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Ask a Rev Cycle Expert: CPT® 11042 Vs. 97597?

My question is in regard to debriding hypergranulation tissue. There is some confusion as to which CPT® code we should be using for a debridement of hypergranular tissue. My provider feels if there wasn't much hypergranular tissue removed in debridement that I should not bill CPT® 11042; he feels I should code 97597 instead. If we could please get your guidance on which code to use.

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Ask a Rev Cycle Expert: Breast Implants – Code L8600 or C1789?

Our organization codes all Breast Implants with C1789 Prosthesis, Breast (Implantable). When would it be appropriate to bill/code HCPCS L8600 Implantable Breast Prosthesis, silicone or equal rather than C1789?

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Ask a Rev Cycle Expert: CPT® 0097U Replacement Option?

Our clinical lab was billing for 0097U code which was deleted on 3/31/2022. Do you have any suggestions on replacement codes?

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Ask a Rev Cycle Expert: Blood Collection?

What CPT® code should we use to report a blood collection from an existing arterial line or sheath?

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Ask a Rev Cycle Expert: Infusion and Injection Charges?

Patient has Benadryl® intravenous push (IVP) and TYLENOL® per os (p.o.) ordered to be given pre-transfusion as part of blood administration protocol. Should they be charged for injection for the Benadryl? Also, if medications Benadryl and Pepcid® are given for an allergic reaction (rash) during the infusion, can you charge for 96374 and 96375 for injections?

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Ask a Rev Cycle Expert: CTA of Head & Neck?

Is there a combination code for a computed tomographic angiography (CTA) of the head and neck, similar to the combination code for abdomen and pelvis?

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