Medical Billing and Coding Online

BPH ICD 9 Code with Obstruction

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Benign prostatic hyperplasia (BPH) is also known as benign
prostatic hypertrophy. It  is a
histologic diagnosis which is characterized by proliferation of the cellular
elements of the prostate. BPH is the most common cause of lower urinary tract
symptoms (LUTS), which are divided into storage, voiding, and symptoms which
occur after urination.</div>
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Usually men develop enlargement of prostate after the age of
50. When the prostate enlarges, it may constrict the flow of urine. Nerves
within the prostate and bladder may also play a role in causing the symptoms
including urinary frequency, urinary urgency, hesitancy that means difficulty
initiating the urinary stream, interrupted or weak stream.<o:p></o:p></div>
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The prostate is a gland that found only in men. It helps
make semen, the fluid that contains sperm. The prostate surrounds the tube that
carries urine out of the body. As men age, their prostate grows bigger. here
the problem begins as If it gets too large, it can cause problems. An enlarged
prostate is also called benign prostatic hyperplasia (BPH). Most men will get
BPH as they get older. Symptoms often start after age 50. BPH is not cancer,
and it does not seem to increase your chance of getting prostate cancer. But
the early symptoms are the same.</div>
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<h3 style="text-align: left;">
BPH ICD 9 Code with Obstruction</h3>
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This kind of enlargement of the prostate gland  should not be confused with the cancerous one because
it doesn’t belong to cancerous one. Though it is not cancerous it may cause
problems relating to urination.</div>
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Symptoms of BPH </h4>
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Following are some common symptoms of it and you should
consult your doctor if you have any one of them such as:</div>
<ul style="text-align: left;">
<li>A frequent and urgent need to urinate, especially at nightTrouble
starting a urine stream or making more than a dribble.</li>
<li>A urine stream that is weak, slow, or stops and starts
several times.</li>
<li>The feeling that you still have to go, even just after
urinating.</li>
<li>Small amounts of blood in your urine.</li>
<li>Decreased strength of urine flow.</li>
<li>Severe BPH can cause serious problems over time, such as
urinary tract infections, and bladder or kidney damage.</li>
<li>You wake up at night to urinate or feeling pain during
urination.</li>
</ul>
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<o:p></o:p></div>
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<o:p></o:p></div>
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Tests to diagnose BPH</h4>
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<o:p></o:p></div>
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Tests for BPH include a digital rectal exam, blood and
imaging tests, a urine flow study, and examination with a scope called a
cystoscope. Treatments include watchful waiting, medicines, nonsurgical
procedures, and surgery.</div>
<h4 style="text-align: left;">
ICD 9 Code for BPH </h4>
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ICD-9-CM 600.01 is a billable medical code that can be used
to indicate a diagnosis on a reimbursement claim, however, 600.01 should only
be used for claims with a date of service on or before September 30, 2015. For
claims with a date of service on or after October 1, 2015, use an equivalent
ICD-10-CM code. ICD-9-CM 600.01 converts approximately to ICD-10-CM N40.1
Enlarged prostate with lower urinary tract symptoms.</div>
<h4 style="text-align: left;">
Approximate Synonyms</h4>
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</div>
<ul style="text-align: left;">
<li>Benign prostatic hyperplasia w/ urinary symptoms</li>
<li>Benign prostatic hyperplasia with urinary obstruction</li>
<li>Benign prostatic hypertrophy (enlarged prostate)</li>
<li>Benign prostatic hypertrophy with outflow obstruction</li>
<li>BPH w incomplete bladder emptying</li>
<li>BPH W lower urinary tract symptom of nocturia</li>
<li>BPH w lower urinary tract symptoms</li>
<li>BPH w nocturia</li>
<li>BPH w straining on urination</li>
<li>BPH w urinary frequency</li>
<li>BPH w urinary hesitancy</li>
<li>BPH w urinary incontinence</li>
<li>BPH W urinary obstruction</li>
<li>BPH w urinary retention</li>
<li>BPH w urinary urgency</li>
<li>BPH w weak urinary stream</li>
<li>Incomplete emptying of bladder due to benign prostatic
hypertrophy</li>
<li>Lower urinary tract symptoms due to benign prostatic
hypertrophy</li>
<li>Nocturia associated with benign prostatic hypertrophy</li>
<li>Nocturia due to benign prostatic hypertrophy</li>
<li>Straining on urination due to benign prostatic hypertrophy</li>
<li>Urinary frequency due to benign prostatic hypertrophy</li>
<li>Urinary hesitancy due to benign prostatic hypertrophy</li>
<li>Urinary incontinence due to benign prostatic hypertrophy</li>
<li>Urinary retention due to benign prostatic hypertrophy</li>
<li>Urinary urgency due to benign prostatic hypertrophy</li>
<li>Weak urinary stream due to benign prostatic hypertrophy</li>
</ul>
It applies to Hypertrophy (benign) of prostate with urinary
retention and following additional codes are used  to identify symptoms like:<br /><ul style="text-align: left;">
<li>incomplete bladder emptying (788.21)</li>
<li>nocturia (788.43)</li>
<li>straining on urination (788.65)</li>
<li>urinary frequency (788.41)</li>
<li>urinary hesitancy (788.64)</li>
<li>urinary incontinence (788.30-788.39)</li>
<li>urinary obstruction (599.69)</li>
<li>urinary retention (788.20)</li>
<li>urinary urgency (788.63)</li>
<li>weak urinary stream (788.62)</li>
</ul>
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ICD-9-CM Volume 2 Index entries containing back-references
to 600.01:</div>
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</div>
<ul style="text-align: left;">
<li>Enlargement, enlarged - see also Hypertrophy prostate
(simple) (soft) 600.00 with other lower urinary tract symptoms (LUTS) 600.01</li>
<li>urinary obstruction 600.01</li>
<li>retention 600.01</li>
<li>Hypertrophy, hypertrophic</li>
<li>prostate (asymptomatic) (early) (recurrent) 600.90 with</li>
<li>other lower urinary tract symptoms (LUTS) 600.91</li>
<li>urinary obstruction 600.91</li>
<li>retention 600.91 </li>
</ul>
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BPH ICD 9 Code with Obstruction

Benign prostatic hyperplasia (BPH) is also known as benign prostatic hypertrophy. It is a histologic diagnosis which is characterized by proliferation of the cellular elements of the prostate. BPH i…

ICD 9 Code for Chronic Leukopenia

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<div class="MsoNormal" style="background: white; line-height: 19.5pt; margin-bottom: 15.75pt; text-align: left;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Leukopenia, also known as basophilic
leukopenia is a condition where a person has an abnormally low white blood cell
count and has a direct affect on the body’s immune system. There are several
other terms that describe this condition such as decreased blood eosinophil
number, eosinopenia,, granulocyte count below reference range, monocytopenia,
and plasmacytopenia.</span></div>
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<span style="background-color: transparent; font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">The most dangerous thing that is associated
with this disease is that it affects the body’s ability to fight infections.</span><span style="background-color: transparent; font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">
A person effected with a leucopenia have a tremendous decrease in the number of
total white blood cells (leukocytes) found in blood. It is also known as
leukocytopenia. The normal total white cell count is 5000-10000 per cubic
millimeter. If the <span style="border: none windowtext 1.0pt; mso-bidi-font-weight: bold; mso-border-alt: none windowtext 0cm; padding: 0cm;">total white cell
count drops below 3,500 per cubic millimeter in the blood</span>, the person is
said to be suffering from leucopenia.<span class="apple-converted-space"> </span></span><br />
<span style="background-color: transparent; font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;"><br /></span>
<span style="background-color: transparent; font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">There may
be different causes  that leads towards
leucopenia. Common causes include viral infections that disrupt bone marrow
function, certain prescription drugs that destroy white blood cells, cancers,
or autoimmune disorders. While the common effect of this disease is, the </span><span style="background-color: transparent; border: 1pt none; font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%; padding: 0cm;">person’s ability to fight infections and diseases</span><span class="apple-converted-space" style="background-color: transparent;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> become low </span></span><span style="background-color: transparent; font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">as
white blood cells provide natural defense against infections.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">ICD 9 Code for Chronic Leukopenia</span></h3>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">There may be several different codes for leucopenia,
depends on the causes. Here you can find two examples in which two different
codes has been formulated based on clinical information.</span><br />
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">ICD-10-CM: 288.50 
</span></h4>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">ICD-10-CM: 288.50 
is used when according to clinical information, there exists a condition
in which the number of leukocytes (white blood cells) in the blood is reduced
or in other words, there is reduction in the number of leukocytes in the blood,
the count being 5000 per cubic millimeter or less. <o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Different terms such as Leukopenia, Leukopenia
(decreased white blood cells in blood), Leukopenia not chemotherapy or
radiation related or Leukopenia, not chemotherapy or radiation can be used to describe
such condition. This ICD-10-CM code applies to following:<o:p></o:p></span></div>
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<li><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">Decreased leukocytes, unspecified</span></li>
<li><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">Decreased white blood cell count, unspecified</span></li>
<li><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">Leukopenia NOS</span></li>
</ul>
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<h4 style="text-align: left;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">ICD-9-CM </span></h4>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">While converting the above mentioned ICD-10-CM  into ICD-9-CM, ICD-10-CM Index entries
contain back-references to ICD-10-CM D72.819. It can be explained as follow:<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b><br /></b></span>
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>Decrease blood platelets (see also Thrombocytopenia)
287.5<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>pressure 796.3</b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>injury 958.4<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>operation 998.00<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>white cell count 288.50<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>specified NEC 288.59<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>leukocytes 288.50<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>white blood cell count 288.50<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>Findings, (abnormal), without diagnosis
(examination) (laboratory test) 796.4<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>white blood cell 288.9<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>count 288.9<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>elevated 288.60<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>low 288.50<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>differential 288.9<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>morphology 288.9<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>Hypoleukocytosis 288.50<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>Leukocytopenia 288.50<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>Leukopenia 288.50<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>basophilic 288.59<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>cyclic 288.02<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>eosinophilic 288.59<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>familial 288.59<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>malignant (see also Agranulocytosis) 288.09<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>periodic 288.02<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>transitory neonatal 776.7</b><o:p></o:p></span></div>
<h4 style="text-align: left;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">ICD-10- CM D72.819</span></h4>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">According to clinical information, it is a condition
in which there is a lower-than-normal number of leukocytes (white blood cells)
in the blood.  The  finding should be based on laboratory test
results which indicates a decrease in number of white blood cells in a blood
specimen. In addition, a  </span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">laboratory test
should also indicate a decreased number of white blood cells in the peripheral
blood. <o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">ICD -10- CM D72.819 is grouped within Diagnostic
Related Group(s) (MS-DRG v32.0):<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">814 Reticuloendothelial and immunity disorders with
mcc<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">815 Reticuloendothelial and immunity disorders with
cc<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">816 Reticuloendothelial and immunity disorders
without cc/mcc<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<h4 style="text-align: left;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">ICD-9-CM</span></h4>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">While converting the above mentioned ICD-10-CM  into ICD-9-CM, ICD-10-CM Index entries contain
back-references to ICD-10-CM D72.819. It can be explained as follow:<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b><br /></b></span>
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>Decrease (d)<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>leukocytes D72.819<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>white blood cell count D72.819<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>Leukocytopenia D72.819<o:p></o:p></b></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><b>Leukopenia D72.819</b><o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">This above mentioned code is applicable to:<o:p></o:p></span></div>
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<ul style="text-align: left;">
<li><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">Decreased leukocytes, unspecified</span></li>
<li><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">Leukocytopenia, unspecified</span></li>
<li><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">Leukopenia</span></li>
<li><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">Approximate Synonyms</span></li>
<li><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">Leukopenia (decreased white blood cells in blood)</span></li>
</ul>
<h4 style="text-align: left;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">List of ICD-9 codes 288–289</span></h4>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">This list includes the codes which are used for
Leukopenia and its related conditions.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> (288)
Diseases of white blood cells<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.0) Leukopenia<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.1) Functional disorders of polymorphonuclear
neutrophils<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.2) Genetic anomalies of leukocytes<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.3) Eosinophilia<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.4) Hemophagocytic syndromes<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.5) Decreased white blood cell count<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.50) Leukocytopenia, unspecified<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.51) Lymphocytopenia<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.6) Elevated white blood cell count<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.60) Leukocytosis, unspecified<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.61) Lymphocytosis (symptomatic)<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.62) Leukemoid reaction<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.63) Monocytosis (symptomatic)<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.64) Plasmacytosis<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.65) Basophilia<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.66) Bandemia<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.8) Other specified disease of white blood cells<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(288.9) Abnormal white blood cells, unspec.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289) Other diseases of blood and blood-forming
organs<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.0) Polycythemia secondary<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.1) Chronic lymphadenitis<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.2) Nonspecific mesenteric lymphadenitis<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.3) Lymphadenitis unspecified except mesenteric<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.4) Hypersplenism<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.5) Other diseases of spleen<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.50) Disease of spleen unspecified<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.51) Chronic congestive splenomegaly<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.52) Splenic sequestration<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.53) Neutropenic splenomegaly<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.59) Other diseases of spleen<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.6) Familial polycythemia<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.7) Methemoglobinemia<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.8) Other specified diseases of blood and
blood-forming organs<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.81) Primary hypercoagulable state<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.82) Secondary hypercoagulable state<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.83) Myelofibrosis<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.84) Heparin-induced thrombocytopenia<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.89) Other specified diseases of blood and
blood-forming organs<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(289.9) Unspecified diseases of blood and
blood-forming organs<o:p></o:p></span></div>
<div style="text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=4399069857710409009"><img alt="" border="0" src="" /></a></div>
<h3>
</h3>
</div>

ICD 9 Code for Chronic Leukopenia

Leukopenia, also known as basophilic leukopenia is a condition where a person has an abnormally low white blood cell count and has a direct affect on the body’s immune system. There are several other…

S1Q3T3 Pulmonary Embolism ECG/EKG Classic Pattern

<div dir="ltr" style="text-align:left;" trbidi="on">Although most physicians are aware of S1Q3T3 Pulmonary Embolism ECG/EKG Classic Pattern. It is not every day you get to see a classic EKG finding for Pulmonary Embolism.<br />
<br />
<b>Pulmonary Embolism (PE)</b> is a blockage in one of the pulmonary arteries in the lungs. In most of the cases it is caused by blood clots traveled from elsewhere in the body through the bloodstream. <br />
<br />
The diagnosis of Pulmonary Embolism is done through ECG findings. However, it is very important to interpret the ECG/EKG image in the radiology report to identify the exact type of Pulmonary Embolism.<br />
<br />
If a young female with shortness of breath and this EKG presents on your boards, the answer is probably pulmonary embolism. In this case, the patient had all the other signs and symptoms of right heart strain and pulmonary embolism (dyspnea on exertion, elevated d-dimer, tachycardia, enlarged right ventricle on echo, elevated pulmonary pressures, elevated troponin due to right heart strain and of course large central pulmonary emboli on CT scan).<br />
<br />
<h2>Pulmonary Embolism ECG/EKG Findings</h2>Following are the major ECG/EKG changes for acute pulmonary embolism can be observed in any condition causing Acute Pulmonary Hypertension. This includes Hypoxia resulting in Pulmonary Hypoxic Vasoconstriction.<br />
<ul><li><h4>Acute Right Heart Strain</h4>A large S wave in lead I, Q wave in lead III and an inverted T wave in lead III indicates Acute Right Heart Strain. This pattern only occurs in about 10% of people with Pulmonary Embolisms. It isis similar to the ECG findings in Left Posterior Fascicular Block (LPFB).<br />
<br />
</li><li><h4>Atrial Tachyarrhythmias</h4>Atrial Tachyarrhythmias is seen in 8% of patients.<br />
<br />
</li><li><h4>Clockwise Rotation</h4>Clockwise Rotation shift of the R/S transition point towards V6 with a persistent S wave in V6 (Pulmonary disease pattern), implying rotation of the heart due to right ventricular dilatation.<br />
<br />
</li><li><h4>Complete/Incomplete RBBB</h4>Complete/Incomplete RBBB is associated with increased mortality; seen in 18% of patients.<br />
<br />
</li><li><h4>Dominant R Wave in V1</h4> Dominant R Wave in V1 is the manifestation of acute right ventricular dilatation.<br />
<br />
</li><li><h4>Right Atrial Enlargement</h4>Right Atrial Enlargement (P Pulmonale) is peaked P wave in lead II > 2.5 mm in height. Seen in 9% of patients.<br />
<br />
</li><li><h4>Right Axis Deviation</h4>Right Axis Deviation is seen in 16% of patients. Extreme right axis deviation may occur, with axis between zero and -90 degrees, giving the appearance of left axis deviation (Pseudo Left Axis).<br />
<br />
</li><li><h4>Right Ventricular Strain Pattern</h4> Right Ventricular Strain Patternis the T wave inversions in the right precordial leads (V1-4) ± the inferior leads (II, III, aVF). This pattern is seen in up to 34% of patients and is associated with high pulmonary artery pressures.<br />
<br />
</li><li><h4>S1Q3T3 Pulmonary Embolism Classic Pattern</h4>S1Q3T3 Pulmonary Embolism Classic Pattern is indicated by a deep S wave in lead I, Q wave in III, inverted T wave in III. This classic finding is neither sensitive nor specific for pulmonary embolism; found in only 20% of patients with PE.<br />
<br />
<div style="text-align:center;"><a href=""><img alt="S1Q3T3 Pulmonary Embolism ECG/EKG Classic Pattern" border="0" height="534" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSBVPDxm3OzfAvFL8cLw8bGuOcZuoEIXkZZsIu0sx-StzungLNI8ngwJDkkNH7ZQ12DASwKIjhCH9uGSlcmorL2ofOVj8HOq7TiOLnS3DxQXTKXMLr9qInx4DuaK9rutC6tcOOtrGyxQI/s1600/S1Q3T3-Pulmonary-Embolism-ECG-EKG-Classic-Pattern.jpg" width="538"></a></div><br />
</li><li><h4>Sinus Tachycardia</h4>Sinus tachycardia (ST) is infact the most common abnormality and ECG finding in pulmonary embolus. It is found in 44% of cases.<br />
<br />
</li><li><h4>Transient Right Bundle Branch Block</h4>Transient Right Bundle Branch Block is alos a common ECG finding in pulmonary embolism. It indicates acute cor pulmonale as electric conduction traverses down the right bundle. Also consider acute pulmonary embolism in patients with T-wave in versions across the anterior leads. And of course, tachycardia including both sinus tachycardia and new onset atrial fibrillation should both raise the suspicion of pulmonary embolism. <br />
<br />
</li><li><h4>Non-Specific ST Segment and T Wave</h4>Non-Specific ST Segment and T Wave changes including ST elevation and depression. Reported in up to 50% of patients with PE.</li>
</ul><br />
<h3>S1Q3T3 Pulmonary Embolism ECG/EKG Classic Pattern</h3><b>S1Q3T3 Pattern of Acute Cor Pulmonale</b> is Classic Pattern, also termed as <u>McGinn-White Sign</u>. S1Q3T3 Pulmonary Embolism ECG/EKG Classic Pattern is the finding that indicates right sided heart strain (acute cor pulmonale). <br />
<br />
<b>S<sub>1</sub>Q<sub>3</sub>T<sub>3</sub> Pattern</b> is called classic EKG pattern. It is also the ECG pattern known to residents and hospitalists all across this country as the boards type question for evidence of a pulmonary embolism. <br />
<br />
What does S1Q3T3 mean? It is the triad of an S wave in lead one (the first down slope after the first upslope in the QRS complex) a Q wave in lead 3 (first down slope in lead 3) and T3 (or T-wave inversion in lead 3). The S1Q3T3 was first described In a 1935 JAMA paper by McGinn and White. Some things never change despite all our great technology these days.<br />
<br />
Interestingly, despite all these pronounced findings of large central clot burden, this patient did not have hypoxemia. Their oxygen saturation was 97% on room air. The human body has the amazing ability to counteract extreme physiological circumstances. That's what makes the diagnosis of pulmonary embolism so elusive at times. If you aren't thinking about it in your differential diagnosis, you won't be able to treat it. <br />
<br />
<div style="text-align:center;"><a href=""><img alt="S1Q3T3 EKG Findings Pulmonary Embolism" border="0" height="800" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjiy0rsFvcpgrvXF8LcLgPze2aMkscaAhB8Hq4zvhISd_UujOl_xe1GEUXJmBuPes_oBwrWuor6s8DJKdzZPaZ5WIzXb4Mtx7esvVx6D_7X-5uT26HiXT2UvxNLvVrD2IJ_jVoIRjkUJHEb/s1600/S1Q3T3-EKG-Pulmonary-Embolism.jpg" width="600"></a></div><br />
Pulmonary emboli can be deadly. Always keep PE in the back of your differential diagnosis in patients with unexplained syncope, unexplained pleural effusions. It's not every day when clinical practice presents such a classic presentation for EKG findings in pulmonary embolism. It makes all those years of medical school education worth while.<br />
<br />
And then there is the case of syncope. Chief Complaint: I passed out. This patient was a young female on birth control pills. A V/Q scan confirmed the presence of bilateral pulmonary emboli. Her EKG also showed the classic S1Q3T3 changes one can see with pulmonary emboli.<br />
<br />
<h3>ECG Acute/Chronic Cor Pulmonale</h3>The ECG changes described above are not unique to PE. A similar spectrum of ECG changes may be seen with any cause of acute or chronic cor pulmonale (i.e. any disease that causes right ventricular strain / hypertrophy due to hypoxic pulmonary vasoconstriction);<br />
<h4>Acute Cor Pulmonale</h4><ul><li>Severe Pneumonia</li>
<li>Exacerbation of COPD/Asthma</li>
<li>Pneumothorax</li>
<li>Recent Pneumonectomy</li>
<li>Upper Airway Obstruction</li>
</ul><h4>Chronic Cor Pulmonale</h4><ul><li>Chronic Obstructive Pulmonary Disease</li>
<li>Recurrent Small PEs</li>
<li>Cystic Fibrosis</li>
<li>Interstitial Lung Disease</li>
<li>Severe Kyphoscoliosis</li>
<li>Obstructive Sleep Apnoea</li>
</ul></div>

S1Q3T3 Pulmonary Embolism ECG/EKG Classic Pattern

Although most physicians are aware of S1Q3T3 Pulmonary Embolism ECG/EKG Classic Pattern. It is not every day you get to see a classic EKG finding for Pulmonary Embolism. Pulmonary Embolism (PE) is a b…

Pathology, Laboratory CPT Codes Changes and Updates 2016

<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="MsoNormal">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">Like many other </span><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;"> </span><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">codes, AMA made several changes in the
Pathology and Laboratory </span><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;"> </span><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">in 2015. The
CPT code set has changed to a large extent. There were 28 new codes added, 11
deleted codes and 50 revised codes. </span><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;"> </span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Similarly, in molecular diagnostics, the scope of
the molecular pathology services codes have increased yet again for 2016, with
the addition of eight new Tier 1 codes and seven new genomic sequencing
procedures as well as ten multianalyte assay with algorithmic analyses (MAAAs),
which are procedures that utilize multiple results derived from assays of
various types, including molecular pathology, FISH and non-nucleic acid based
assays.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">CPT code 80081 is a n example of new code for Obstetric
panel includes HIV testing. It  is
identical to the 80055 code (Obstetric panel) except the  thing that in new code , HIV testing was also added.
In order to bill this code all components of the panel must be performed. The
added service for this new panel includes HIV-1 antigen(s), with HIV-1 and
HIV-2 antibodies, single result which is coded as 87389.<o:p></o:p></span></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggXWA_Vcx74D08cjFN5uVabwVBIE7oh95b1YW4Pq_b7_NbUbYEcY0tFnvnj1OrSvZezmcJe_BK5R-Eoty80rzqV88WXC78d5mYjjIXh15XPJcENgPKmlPQfmrtJTD5_BJRH2VIBchUTCw/s1600/Pathology-Laboratory-CPT-Codes-Changes-and-Updates-2016.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="202" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggXWA_Vcx74D08cjFN5uVabwVBIE7oh95b1YW4Pq_b7_NbUbYEcY0tFnvnj1OrSvZezmcJe_BK5R-Eoty80rzqV88WXC78d5mYjjIXh15XPJcENgPKmlPQfmrtJTD5_BJRH2VIBchUTCw/s400/Pathology-Laboratory-CPT-Codes-Changes-and-Updates-2016.jpg" width="400" /></a></div>
<h3 style="text-align: left;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Changes and Updates for 2016</span></h3>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Here you can find a list of some new, updated and deleted
codes but its not comprehensive:<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<h4 style="text-align: left;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Revised Codes</span></h4>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80162  Digoxin;
total<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80164  Valproic
acid (dipropylacetic acid); total<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80171  Gabapentin,
whole blood, serum, or plasma<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80299  Quantitation
of therapeutic drug, not elsewhere specified<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">81245  FLT3
(fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis;
internal tandem duplication (ITD) variants (ie, exons 14, 15)<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">81402  Molecular
pathology procedure, Level 3 <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">81403  Molecular
pathology procedure, Level <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">81404  Molecular
pathology procedure, Level 5 <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">81405  Molecular
pathology procedure, Level 6 <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82541  Column
chromatography/mass spectrometry , non-drug analyte not elsewhere specified;
qualitative, single stationary and mobile phase<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82542  
quantitative, single stationary and mobile phase<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82543  stable
isotope dilution, single analyte, quantitative, single stationary and mobile
phase<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82544  stable
isotope dilution, multiple analytes, quantitative, single stationary and mobile
phase<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">84600  Volatiles
(eg, acetic anhydride, diethylether)<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">86900  Blood
typing, serologic; ABO<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">86901   Rh (D)<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">86902  antigen
testing of donor blood using reagent serum, each antigen test<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">86904  antigen
screening for compatible unit using patient serum, per unit screened<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">86905  RBC
antigens, other than ABO or Rh (D), each<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">86906  Rh
phenotyping, complete<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">87632  respiratory
virus <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">88342  Immunohistochemistry
or immunocytochemistry, specimen<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">88368  Morphometric
analysis<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<h4 style="text-align: left;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">New Codes</span></h4>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80162  Digoxin;
free<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80165  Valproic
acid (dipropylacetic acid); free<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80300  Drug
screen, any number of drug classes from Drug Class List A<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80301  single
drug class method, by instrumented test systems <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80320  Alcohols<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80323  Alkaloids,
not otherwise specified<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80327  Anabolic
steroids; 1 or 2<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80329  Analgesics,
non-opioid; 1 or 2<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80332  Antidepressants,
serotonergic class; 1 or 2<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80338  Antidepressants,
not otherwise specified<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80339  Antiepileptics,
not otherwise specified; 1-3<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80345  Barbiturates<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80346  Benzodiazepines;
1-12<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80353  Cocaine<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80354  Fentanyl<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80355  Gabapentin,
non-blood<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80356  Heroin
metabolite<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80365  Oxycodone<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80366  Pregabalin<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80367  Propoxyphene<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80368  Sedative
hypnotics (non-benzodiazepines)<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80369  Skeletal
muscle relaxants; 1 or 2<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">81415  Exome
(eg, unexplained constitutional or heritable disorder or syndrome); sequence
analysis<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">81416  sequence
analysis, each comparator exome (eg, parents, siblings<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">81430  Hearing
loss <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">81435  Hereditary
colon cancer syndromes <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">81440  Nuclear
encoded mitochondrial genes<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">81460  Whole
mitochondrial genome <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">81465  Whole
mitochondrial genome large deletion analysis panel <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">81519  Oncology
(breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes,
utilizing formalin-fixed paraffin embedded tissue, algorithm reported as
recurrence score<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">83006  Growth
stimulation expressed gene 2(ST2, Interleukin 1 receptor like-1)<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">87623  Human
Papillomavirus (HPV), low-risk types <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">87806  HIV-1
antigen(s), with HIV-1 and HIV-2 antibodies<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">89337  Cryopreservation,
mature oocyte(s)<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<h4 style="text-align: left;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Deleted Codes</span></h4>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80100  Drug
screen, qualitative; multiple drug classes chromatographic method, each
procedure<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80101  Drug
screen, qualitative; single drug class method <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80102  Drug
confirmation, each procedure<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80103  Tissue
preparation for drug analysis<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80104  Drug
screen, qualitative; multiple drug classes other than chromatographic method,
each procedure<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80152  Amitriptyline<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80154  Benzodiazepines<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80160  Desipramine<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80166  Doxepin<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80172  Gold<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80174  Imipramine<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80182  Nortriptyline<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">80196  Salicylate<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82000  Acetaldehyde,
blood<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82003  Acetaminophen<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82055  Alcohol
(ethanol); any specimen except breath<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82101  Alkaloids, urine, quantitative<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82145  Amphetamine or methamphetamine<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82205  Barbiturates,
not elsewhere specified<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82520  Cocaine
or metabolite<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82646  Dihydrocodeinone<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82649  Dihydromorphinone<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82651  Dihydrotestosterone
(DHT)<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82654  Dimethadione<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82666  Epiandrosterone<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82690  Ethchlorvynol<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82742  Flurazepam<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82953  Glucose;
tolbutamide tolerance test<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82975  Glutamine
(glutamic acid amide)<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">82980  Glutethimide<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">83008  Guanosine
monophosphate (GMP), cyclic<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">83055  Hemoglobin;
sulfhemoglobin, qualitative<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="IT" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">83071  Hemosiderin; quantitative<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="IT" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">83634  Lactose, urine; quantitative<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="IT" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">83805  Meprobamate<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="IT" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">83840  Methadone<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="IT" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">83858  Methsuximide<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="IT" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">83866  Mucopolysaccharides, acid; screen<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="IT" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">83887  Nicotine<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">84022  Phenothiazine<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">84127  Porphyrins,
feces; qualitative<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">87001  Animal
inoculation, small animal; with observation<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">87620  Infectious
agent detection by nucleic acid (DNA or RNA); papillomavirus, human, direct
probe technique<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">88349  Electron
microscopy; scanning<o:p></o:p></span></div>
<div style="text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=4399069857710409009"><img alt="" border="0" src="" /></a></div>
<h3>
</h3>
</div>

Pathology, Laboratory CPT Codes Changes and Updates 2016

Like many other codes, AMA made several changes in the Pathology and Laboratory in 2015. The CPT code set has changed to a large extent. There were 28 new codes added, 11 deleted codes and 50 revis…

Bone Density DEXA Scan CPT Codes 2015-2016

<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="MsoNormal">
<span style="font-family: "times new roman" , serif; font-size: 12pt;">Bone mineral density
(BMD) is very important in terms of human health. People having trouble
regarding bone pain or difficulties in movement are often recommended to do a
bone mineral density test. It </span><span style="font-family: "times new roman" , serif; font-size: 12pt;"> </span><span style="font-family: "times new roman" , serif; font-size: 12pt;">can be
measured with a variety of techniques in a variety of central or
peripheral.</span><span style="font-family: "times new roman" , serif; font-size: 12pt;">  </span><span style="font-family: "times new roman" , serif; font-size: 12pt;">Central may include hip or
spine sites and peripheral like wrist, finger, heel sites. </span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-family: "times new roman" , serif; font-size: 12pt;">BMD measurements are
predictive of fragility fractures at all sites and central measurement of the
hip and spine are the most predictive. Fractures of the hip and spine
(i.e., vertebral fractures) are also considered to be the most clinically
relevant.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"> There are
multiple technologies for non-invasive measurement of bone content which are
available now a days. These techniques include  dual energy X-Ray absorptiometry (DEXA),
quantitative computed tomography (QCT), ultrasound densitometry, single energy
x-ray absorptiometry (SEXA), quantitative ultrasound (QUS), radiographic
absorptiometry or photodensitometry, single-photon absorptiometry (SPA), and
dual-photon absorptiometry (DPA).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , serif; font-size: 12pt;">In today’s world of technology,
everyday bring something new and more advance. So it can concluded that the
above mentioned list of techniques may not be comprehensive. There was a time
when SPA and DPA were the most trusted techniques to do so but now they are considered
obsolete and rarely used. This article include a brief review of modern
technologies for </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Bone
Density DEXA Scan also.</span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhtM1pHFv98NQfc9mFJTJeDUzq1zdp9vrvISTiQvKKtYAOueF7vJMYnzjNS-APhrQxOvsYqtIwuZc2jkWHaI8sThSM67kFxXZPqF7wZC-fOhDC7NeYLIWgxtHpq3mdijiSYNQOIocU3d1U/s1600/Bone-Density-DEXA-Scan-CPT-Codes-2015-2016.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhtM1pHFv98NQfc9mFJTJeDUzq1zdp9vrvISTiQvKKtYAOueF7vJMYnzjNS-APhrQxOvsYqtIwuZc2jkWHaI8sThSM67kFxXZPqF7wZC-fOhDC7NeYLIWgxtHpq3mdijiSYNQOIocU3d1U/s320/Bone-Density-DEXA-Scan-CPT-Codes-2015-2016.png" width="320" /></a></div>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><br /></span></div>
<h3 style="text-align: left;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">Bone Density Scan</span></h3>
<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">In terms of bone density Scan, </span><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">following technologies
are most commonly used:</span></div>
<h4 style="text-align: left;">
<span style="font-family: "times new roman" , serif; font-size: 12pt;"><br /></span><span style="font-family: "times new roman" , serif; font-size: 12pt;">DEXA</span></h4>
<div class="MsoNormal">
<span style="font-family: "times new roman" , serif; font-size: 12pt;">DEXA stands for Dual
Energy X-Ray Absorptiometry  and is considered
one of the most advance and commonly used technique to measure bone mineral
content and bone mineral density.  It is a two-dimensional projection
system in which an X-ray tube source instead of  radioisotope  is used. This x-ray tube is used as a photon
source.  It is used all around the globe
as it provides more accurate and precise readings.  DEXA is used to
measure bone mineral in both the peripheral appendicular skeleton and in axial
skeletal sites, e.g., wrists, hip, spine, or total skeleton.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><o:p></o:p></span></div>
<h4 style="text-align: left;">
<span style="font-family: "times new roman" , serif; font-size: 12pt;"><br /></span><b><span style="font-family: "times new roman" , serif; font-size: 12pt;">QCT</span></b></h4>
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<span style="font-family: "times new roman" , serif; font-size: 12pt;">QCT stands for Quantitative
Computed Tomography. It depends on the differential absorption of ionizing
radiation by calcified tissue and is used for central measurements only.  Unlike
 DEXA, QCT is less readily available and
associated with relatively high radiation exposure and relatively high costs.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><o:p></o:p></span><br />
<span style="font-family: "times new roman" , serif; font-size: 12pt;"><br /></span></div>
<h4 style="text-align: left;">
<b><span style="font-family: "times new roman" , serif; font-size: 12pt;">Ultrasound Densitometry</span></b></h4>
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<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">Ultrasound
densitometry is a technique which is particularly used for measuring BMD at
peripheral sites. One example of such sites is the heel, but it is not limited
to such sites only. It is  also used for
tibia and phalanges. In contrast with osteoporotic bone, normal bone
demonstrates higher attenuation of the ultrasound wave, and is associated with
a greater velocity of the wave passing through bone. The best thing about
ultrasound densitometry is that it has no radiation exposure, and machines may
be purchased for use in an office setting.<o:p></o:p></span></div>
<h4 style="text-align: left;">
<span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;"><br /></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Bone Density DEXA Scan CPT Codes 2015-2016</span></h4>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">DEXA scan as mentioned above,  is currently the most widely used test in
measuring bone mineral density. It is an important test in assessing the degree
of bone thinning in osteoporosis. Bone loss increases the risk of hip as well
as  spine fractures. <o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">A DEXA scan is highly recommended for women over age
65, as well as for women that are post menopausal, or those individuals who
have suffered certain types or frequent bone fractures.  Persons with  family history of osteoporosis is advised to
do that scan also. Just like women in menopause stage,  aged men with low estrogen are also at risk
for broken bones. </span></div>
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<br /></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Earlier in 2014, CPT code used for this procedure
were 77080 and 77081. CPT Code 77080 was mainly used for bone density scan of
axial bones like hips and spine while 77081 was used to code axial bone like
wrist, radius and heel etc. These codes were deleted in 2015 and two new codes
were introduced for DEXA scan. These CPT Codes will include the old codes. The
new codes are:<o:p></o:p></span></div>
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</div>
<ul style="text-align: left;">
<li><b style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 115%;">77085</b><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;"> This code is used for axial skeleton including
vertebral fracture assessment</span></li>
<li><b style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 115%;">77086 </b><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">This
code is used only for vertebral fracture assessment through DEXA.</span></li>
</ul>
<br />
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Medicare covers DEXA bone mass measurement once
every 2 years on a person who falls into any one of following categories: <o:p></o:p></span></div>
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</div>
<ul style="text-align: left;">
<li><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">A woman who has been determined by her physician to
be estrogen</span><span style="font-size: 12pt; line-height: 115%;">‐</span><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">deficient and at clinical risk for
osteoporosis.</span></li>
<li><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;"> An individual
with vertebral abnormalities as demonstrated by an x</span><span style="font-size: 12pt; line-height: 115%;">‐</span><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">ray
to be indicative of osteoporosis, osteopenia, or vertebral fracture.</span></li>
<li><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">An individual receiving (or expecting to receive)
glucocorticoid (steroid) therapy.</span></li>
<li><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">An individual with primary hyperparathyroidism.</span></li>
<li><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;"> </span><span style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 115%;">If an individual
is currently taking Osteoporosis Medications like Fosamax, Actonel, Miacalcin,
Evista, Forteo.</span></li>
</ul>
<br /></div>

Bone Density DEXA Scan CPT Codes 2015-2016

Bone mineral density (BMD) is very important in terms of human health. People having trouble regarding bone pain or difficulties in movement are often recommended to do a bone mineral density test. I…

Electrocardiogram ECG/EKG CPT Code 93000 vs 93005

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<span style="background-color: white; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">A graphic record of electrical
potentials produced by cardiac tissue is called Electrocardiography. An
electrographic tracing is created when electrical impulses produced by the
heart spread to the body surface where they are detected by electrodes
connected to a recording device. The ECG is valuable in the evaluation and
management of primary diseases of the heart, pericardium and coronary arteries.</span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">A qualified physician or NPP who is
licensed by his state to perform these services must make an interpretation.
The recording and interpretation should be part of the patient’s medical
record. Electrocardiography may be useful in management of diseases that are
not primarily cardiac but which frequently affect the heart either directly or
indirectly. <o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">The ECG may be utilized in the
evaluation of patients with chest pain or other symptoms that are atypical but
may be due to cardiac ischemia when an alternate explanation for the symptoms
is not apparent. Services provided that do not directly contribute to the
diagnosis or treatment of an individual patient are not medically necessary and
will be denied when billed and coded appropriately.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;"> </span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhpOy-bEt2kYE_SkXyEk6ygMMu9hjTKtpvey5EKyjB-wa4i_LHMi1ONihElHfixRmK7hhc2nVsvKI9DhJXyYt0qt6LZ-HJClZj9-Gd6kC1JUgzrN7RHoJRRvnlLSojUNLqiqvAm8lgAsMo/s1600/Electrocardiogram-ECG-EKG-CPT-Code-93000-vs-93005.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhpOy-bEt2kYE_SkXyEk6ygMMu9hjTKtpvey5EKyjB-wa4i_LHMi1ONihElHfixRmK7hhc2nVsvKI9DhJXyYt0qt6LZ-HJClZj9-Gd6kC1JUgzrN7RHoJRRvnlLSojUNLqiqvAm8lgAsMo/s320/Electrocardiogram-ECG-EKG-CPT-Code-93000-vs-93005.jpg" width="320" /></a></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;"><br /></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 115%;">Electrocardiogram ECG/EKG CPT Code </span></h3>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Medicare
generally does not cover screening for heart disease. Though performance of a
baseline ECG in certain asymptomatic patients is considered by many to be
appropriate and standard medical practice. Medicare has established the limited
coverage for CPT/HCPCS codes, i.e.
93000, 93005 and 93010.</span></div>
<h4 style="text-align: left;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Codes for ECG</span></h4>
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<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">There are three codes for routine ECG:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><br />
<br />
<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;"><b>93000:</b>  Electrocardiogram, routine ECG with at least
12 leads; with interpretation and report<span class="apple-converted-space"> </span></span><br />
<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;"><b>93005: </b>Tracing
only, without interpretation and report<span class="apple-converted-space"> </span></span><br />
<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;"><b>93010:</b> Interpretation
and report only.</span><br />
<br />
<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">These
codes include services that involves placing six leads on the patient’s chest
and additional leads on each extremity. </span><span style="font-size: 12pt;">Following
important points are important to consider while coding for ECG:<o:p></o:p></span></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">As mentioned above, Medicare doesn’t
cover screening for heart disease. But it may pay for such an ECG only as part
of the one-time preventative physical examination afforded by section 611 of
the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.<o:p></o:p></span></div>
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</div>
<ul style="line-height: 13.65pt; text-align: left;">
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">All other electrocardiography
performed on asymptomatic individuals is considered screening regardless of the
presence of risk factors (for cardiac disease) such as family history,
hypertension, diabetes mellitus, hyperlipidemia or advanced age in
circumstances where information obtained from the electrocardiogram does not
directly affect management of the underlying disease.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Generally, one interpretation should
be paid per ECG tracing. ECG interpretations that are not made contemporaneous
to patient care.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">In addition to this, other
interpretations that do not directly contribute to the diagnosis and treatment
of the individual patient are not covered and should not be billed to Medicare.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Some non-covered over-reading
services include those that are performed by a physician. It doesn’t matter
whether or not that interpretation is unavailable to the treating physician
timely for use in decision-making regarding patient care.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Documentation supporting medical
necessity should be legible, maintained in the patient’s medical record and
made available to Medicare upon request.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">The record should demonstrate the evidence
of recent, past, ongoing or suspected cardiac disease or symptoms of patient.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">For serial ECGs, information supporting the medical necessity
for repeating the studies at the given interval should be present.</span><span class="apple-converted-space" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;"> </span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Surgery-specific risks related to the
type of surgery and its associated degree of hemodynamic stress.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">High-risk procedures include major
emergency surgery, aortic and major vascular surgeries, peripheral vascular
surgery and prolonged procedures associated with large fluid shifts or blood loss.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Intermediate-risk procedures include
carotid endarterectomy, prostate surgery, orthopedic procedures, head and neck
procedures, intraperitoneal and intrathoracic surgery.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Low-risk procedures include
endoscopy, superficial procedures, cataract surgery and breast surgery.</span></li>
</ul>
<br />

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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><b> </b></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;"><b>ECG </b>is appropriate in case of following
indications like:</span></div>
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</div>
<ul style="text-align: left;">
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Anatomic or structural abnormalities
of the heart such as congenital, valvular or hypertrophic heart disease.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Cardiac ischemia or infarction</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Systemic diseases that involve the
heart.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Rhythm disturbances and conduction
system disease.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Chest and central nervous system
trauma.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Use of medications or exposure to
toxic substances that affect the heart.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Metabolic abnormalities such as
hyper/hypokalemia, hyper/hypocalcemia, hyper/hypothyroidism, acidosis,
alkalosis.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Evaluation and management related to
invasive cardiac procedures.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Evaluation of implanted electronic
cardiac pacemakers.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Preoperative management of selected
patients.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 13.65pt;">Patients with cardiac ischemia often
present with chest pain.</span></li>
</ul>
<br />

Electrocardiogram ECG/EKG CPT Code 93000 vs 93005

A graphic record of electrical potentials produced by cardiac tissue is called Electrocardiography. An electrographic tracing is created when electrical impulses produced by the heart spread to the b…

Abdominal Aortogram with runoff CPT Codes

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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 115%;">Abdominal aortogram is generally used to study aorta
region. This study is same like coding for CPT code for angiogram which
includes injection of contrast and taking their images. It is said that study
of Aortogram is very complex for medical coders. For coders who want to pursue
a career in coding should really know how these procedures are performed.</span></div>
<div class="MsoNormal">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">In order to study aorta, contrast medium is injected
to obtain images to examine the aorta. The images helps in finding any
abnormality related to aorta. Abdominal aortogram lies above the bifurcation
for lower extremity. The contrast injected in abdominal aortogram also flows
into the arteries of lower extremities, helping us to study arteries of both
legs. Now, to code the abdominal aortogram cpt code we have to check whether it
is runoff study or not.  There are two
codes for abdominal aortogram. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Cpt
code for abdominal aortogram with runoff is 75630,</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">
while </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Cpt Code for abdominal aortogram without
runoff is 75625.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><br /></span></div>
<div class="MsoNormal">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">The technique of abdominal
aortography is there for a long time. This procedure is simple, and very little
special equipment is necessary. In terms of effecting related vessels, it is considered
harmless.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> <span style="background: white;">The aortogram was
previously considered the gold standard test for the diagnosis of aortic
dissection, with a sensitivity of up to 88% and a specificity of about 94%. </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<h3 style="text-align: left;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Abdominal Aortogram with runoff CPT Codes</span></h3>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">This procedure is used to find areas in your blood
vessels where they are narrowing or closing. An aortogram may also be used to
evaluate an abdominal aneurysm. Patients who have pain in their legs when they
walk often have a blocked or narrowed blood vessel. One reason for this pain
could be Fatty deposits,  which usually
build up in your blood vessels and reducing blood flow. In some cases, they block
the vessel completely. Patients who have an abdominal aneurysm may need this
evaluation prior to a surgery.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">In order to examine it, doctor will thread a narrow,
flexible plastic tube, called a catheter, through the arteries suspected of
having the narrowing or blockage. The tube will be hooked to a pump that
injects X-ray dye. Once the X-ray pictures show where the blockages are, your
doctor will be able to tell the best way to open the blocked blood vessels.
This should stop the pain and reduce the risk of blood clots.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">There are some cautions which you should observe
before this checkup like you must not to eat or drink anything in late night
before the study except for your normal medications. You need to bring a list
of all your medications with you to the hospital. You should tell your doctor
if you think you may be pregnant. A nurse will place an IV in your hand or arm
so that you can receive fluids and medications.  Your doctor will answer your questions and ask
you to sign a consent form.<o:p></o:p></span></div>
<h4 style="background: white; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Procedure
performed for abdominal aortogram with runoff</span></h4>
<div class="MsoNormal" style="background: white; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">For medical coders, the concept of selective
and non-selective catheterization codes is not new. While doing coding for
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Abdominal
Aortogram</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">, this concept can help coders
to  understand the procedure. This
procedure consists of following important steps:</span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; text-align: justify; text-indent: -18pt;">
</div>
<ul>
<li><span style="font-family: Symbol; font-size: 12pt; text-indent: -18pt;"><span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; text-indent: -18pt;">To get an access and moving the
catheter towards the aorta, the catheter position is non-selective. Therefore,
when the catheter reaches the aorta we take it as non-selective catheterization.
The CPT code for abdominal aorta catherization is 36200.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; text-indent: -18pt;">Now, when the catheter reached to
abdominal aorta at the point of study, the contrast medium injected into the
abdominal aorta and take numbers of continuous films through the aorta.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; text-indent: -18pt;">At the same time the flow of
contrast enter lower extremities and its runoff into the arteries of both legs.
Therefore, here we get to study both abdominal aorta and arteries of both legs
with the injection of contrast
from a single point.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; text-indent: -18pt;">Due to this reason, this study is considered
as runoff study. Therefore, the final CPT code of abdominal aortogram with
runoff along the catheterization is 36200,75630.</span></li>
</ul>
<h4 style="background: white; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Procedure
performed for abdominal aortogram without runoff</span></h4>
<div class="MsoListParagraphCxSpFirst" style="background: white; text-align: justify; text-indent: -18pt;">
</div>
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; text-indent: -18pt;">Procedure without runoff is slightly
different to Procedure with runoff. </span><div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<ul style="text-align: left;">
<li><span style="font-family: 'Times New Roman', serif; font-size: 12pt; text-indent: -18pt;">In this
case, the catheter placed similarly as discussed above. However, when it
reaches the aorta the contrast injected in different positions. When, the aorta
reaches the abdominal aortogram, the contrast medium injected from one point of
study.</span></li>
<li><span style="font-family: Symbol; font-size: 12pt; text-align: justify; text-indent: -18pt;"><span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; text-align: justify; text-indent: -18pt;">When the contrast medium injected,
the catheter moves again to another position and comes to a point where aorta
divided into left and right lower extremity.</span></li>
<li><span style="background-color: white; font-family: 'Times New Roman', serif; font-size: 12pt; text-align: justify; text-indent: -18pt;">Here, again a contrast medium
injected to study the arteries of both legs. Now, here the catheter moves from
one place to another to study abdominal aorta and bilateral lower extremity. this
is all, that is performed in p</span><span style="font-family: 'Times New Roman', serif; font-size: 16px; text-indent: -24px;">rocedure without runoff.</span></li>
<li><span style="background-color: white; font-family: 'Times New Roman', serif; font-size: 12pt; text-align: justify; text-indent: -18pt;">On the contrary, in runoff study,
the contrast medium injected at one point to study both abdominal aorta and
bilateral lower extremity without moving the catheter.</span></li>
<li><span style="font-family: Symbol; font-size: 12pt; text-align: justify; text-indent: -18pt;"><span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; text-align: justify; text-indent: -18pt;">For this study along with
catheterization, code will be 36200,
75625, and 75716.</span></li>
</ul>
<div class="MsoNormal">
<br /></div>
<div style="text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=4399069857710409009"><img alt="" border="0" src="" /></a></div>
<h3>
</h3>
</div>
</div>

Abdominal Aortogram with runoff CPT Codes

Abdominal aortogram is generally used to study aorta region. This study is same like coding for CPT code for angiogram which includes injection of contrast and taking their images. It is said that st…

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