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What are the latest code changes Get the facts fast. This month theres new billing guidance for a COVID19 vaccine there are three new HCPCS Level II codes for COVID19 therapeutic injections and Medica... [ Read More ]
Get answers to the top 10 questions about coding for office and other outpatient services in 2021. Ever since the release of the new 2021 evaluation and management EM guidelines for office and other o... [ Read More ]
The industry receives a reprieve from the financial strain of the COVID19 public health emergency. A 1.4 trillion government spending bill and 900 billion COVID19 relief package signed into law Dec. 2... [ 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 ]
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 ]