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Retroactive code pricing updates may require claims lookback. The Centers for Medicare 38 Medicaid Services CMS has posted a retroactive update to the April Average Sales Price ASP pricing file for th... [ Read More ]
CMS guidance clarifies MIPS measure specifications. Which electronic clinical quality measures eCQMs include telehealtheligible encounter codes and which do not Guidance from the Centers for Medicare ... [ Read More ]
Medicare issues two codes for second COVID19 antibody therapy. A new investigational monoclonal antibody therapy for Medicare patients with mild to moderate COVID19 warrants new codes. The Centers for... [ Read More ]
AAPCs coding expert Raemarie Jimenez gives you the scoop on next years updates. CPT 2021 includes 206 new codes 69 revised codes and 54 deleted codes. All sections of CPT received changes in codes and... [ 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 ]
Exploring billing for anesthesia....
Though very payer specific, do you obtain a separate auth for anesthesia? Or, do you bill with the auth obtained for the provider and/or facility? Thanks in adva... [ Read More ]
Dr. is doing Lumbar epidural steroid injection. At the end of the procedure dr. is injection Depomedrol. We have not been billing for the Depo, but I am curious if anyone as billed the Depo and rece... [ Read More ]
CRNA did a subarachnoid block (SAB) spinal injection to numb for surgery. She said it wasn't a nerve block. Knee surgery. Someone coded as 64999 unlisted SAB block. Could this however, be code... [ Read More ]
I know the Mastopexy would be coded as 00402. Would you code left breast cancer to justify the Right Mastopexy or a different dx code?
Postop DX: Left Breast Cancer
Procedure Performed: MRI bracketed... [ Read More ]
Does anyone know when it would be appropriate to use Category II & III codes for Anesthesia or Pain Management billing....not really sure at this point we do not use them at all in our billing was... [ Read More ]
We are billing for anesthesia and have a Blue Shield claim which has the need for 5 modifiers. I understand the claim only allows for 4 modifiers however, all 5 modifiers are important in the correct... [ 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 ]
The provider is performing an MBB @ T10 -T11 & T11-T12 to block T11-T12 & T12-L1. T12-L1 is considered lumbar region, so would I bill 64490, 64493 or should this be billed as all thoracic, 644... [ Read More ]
How do you handle the medical necessity for anesthesia on a procedure that per the LCD, anesthesia is not routinely necessary for the procedures? I think our office needs to have a form or som... [ Read More ]