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Different interpretations of ICD10CM coding leave you at risk for improper quality scores and payment. Medical record auditors see a wide range of interpretation among coders and medical organizations... [ Read More ]
The Centers for Medicare 38 Medicaid Services CMS is updating specific 5010 837P and 837I transaction edits which will be implemented by July 31 2011. Due to the urgency with which these modifications... [ Read More ]
My provider wants to do a bilateral masseter muscle injection. Most of what I'm finding is for a botox injection (CPT 64611 or 64612). At this point, my doctor is looking at a Depo-Medrol injection to... [ Read More ]
Need some help here. In 2020 there are now codes for Nerve blocks and Radiofrequency done at the nerves that innervate the sacroiliac joint. 64451 and 64625
My question is if a provider performs a Me... [ Read More ]
If Tap block is done (bilateral abdominis plan) 3:40 to 3:45 and also ( bilateral Rectus sheath) 3:35 to 3:40. Would you charge 64488 2x putting modifier 59/76 on second one? We are discussing in ... [ Read More ]
Patient is having two different procedures done on the same hand.
One procedure is for a work comp related injury; the other isn't. Both procedures crosswalk to the same anesthesia code.
... [ Read More ]
So every time I think we've got the billing for the pain pump refill medications figured out, we start getting denials. The latest denial I received was from Medicare that the CPT/HCPCS were billed in... [ Read More ]
We are needing to utilize a locum CRNAs for the next 60 days, they will only be working 2-3 days per week for short periods of time, but I am not sure how we bill for them. I know the Q6 modifier appl... [ Read More ]
I have a bunch of denials for Medicaid for using both of the modifiers on a claim. Does anyone have any suggestions? I found sites that say to use U1 or U2 but they are for physicians directing the CR... [ Read More ]
I can't find much guidance on how to code an intercostobrachial nerve block. I've seen 64420 which is for "intercostal," and 64450 (other peripheral nerve or branch). Descriptions of inter... [ Read More ]