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How Do I Code Suspected Lyme?

Question: Our lab processes a blood specimen using a direct probe technique for a patient with suspected Lyme disease from a tick bite. How should we code the case?
Answer: Report the lab test as 87475 (Infectious agent detection by nucleic acid [DNA or RNA]; Borrelia burgdorferi, direct probe technique), because Borrelia burgdorferi is the causative organism that you’d test […]

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Test Yourself: Total Knee Replacement (TKR) Coding

Can you tackle an op note like this one we got our hands on? Relax. We help you break it down into 3 steps.
Although you may be accustomed to TKR op notes, an unusual case might send you into a panic. Take a deep breath, and we’ll have you breezing through the challenges that atypical TKR […]

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RAC Fact: Watch Out For Medicare’s Once-in-a-Lifetime Services

G0389 & the IPPE codes may be potential RAC targets
If you’ve been sweating it out, waiting for the recovery audit contractors (RACs) to announce where they’ll be focusing their audit efforts, you may or may not be relieved to know two RAC contractors have posted the areas they’ll have their eye on. More on that below …
Both lists include […]

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