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I am new to Medicare claims and have a Humana Medicare remit with several patients that are denying the 2nd and 3rd CPT billed as CO102 Major Medical Adjustment. I can't find any definitive answer as ... [ Read More ]
I could use some help in clarifying how a procedure should be coded, more specifically the catheter placements to code. The codes that were given were, 36005, 36011, 37238, 37252, 37253 x 4, 75822, 7... [ Read More ]
[QUOTE="ashae17, post: 493157, member: 490404"]
I'm a little bit confused, since there is mention of the angiography however the actual findings of everything viewed and pressures (stenosis, patency, ... [ Read More ]
I agree this is more a compliance issue than a coding issue. Particularly for chemo, dosing for many meds is based on BSA and simply "taking them" from a prior visit could impact patient care. You w... [ Read More ]
I hope this helps
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[LIST]
[*][URL='https://www.encoderprofp.com/epro4payers/hcpcsHandler.do?_k=102*U0002&_a=view']U0002[/URL] 2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any tech... [ Read More ]
[LIST]
[*][URL='https://www.encoderpro.com/epro/hcpcsHandler.do?_k=102*G0513&_a=view']G0513[/URL] Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the off... [ Read More ]
In the CMS final rule for 2021, Medicare decided not to accept 99417 because the CPT wording was not clear as to the specific time requirements. They have created the substitute code G2212 which requ... [ Read More ]
Utilizing the 2021 New E&M Outpatient Coding Guidelines, Please code this E&M
[U]Patient [/U]1: This established 2-year-old female presents with cough, nasal discharge, and fever. Cough onset was one... [ Read More ]
I haven't frequently coded pulm angio and would like some input for this report...I think it should be coded as 93451-26, 93568, 37211-50. Thank you.
PROCEDURES
1. Right femoral venous access x2.
2... [ Read More ]
Understanding the rules surrounding interrupted stays in IPFs and IRFs is as easy as 123. When an interrupted stay occurs in an inpatient psychiatric facility IPF or inpatient rehab facility IRF a com... [ Read More ]
Know which services may be ordered only by a physician to avoid costly claim denials. Orders and rules can be hard to follow when they seem archaic. I can still hear my parents saying Because I said s... [ Read More ]
Wondering what new procedure codes the new year will bring Wonder no more CPT 2024 will include 153 new codes throughout the code book including the Evaluation and Management section several Surgery s... [ Read More ]
New codes may help providers get paid for emerging services and supplies. The Centers for Medicare 38 Medicaid Services CMS has posted the HCPCS Level II code set update for fourth quarter 2023 on its... [ Read More ]
Ensure optimal reimbursement for items that are not billed as durable medical equipment. Assigning the proper codes to supplies implants and devices can have a direct effect on coding compliance charg... [ Read More ]