Re: Coding question for circumcision
From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Thu Oct 7 10:11:51 2004
You can, I do. Or I let the pediatrician do it. I'm not tied to doing
procedures for free. I let my patients decide. I don't consider a
circumcision as part of a delivery any more than I consider a tummy tuck
part of an abdominal hysterectomy.
--
Richard Chudacoff, MD
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E.
Siegel, M.D.
Sent: Wednesday, October 06, 2004 7:39 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Coding question for circumcision
Agree. We don't bill for it separately, but another practice does and
collects.
Richard--can't get cash up front from patients on PPO/HMOs for covered
services. In my world, that's about all of them.
Garry
At Wed, 6 Oct 2004, Braun, R. Daniel wrote:
>
>This sounds to me like what is called "Unbundling" and in this case
>might be considered illegal. I would talk to an attorney before I did
>it.
>
>R. Daniel Braun, MD
>
>"If everyone likes you, you're doing something wrong."
>
>Kinky Friedman
>
>I believe a self-righteous liberal or conservative with a cause is more
>dangerous than a Hell's Angel with an attitude.
>
>Andy Rooney
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Larry
>Glazerman
>Sent: Wednesday, October 06, 2004 1:10 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Coding question for circumcision
>
>In general, "local" anesthesia is not covered separately, although
>"Regional" anesthesia, including a paracervical block (obviously not
>applicable here) is covered. I don't do circs - could this be considered
>a regional anesthetic????
>
>Larry R. Glazerman, MD, FACOG
>Ob-Gyn at Trexlertown, PC
>6900 Hamilton Blvd.
>Trexlertown, PA 18087-0060
>610-402-0161
>larry.glazerman@lvh.com
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry
>E. Siegel, M.D.
>Sent: Tuesday, October 05, 2004 8:48 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: GEN: Coding question for circumcision
>
>Here's a coding question.
>
>For neonatal circumcision, CPT 54150, does anyone who administers local
>anesthesia (i.e. Ring Block or Dorsal Penile Nerve Block) also code for
>the actual administration of the anesthestic?
>
>One Ob group has been doing so.
>
>My interpretation from the CPT guidelines is that local anesthesia is
>included in the procedure. This is stated in the paragraphs in the
>introduction to the "surgery" section.
>
>That said, there is an anesthesia code, 00920, for Anesthesia for
>procedures on the male genitalia, not otherwise listed.
>
>Any thoughts?
>
>Coders, if lurking, please chime in or email privately.
>
>Garry
>
>PS--Dear anti-circumcision people:
>
>Please do not respond on the list, or privately. My spam blocker will
>get you privately :), but it will let the coders through :).
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
