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The latest changes to the CPT code set will help clinicians distinguish seasonal infections from COVID19 in their reporting. Three new CPT codes have been created Oct. 6 that will allow clinicians to ... [ Read More ]
One of the codes 99072 is for reporting additional supplies used to mitigate spread of the virus. The American Medical Association AMA announced Sept. 8 two new Category I CPT codes to meet the changi... [ Read More ]
And that8217s not all CMS has issued new coding guidance too. The Centers for Medicare 38 Medicaid Services CMS implemented 12 new ICD10PCS codes to allow Medicare and other insurers to identify the u... [ Read More ]
As if the coronavirus pandemic wasnt bad enough as it is fraudsters in the healthcare industry are manipulating it to further their wealth. The ongoing public health crisis has spawned a rash of fraud... [ Read More ]
Just when you thought you had all the COVID19 coding for laboratory testing figured out hold the phone there are three new CPT codes. These newest codes are effective June 25 2020. CPT Code Long Des... [ Read More ]
I need clarification from someone in the pain management world. My provider is performing a genicular nerve blocks where he indicates he injected the superior medial and lateral epicondyles of the fem... [ Read More ]
HI can anyone tell me if 76937 is separately paid by medicare and medicaid if done with an A-line or Central line placment with all the proper documentation on file, which includes US report? Thanks.... [ Read More ]
Document records 12:34 is the start of medication being given by RN. At 1:04 the CRNA starts the Propofol and ends at 1:20. The reason stated is below. Do I bill under the CRNA using the total time ... [ Read More ]
Looking for any guidelines on how to code SPANK (sensory posterior articular nerve of knee)? Provider(anesthesiologist)is performing for post-op pain management following total knee surgery and is u... [ Read More ]
I'm being asked to add the RT or LT modifiers to anesthesia codes for the following insurances: Harvard Pilgrim, UHC, & BCBS of MA.
In my 25 years of billing anesthesia, I've never us... [ Read More ]
I have a provider that has 3 concurrent cases (1 personally performed, 2 involving residents). Based on CMS' guidelines, each would meet the payment at "Personally Performed Rate"... [ Read More ]
I don't teach anesthesia coding often so I'm stumped on this one.
Can someone please help me identify what I am misunderstanding or missing?
Base unit: 6
Time: 60 minutes (15 minutes x 4)
Modifying ... [ Read More ]
Some input on this claim would be greatly appreciated. I'm having a hard time finding a dx that MMO will pay on this procedure. Diagnosis used: M46.1, M53.3, M47.817. Everything I'm finding is showing... [ 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 ]
So, I have been getting denials for 95972 when billed with SCS implant. I've tried billing this with modifier -51 or -59 with no luck. The insurances keep denying as inclusive, I'm thinking there mayb... [ Read More ]