During the Winter Solstice, also known as Yule, many pagans and practitioners of Wicca celebrate the return of the sun and the rebirth of nature. One popular tradition during this time is the decorating of the Yule tree, which is often adorned with symbols of the season and pagan symbolism. In recent years, a new trend has emerged in pagan and Wiccan communities: the use of a moon topper for the Yule tree. This unique decoration represents the lunar aspect of the winter season and adds an extra layer of spiritual significance to the tree. The moon topper is typically made of various materials, such as silver or white fabric, glitter, and sometimes even crystals or gemstones. It is shaped like a crescent moon and is placed at the topmost point of the Yule tree, drawing attention to the celestial energies associated with the winter solstice.

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]
.

ICD-10-CM Code for Encounter for screening for malignant neoplasm of rectum Z12.12

It is shaped like a crescent moon and is placed at the topmost point of the Yule tree, drawing attention to the celestial energies associated with the winter solstice. The symbolism behind the moon topper is deep-rooted in pagan beliefs. The crescent moon is often associated with the goddess, particularly the Triple Goddess in Wiccan traditions.

ICD-10 code Z12.12 for Encounter for screening for malignant neoplasm of rectum is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

Subscribe to Codify by AAPC and get the code details in a flash.

Official Long Descriptor

Z12 Excludes1: encounter for diagnostic examination-code to sign or symptom Use additional code to identify any family history of malignant neoplasm (Z80.-)

Additional/Related Information

• 7 th Character Notes
• Category Notes
• Chapter Guidelines

Get crucial instructions for accurate ICD-10-CM Z12.12 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.

This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code.

Crosswalks

• ICD-9-CM CROSSWALK

Forum

The diagnosis is N63.14. C50.919 is incorrect, as there is no cancer diagnosis, and we know it's the right breast. Z12.13 and Z12.39 are not correct, as they are for a screening. Testing will be . [ Read More ]

A patient presents for a lump in the lower inner quadrant of her right breast. he provider orders a mammogram. What is the correct ICD-10-CM code for the encounter? a. N63.14 b. C50.919 c. Z12.31 d. Z. [ Read More ]

I work for an anesthesia group. I have a question on billing for screening colonoscopy turned diagnostic. We bill Cpt 00811-PT, dual we bill 00813 (no PT). My question is the DX order. We used to get. [ Read More ]

[QUOTE="lamiller, post: 515746, member: 553243"] Can someone tell me how this would be coded? Z12.11 followed by R19.5 and any findings? Also, just so I am understanding that any policies prior to Ma. [ Read More ]

Can someone tell me how this would be coded? Z12.11 followed by R19.5 and any findings? Also, just so I am understanding that any policies prior to May 31,2022 will not cover this? Thanks for the he. [ Read More ]

Getting a Medicare denial for screening colonoscopy. Dr. took biopsy but nothing was found. Coded; Z12.11 45380-PT Medicare denying b/c Z12.11 is not covered on LCD and no second diagnosis(nothing f. [ Read More ]

As long as it's Medicare, I use the G0121 with the Z12.11 as the primary diagnosis. Then I'll list K57.30 or any other incidental findings after the primary Z12.11. The MAC here is NGS and they pro. [ Read More ]

Hi Lcubed You must have provider give a reason for doing colonoscopy. Those Z codes are not first listed and give no definitive illness info to the payer, too generic. Was the colonoscopy done for a. [ Read More ]

Hello all. With the ICD guideline change for Z15.09 as primary we are seeing denials. We have always coded the Ordering reason as our pathological diagnosis if no abnormalities are seen. Should we no. [ Read More ]

Hello, I'm needing help coding visit. Patient come in to discuss birth control and pap smear. Tried couple of BC but have not worked and choose Nuvaring. Pap smear was collected, no issues. Provider . [ Read More ]

2024 ICD-10-CM Diagnosis Code Z12.11

It symbolizes the divine feminine energy, intuition, and the cyclical nature of life. Placing it as the centerpiece of the Yule tree brings a sense of balance and harmony to the overall decorations. In addition to its symbolic meaning, the moon topper also serves as a reminder of the significance of the moon during the Winter Solstice. In many pagan traditions, the moon is seen as a guiding light in the darkness of the winter months. It represents hope, protection, and spiritual awakening. By incorporating the moon topper into the Yule tree, pagans and Wiccans pay homage to this celestial body and its influence on their spiritual practices. The use of a moon topper for the Yule tree is not only a decorative choice but also a spiritual one. The symbolism and significance it holds within pagan and Wiccan traditions add an extra layer of meaning to the celebration of Yule. It serves as a visual representation of the connection between nature, the divine, and the cyclical nature of life. As pagans and Wiccans continue to honor the winter solstice, the moon topper will likely remain a popular choice for Yule tree decorations..

Reviews for "Pagan Yule Tree Moon Toppers as Tools for Personal Transformation"

- Emma - 1 star:

I was really excited to receive the Pagan Yule Tree Moon Topper as I love adding unique and meaningful decorations to my Christmas tree. However, I was extremely disappointed with this product. The quality was very poor, with the moon being made of flimsy plastic that easily broke. The design was also not as depicted in the pictures - the colors were faded and cheap-looking. Overall, it felt like a very cheap and tacky addition to my tree and I would not recommend it to anyone.

- James - 2 stars:

I was intrigued by the concept of a Pagan Yule Tree Moon Topper, but unfortunately, it did not live up to my expectations. The size was much smaller than anticipated, and the craftsmanship was lacking. The moon had visible seams and imperfections, making it look cheap and poorly made. Additionally, the attachment mechanism was flimsy and didn't securely hold the topper in place on the tree. It was a nice idea in theory, but the execution fell short for me.

- Sarah - 1 star:

I regret purchasing the Pagan Yule Tree Moon Topper. The product arrived damaged and poorly packaged, with scratches all over the surface of the moon. It looked nothing like the photos online - the silver paint was chipped and uneven, making it appear tarnished instead of shiny. It was also much smaller than anticipated, barely noticeable on the tree. I was hoping for a unique and beautiful tree topper, but this was a major letdown. I would not recommend this product to others.

The Pagan Yule Tree Moon Topper in Modern Paganism