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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 ]
Check location and combined areas to capture separately reportable procedures. By Ken Camilleis CPC CPCI CMRS An adjacent tissue transfer CPT 1400014350 relocates a flap of healthy skin from a donor s... [ Read More ]
Medicare rural health centers RHCs and federally qualified health centers FQHCs can expect to see payment updates in 2010 thanks to an increase in the Medicare Economic Index MEI according tothe Cente... [ Read More ]