for genioglossus advancement with these coding & billing tips.
Coders have dealt with denials of treatments for obstructive sleep apnea for years, but proper coding should make now make genioglossus advancement —a radical OSA treatment — reimbursable.
Recently, the American Academy of Otolaryngology — Head and Neck Surgery sent letters to Wisconsin Physician Services and Anthem Blue Cross regarding their […]

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Don’t Mesh Up Your +57267 Coding

An ob-gyn doc with coding know-how tells us how to clean up our mesh claims.
Thinking of using +57267 (Insertion of mesh or other prosthesis for repair of pelvic floor defect …)? Given that +57267 can get you about $260 more, it’s a good move to consider for some claims — as long as you understand how […]

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