Vestibular Evaluation for Dizziness

Question:  A patient with complaints of dizziness is seen for a vestibular evaluation. The physician completed the following tests: spontaneous with gaze, optokinetic, oscillating tracking, positionals head right and left, and Dix-Hallpike right and left. The physician also completed warm…Question:  A patient with complaints of dizziness is seen for a vestibular evaluation. The physician completed the following tests: spontaneous with gaze, optokinetic, oscillating tracking, positionals head right and left, and Dix-Hallpike right and left. The...

DaTscan to Differentiate Between Parkinson’s and Essential Tremor

When the neurologist has ordered several imaging tests and is still unsure of the diagnosis, it may be time for a SPECT brain DaTscan to differentiate between Parkinson’s and essential tremor. Question:  A patient who has not been responding well…When the neurologist has ordered several imaging tests and is still unsure of the diagnosis, it may be time for a SPECT brain DaTscan to differentiate between Parkinson’s and essential tremor. Question:  A patient who has not been responding...

Sacral Neuromodulation /Stimulation Procedure Coding

Knowing the correct CPT code for a neurostimulator procedure can be tricky if you don’t know the staged procedures and temporary vs. permanent placement. Follow along and I’ll explain sacral neuromodulation /stimulation coding for this scenario. sacral nerve stimulation test   Question:  A female…Knowing the correct CPT code for a neurostimulator procedure can be tricky if you don’t know the staged procedures and temporary vs. permanent placement. Follow along and I’ll explain sacral neuromodulation /stimulation coding for this scenario.   ...

Select the Most Specific CPT Code for a Craniotomy to Evacuate a Hematoma

Selecting the most specific CPT code for a craniotomy to evacuate a hematoma comes down to the documentation, where the hematoma is located, and the approach taken to treat it. Supratentorial and infratentorial areas of the brain with tentorium Question:  A patient suffers an extradural hematoma in the supratentorial…Selecting the most specific CPT code for a craniotomy to evacuate a hematoma comes down to the documentation, where the hematoma is located, and the approach taken to treat it. Question:  A patient suffers an extradural hematoma in the...

Coding For Multiple E/M Services With the Use of Modifier 25

In this coding exercise, you will learn about CPT coding for multiple E/M services with the use of modifier 25, as well as CPT/HCPCS and ICD-10 codes related to rheumatoid arthritis and a joint injection.  joint injection into patient's knee for rheumatoid arthritis Question:  A 51-year old female…In this coding exercise, you will learn about CPT coding for multiple E/M services with the use of modifier 25, as well as CPT/HCPCS and ICD-10 codes related to rheumatoid arthritis and a joint injection.  Question:  A 51-year old...

Depression With Anxiety and Thoughts of Suicide in ICD-10

Depression can be a big problem in not only adults but in children and adolescents as well. This coding scenario involves assigning the appropriate codes for depression with anxiety and thoughts of suicide in ICD-10.  Depression With Anxiety and Thoughts of Suicide in ICD-10 Question:  A 16-year-old male who…Depression can be a big problem in not only adults but in children and adolescents as well. This coding scenario involves assigning the appropriate codes for depression with anxiety and thoughts of suicide in ICD-10.  Question:  A 16-year-old male...