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Consider code descriptors surgical anatomy technology used and type and amount of visualization. Most CPT codes get added to the code book each year without any mention as to whether the procedure is ... [ Read More ]
Suspension of the 2 percent sequestration payment adjustment applied to all Medicare FeeforService FFS claims is extended through Dec. 31 of this year. Participating clinicians will continue to receiv... [ Read More ]
New payment rates are effective immediately. The Medicare payment amount for administering the COVID19 vaccine is increased effective March 15 2021. The national average for physicians hospitals pharm... [ Read More ]
Make sure youre using the latest code files for your Medicare claims. A second quarter update to the HCPCS Level II code set used for reporting products supplies and services adds 23 codes. Additional... [ Read More ]
Are you working off the latest list of codes applicable for modifier CS During the public health emergency PHE for COVID19 patients Medicare Part B cost sharing coinsurance and deductible is waived fo... [ Read More ]
Can I get some clarification on billing for anesthesia when performed by Anesthesiologist supervising and the CRNA. I was told to use the anesthesia code with QK and the anesthesia code with QX.
I th... [ Read More ]
Can someone please help me on the proper coding for the following scenario:
labor analgesic provided from 0840 pm to 0916 pm on day one (08-23-18)
csection provided from 0503 am to 0643 am on day tw... [ Read More ]
I need some help.....
I have an anesthesia case that was a return to OR for chest exploration after the patient had a CABG. The second case was done later in the evening and it is hitting an edit aga... [ Read More ]
Hello there, just a heads up that the MACs are working on a uniform LCD for epidural injections for chronic pain and are accepting comments on the proposed updates (CGS hasn't posted their yet). Base... [ Read More ]
Hello, My question concerns acceptable modifiers for anesthesia for two separate surgeries but they are on the same day. We say append the 59 modifier only on the second surgery. Others are saying y... [ Read More ]
My provider was to perform a Vertiflex on a patient in the ASC - Anesthesia started giving the patient Mac & IV sedation and the patient became unresponsive & stopped breathing. My provider as... [ Read More ]
When anesthesia is performed for transforaminal ESIs what anesthesia code do you bill? It states that anesthesia not typically required so doesn't have an ASA but years ago I know it crossed to 01935... [ Read More ]
The provider I code for has begun doing some injections in the office. He's using Bupivacaine for the injections. No other meds are used for the injections (such as Depo-Medrol). An example is: 0.50 ... [ Read More ]
On a recent audit, I had a deduction for the use of the PT modifier. Question: Do any of you use the PT modifier for Medicare procedures only that are screenings that transition to therapeutic? I was ... [ Read More ]