Several changes have been recently made to the ICD-10-CM Official Guidelines for Coding and Reporting for fiscal year (FY) 2021. The guidelines changes affect code assignment for conditions and sympto... [ Read More ]
Uninsured patients don't have to be the downfall of your practice during the COVID-19 pandemic.
The post Get Paid for COVID-19 Testing/Treatment of Uninsured appeared first on AAPC Knowledge Center.
... [ Read More ]
Insight into the history of ICD and how it has changed over time is key to developing a plan for moving forward and embracing ICD-11.
The post The Rules Are Changing: ICD’s Continued Evolution and t... [ Read More ]
Our office is wanting to start giving the blood transfusions in the office. The product will be coming from the hospital so I know they will be billing that portion. All research has led me to HCPCS 3... [ Read More ]
Our urologist orders a pre-procedure urine culture prior to some bladder and transurethral procedures. We have been billing these with Z01.812, and they are being denied. Is anyone else seeing this a... [ Read More ]
En E.U. la población latina alcanza un 17% según las estadísticas desde el 2017, Puerto Rico es parte de Estados Unidos, y nuestro idioma principal es español. En nuestra Isla se trabaja con los ... [ Read More ]
Provider billed 28470x2
After appealing with chart notes, UHC says that the chart notes do not support that the 28470 was preformed. Dispensal of pneumatic cam walker was document... [ Read More ]
I know that stimulations cannot be billed on same DOS as E&M codes, unless of course separate and significant, however I'm not finding a clear answer regarding billing IMRT planning 77301 on same ... [ Read More ]
I am having issues with a provider insisting on billing 11044 with 26952. He says because it was a traumatic partial amputation of the right index finger, that he can bill for the debridement wi... [ Read More ]
We have a patient that was sent back to us with a new diagnosis for evaluation for PT. This was <12 months after the first eval was billed, but does have the exact same line items as the first eval... [ Read More ]
I am seriously puzzled by the new risk guidelines. As a coder, how do WE determine the risk level if it isn't specifically notated? Or, do we need to require all our providers to specifically list the... [ Read More ]
I am just needing to know if I can bill for prolonged services with an ER E&M for a Medicaid patient that also has an office visit on the same date of service? Thank You in advance for your time!... [ Read More ]
When billing to Medicare on a CMS 1500 claim form for the ASC, who's NPI should be in box 24J? So if Dr. X performs the surgery/procedure, but the claim is for the ASC, do you put Dr. X's NPI in 24J,... [ Read More ]