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Q #16: Will there be at anytime HCPCS and CPT codes together?

A: Well, yes. I guess so. The only time you really use HCPCS codes is if you are doing Medicare. They’re the other ones that really like the HCPCS codes. CPT codes, well, yes they will because E/M codes are CPT codes. So, right there you’re going to have CPT and HCPCS codes together. HCPCS codes might be, if they’re giving an injection for Medicare patient in the office, then you would use a HCPCS code.

Medical Coding – HCPCS and CPT codes | Disc Herniation vs Disc Degeneration – Video

Q #17: Please clarify with disc herniation and disc degeneration?

A: OK, well I can do that because that’s like an ICD-9 thing. Herniation of a disc is when it bulges. So, you’ve got your little discs. Think of it as little block squares set up on top of each other with a hole in those squares, and in those squares… So, think of this as your vertebra, and think of this little pearl right here as your spinal cord. So, that’s stacked up. A bunch of those are stacked up on top of each other. Now, around that is this meaty tissue and fluid to make sure that nothing hurts that spinal cord because it doesn’t regenerate itself. So, you’ve got these little guys stacked up on top of each other. If you have a herniation that’s when some of this goo in here pops out, OK? Think of a little balloon of goo sticking out, it’s a hernia. Just like if you have inguinal hernia or a hernia in your intestines.

Now, a disc degeneration is when this little guy right here, he’s falling apart. So, this starts degenerating. It starts breaking down. It’s not solid anymore. It’s getting porous and they can’t do the job and it’s getting weak. So, they’ll stack on top of each other – two completely different things. Herniation you got a bulge right there, and degeneration this is wearing out. Can you have both? Absolutely, but they are two distinct things.

Q #18: What is the difference between Lefort I, II, III from each procedure? Also, is Botox injection part of the procedure? What is CPT code for the Botox injection?

A: I don’t know. Sorry. First of all between Lefort I, II, III, I just don’t even know what that is without looking it up, and I apologize that after I said I was so intelligent and awesome that I don’t know that; but this is a perfect Q&A forum question. So, if you will post this in there I will make sure that it gets answered because now I want to know what Lefort I, II, III, is, and what is the CPT code for a Botox injection? Again, I’m sure it has a specific injection code and we’ll find it for you.

More Information about Medical Coding – HCPCS and CPT Codes

CPT versus HCPCS Codes – Video

AAPC – Acute intervertebral Disc Herniation

medical coding

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2016-11-20T23:37:38+00:00

About the Author:

AliciaScott-Instructor
Alicia has been working in the medical field for over 20 years. She first learned about medical coding while working in a medical records department at a resort town hospital near where she was raised. Through the years she has held several jobs in the medical field from, CNA, EMT, Pharmacy technician and Medial Records Abstractor and Analyst. Outside of the medical field she has worked as a Real Estate agent, and owned her own on-line retail business. The medical field has always been where she felt the most comfortable. Alicia has taught medical coding, billing and medical law and ethics at a private college. She also did contract work in HCC Risk Adjustment and discovered she really enjoyed ICD work. Because she loves to learn Alicia is working towards her Masters in Health Care Administration with an emphasis on education. Having taken many online classes through the years to complete her degree she feels very comfortable with both face to face and on-line learning. Alicia will tell you that not only does she love medical coding but she has a passion for teaching it. Alicia lives in the middle of Texas with her husband who is a Pastor, five of her six children, three dogs and two cats.

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