The summer solstice is a special event that holds great significance for many pagans. It is a celebration of the longest day of the year and the beginning of summer. Pagan summer solstice events are often marked by rituals, ceremonies, and gatherings that honor the power of the sun and the cycle of the seasons. One of the key concepts in pagan summer solstice events is the idea of balance. As the sun reaches its highest point in the sky, pagans believe that there is a balance between light and dark, and between masculine and feminine energies. This balance is often reflected in the rituals and ceremonies performed during the solstice celebrations.
For Clinical Collections: Dip sampling bottle transfer wand into stool collection and place back into the FOBT-CHEKoc sampling bottle (ARUP Supply #49940) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
For Patient In Home Collection: Patients will dip sampling bottle transfer wand into stool collection and place back into the FOBT-CHEKoc sampling bottle provided in the Patient Take Home Kit (ARUP Supply #49952 which comes with complete patient collection instructions) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. Stool must be transferred to sampling bottle within 4 hours.
For Clinical Collections Dip sampling bottle transfer wand into stool collection and place back into the FOBT-CHEKoc sampling bottle ARUP Supply 49940 available online through eSupply using ARUP Connect or contact ARUP Client Services at 800 522-2787. 45388 Colonoscopy, flexible; with ablation of tumor s , polyp s , or other lesion s includes pre- and post-dilation and guide wire passage, when performed.
This balance is often reflected in the rituals and ceremonies performed during the solstice celebrations. Many pagans choose to celebrate the summer solstice outdoors, surrounded by nature. They may gather in a sacred space, such as a grove of trees or a meadow, and perform rituals to honor the sun and the earth.
Coding for screening and diagnostic fecal occult blood test
You'll need to ask yourself two questions before proceeding with coding for these procedures.
Key Points
Q: I am looking for help with CPT codes 82270 and 82272. The wording for these 2 codes is confusing because they are so similar. Code 82270 includes the wording "consecutive collected specimens with single determination, for colorectal neoplasm screening." Code 82272 includes the wording "1 to 3 simultaneous determinations, performed for other than colorectal neoplasm screening." When should we bill each of the codes, and can we bill 82272 if only 1 specimen is obtained-say, during a digital rectal exam?
A: Let's break down your query to the 2 questions you'll need to answer to determine which test, if any, should be billed.
If the test is for screening purposes, then you should bill 82270. This code always will be billed as a separate service when the developer has been placed on the cards after the 3 completed cards (or 1 completed triple card) have been returned to the office.
If a patient presents to the office with symptoms, however, a diagnostic fecal occult blood test (FOBT) would be performed and billed (82272). Code 82272 can be billed if 1 to 3 specimens are obtained (we'll discuss how to determine the number of specimens needed in the section below).
As we discussed above, for the screening test (82270), 3 consecutive stool specimens must be sampled. This means that the triple card or 3 separate single cards must be completed.
The number of specimens required for a diagnostic FOBT depends on the severity of the patient's problems, however. For example, if the patient presents with a complaint of severe abdominal pain and black, tarry stools, the physician would need to know immediately whether the patient has evidence of active gastrointestinal bleeding. If the physician collects 1 specimen, developer is added to check the color, and blood is found in the stool, then there is no need to collect 2 additional specimens because the physician is able to diagnose the problem without them.
On the other hand, if a patient presents with abdominal cramping on and off for the past 2 months, the situation is significantly less urgent and the physician would opt to send the patient home with 3 cards (or 1 triple card) to return to the office. In this situation, code 82272 would be billed when the card(s) are returned to the office and developer has been added.
If a screening FOBT is performed and only 1 specimen is collected, this is not a billable service. As we discussed earlier, code 82270 should be used for screening purposes, and this code requires 3 specimens in order to correctly be billed. Three specimens are required because internal medicine studies have shown that 1 specimen does not meet the threshold of being a "reasonable" means to screen for colorectal cancer.
The author is a compliance manager for Baptist Medical Associates in Louisville, Kentucky. Do you have a primary care-related coding question that you would like our experts to address in this column? Send it to [email protected]
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If a patient presents to the office with symptoms, however, a diagnostic fecal occult blood test (FOBT) would be performed and billed (82272). Code 82272 can be billed if 1 to 3 specimens are obtained (we'll discuss how to determine the number of specimens needed in the section below).
These rituals often involve chanting, dancing, and the lighting of fires. During the solstice ritual, pagans may make offerings to the sun, such as flowers, herbs, or fruits. These offerings are meant to show gratitude for the sun's warmth and light, and to ask for blessings for the coming year. They may also perform divination or seek guidance from the spirits or deities that they believe inhabit the natural world. In addition to rituals and ceremonies, pagan summer solstice events often include feasting and socializing. Many pagans see the solstice as a time of abundance and joy, and they celebrate with food, drink, and music. Some may also participate in crafts and activities that reflect the themes of the solstice, such as making flower crowns or weaving sun symbols. Overall, pagan summer solstice events are a time of celebration and connection with nature. They are an opportunity for pagans to honor the turning of the seasons and to reflect on the cycles of life and death. Through rituals, ceremonies, and gatherings, pagans seek to bring balance, joy, and renewal to their lives and to the world around them..
Reviews for "Celebrating the Wheel of the Year at the Summer Solstice"
1. John - 1 star
I attended the Pagan summer solstice event and it was a complete disappointment. The organizers promised an unforgettable experience with rituals, music, and food. However, the rituals felt forced and lacking in authenticity. The music was a mishmash of different genres that didn't fit the occasion, and the food was mediocre at best. Overall, I left feeling like I had wasted my time and money.
2. Sarah - 2 stars
The Pagan summer solstice event had potential, but it fell short in execution. The location was beautiful, but the event felt disorganized. The schedule was poorly planned, and it was hard to know what was happening when. The rituals were confusing and lacked proper explanations. Additionally, the event felt overcrowded, making it difficult to fully engage in the activities. I was truly disappointed and expected much more from this event.
3. David - 2 stars
I was excited to attend the Pagan summer solstice event, but unfortunately, it was a letdown. The event lacked a clear focus and seemed to be more about capitalizing on the theme rather than providing an authentic experience. The workshops and activities were disorganized and poorly structured. The vendors' area was limited and offered little variety. Overall, I was left feeling unsatisfied and wouldn't recommend this event to others.
4. Emily - 1 star
I had high hopes for the Pagan summer solstice event, but it failed to meet my expectations. The event lacked proper organization and coordination. The atmosphere was chaotic, and it was challenging to immerse oneself in the rituals and activities. The workshops offered little substance, and the overall quality of the event was subpar. I wouldn't attend this event again or recommend it to anyone seeking an authentic pagan experience.