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Survey shows Healthcare Business Monthly is your goto resource. AAPC recently reached out to members to take a Healthcare Business Monthly survey. One of the questions on the survey was What topics wo... [ Read More ]
What are the latest code changes Get the facts fast. This month theres new billing guidance for a COVID19 vaccine there are three new HCPCS Level II codes for COVID19 therapeutic injections and Medica... [ Read More ]
Correct coding and proper payment require strategy and teamwork. The preparticipation physical examination PPE or sports physical is a valuable tool schools rely on to identify potentially lifethreate... [ Read More ]
Deciding which code to use starts with determining each payers policy. The Healthcare Common Procedure Coding System HCPCS has two principal subsystems referred to as Level I and Level II. Knowing whe... [ Read More ]
I became an AAPC member because of my mom. She was a certified coder with a specialty certification in obstetricsgynecology and worked in medical offices while I was growing up. I remember my sister a... [ Read More ]
Exploring billing for anesthesia....
Though very payer specific, do you obtain a separate auth for anesthesia? Or, do you bill with the auth obtained for the provider and/or facility? Thanks in adva... [ Read More ]
Dr. is doing Lumbar epidural steroid injection. At the end of the procedure dr. is injection Depomedrol. We have not been billing for the Depo, but I am curious if anyone as billed the Depo and rece... [ Read More ]
CRNA did a subarachnoid block (SAB) spinal injection to numb for surgery. She said it wasn't a nerve block. Knee surgery. Someone coded as 64999 unlisted SAB block. Could this however, be code... [ Read More ]
I know the Mastopexy would be coded as 00402. Would you code left breast cancer to justify the Right Mastopexy or a different dx code?
Postop DX: Left Breast Cancer
Procedure Performed: MRI bracketed... [ Read More ]
Does anyone know when it would be appropriate to use Category II & III codes for Anesthesia or Pain Management billing....not really sure at this point we do not use them at all in our billing was... [ Read More ]
We are billing for anesthesia and have a Blue Shield claim which has the need for 5 modifiers. I understand the claim only allows for 4 modifiers however, all 5 modifiers are important in the correct... [ Read More ]
I work in the billing department of a pain management office. We are having issues with Blue Cross taking back money for J codes that are billed out when we refill the pumps.
Does anyone out in ... [ Read More ]
The provider is performing an MBB @ T10 -T11 & T11-T12 to block T11-T12 & T12-L1. T12-L1 is considered lumbar region, so would I bill 64490, 64493 or should this be billed as all thoracic, 644... [ Read More ]
How do you handle the medical necessity for anesthesia on a procedure that per the LCD, anesthesia is not routinely necessary for the procedures? I think our office needs to have a form or som... [ Read More ]