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[QUOTE="thomas7331, post: 501901, member: 5404"]
The current Medicare payment rate, for 1 unit, based on average sales price, is $0.116. So for 10 mg it would be reimbursed at $1.16.
[/QUOTE]
How did... [ Read More ]
[QUOTE="kattrobles94, post: 501900, member: 785529"]
How much is it usually in california?
[/QUOTE]
The current Medicare payment rate, for 1 unit, based on average sales price, is $0.116. So for 10 m... [ Read More ]
I work for a mobile xray and ultrasound provider and we use code R0070 to bill for transportation service. We are in the state of Illinois where Medicare follws the fee schedule set by NGS according t... [ Read More ]
[QUOTE="wynonna, post: 484939, member: 45822"]
1 ml deep to canal wall. 7-8 mm of exophytic growth.
Since the ear is cartilage, and it is soft tissue, I went with 69145 for "Excision of soft tissue l... [ Read More ]
1 ml deep to canal wall. 7-8 mm of exophytic growth.
Since the ear is cartilage, and it is soft tissue, I went with 69145 for "Excision of soft tissue lesion, external auditory canal"
I think it's de... [ Read More ]
[QUOTE="thomas7331, post: 476016, member: 5404"]
It's my understanding that CMS will not pay two co-surgeons who are of the same specialty. The Medicare Claims Processing Manual, under billing instru... [ Read More ]
It's my understanding that CMS will not pay two co-surgeons who are of the same specialty. The Medicare Claims Processing Manual, under billing instructions for modifier 62, states '[I]If two surgeon... [ Read More ]
Hello,
I needing some input on coding this cath procedure. Please see note below.
I am billing
93531-26
93566
93567
36010-XU
36010-XU
36011
76937-26
Historical Background and Indications:
GEORGE ... [ Read More ]
Coding guidelines (AHA Coding Clinic [U]ICD-10 CM and ICD-10 PCS Coding Handbook 2019[/U] pg 116) indicate the provider must make the diagnosis. You can query the provider in light of the lab results... [ Read More ]
Medicare does state that their co-surgery payment rules apply for 'two-surgeons, each in a different specialty'. I believe that most other payers follow this policy as well. Also, co-surgery fees ar... [ 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 ]
CMS bats down argument to correct inflation underestimation. The slight increase in hospices 2024 payment rates as compared to the amount proposed back in March isnt going to be enough to stave off ha... [ Read More ]
Now the worlds largest training and credentialing organization for the business of healthcare 240K members is our greatest success. Thirtyfive years ago AAPC began its mission to legitimize medical co... [ Read More ]
But the cost of submitting a dispute may surprise you. The intent of the No Surprises Act signed into law in 2020 is to protect patients who receive care from outofnetwork providers at innetwork facil... [ Read More ]
Colonoscopies that require additional related procedures will soon see a change in Medicare coinsurance. A provision of the Consolidated Appropriations Act CAA of 2021 has put Medicare patients on a g... [ Read More ]