In Billing
Jul 11th, 2019
The professional service of preparation and provision of antigens for allergen immunotherapy — reported using CPT® 95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses) — is often misunderstood and incorrectly coded and billed to third-party payers. This misunderstanding causes a ...
2019 was my first AAPC National Conference since 2008. Although there were many big changes since 2008, a few major differences I noticed particularly were that the size of attendance has quadrupled, and the education quality, as well as the food quality has gone up. One of the coolest additions to HEALTHCON since I first ...
Modifier 25 is not a free pass to bill separately both services. By Ellen Hinkle, CPC, CPC-I, CPMA, CRC, CEMC, CFPC, CIMC, CSCG, AAPC Fellow Reporting an evaluation and management (E/M) code in addition to an injection administration code is not a given. Specific requirements must be met before you can append modifier 25 Significant, ...
In Billing
Sep 16th, 2016
The Comprehensive Error Rate Testing program frequently identifies instances where CPT® and HCPCS Level II codes routinely bundled into related procedure codes are reported separately and paid. This is problematic because Medicare considers all services integral to accomplishing a procedure bundled into that procedure, and not separately payable. For example, fluids used to facilitate an ...
When there is a separate E/M service beyond the therapeutic injection, call on modifier 25. Inflammation of tendons, joints, or bursa resulting in joint tenderness can be very painful. Often, patients experience pain or decreased motor function in the thumb and wrist. Therapeutic injection (direct insertion of a needle into the tendon or joint for ...