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Pediatric Coding Alert

Reader Question:

Look to 'H' Series for Eustachian Tube Dx

Published on Thu Mar 03, 2016

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Pediatric Coding Alert

E/M Coding:
No Patient in the Room? No Problem
You can still bill an E/M code based on time to most insurers. It happens [...]

Confirm These 3 Elements Are in the Documentation for Time-Based coding
Before using time as the controlling factor, check off the following requirements that must be [...]

Prolonged Service Coding:
New Prolonged Service Codes Look Great--But Can You Collect for Them?
Some payers are reimbursing 99415-99416, while others have balked. When CPT® 2016 took effect on [...]

Billing:
Slightly Tweaking Your Patient Registration Questions Could Increase Your A/R
Ask pointed questions to get better information from patients, this billing expert says. Although you’re [...]

ICD-10:
Let 'Z' Codes be Your Friends When Ordering Neonatal Tests
Pediatricians frequently order tests on newborns, often requiring your office to provide the proper diagnosis [...]

Reader Question:
Avoid 87502 for Most Office Flu Tests
Question: We are very confused about how to code for influenza tests. When billing Medicaid or [...]

Reader Question:
Some Payers May Want Modifier 25 Despite Add-on Nature
Question: United Healthcare recently denied a claim, saying that we should have added modifier 25 to [...]

Reader Question:
Look to 'H' Series for Eustachian Tube Dx
Question: Eustachian tube dysfunction had a specific code in ICD-9 (381.81), but in ICD-10 it does [...]

Reader Question:
Don't Collect 2 Copays for Dual Visits
Question: If a patient comes in twice in one day because he feels worse later on [...]

You Be the Coder:
Look to 99420 for Mother's Postpartum Screening
Question: We are planning to start performing postpartum screenings on the mothers of the newborns that [...]

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