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Q: When is it appropriate to report an -X{EPSU} modifier in place of modifier -59 (distinct procedural service)?

Q: We recently had a patient admitted with severe acute meningitis causing respiratory decompensation. A diagnostic lumbar puncture and mechanical ventilation were both performed during the inpatient stay. Which of these two procedures would be the principal procedure?

Q: In ICD-10-PCS, when should a spinal Fusion be coded to the root operation Reposition and not Fusion?

Q: When is it appropriate to report a diagnostic cardiac catheterization with a transcatheter atrial septostomy (TAS)?

Q: Would telemetry and the continuation of home medications be considered continued care for a myocardial infarction (MI) or treatment when reporting in ICD-10-CM? Would this meet the definition of a secondary diagnosis?

Q: Are hospitals typically exempt from appending HCPCS modifier -TC (technical component) to procedure codes?

Q: Per Coding Clinic, Second Quarter 2017, when a spinal fusion is performed without bone grafting it cannot be coded to the root operation Fusion in ICD-10-PCS. Is this advice still accurate?

Our experts answer questions about ICD-10-CM coding for seizure disorders, guidance for reporting acute stroke with unilateral weakness, and more.

Our coding experts answer questions about ICD-10-CM coding for pregnancy with unspecified anemia, CPT reporting for multiday EEGs, and more.

Q: Can both an anterior lumbar interbody fusion and a posterior lumbar interbody fusion be performed during a single surgical session?