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What are the latest changes Get the facts fast. Fourth quarter updates to ICD10CM and HCPCS Level II code sets and Medicare payment systems happen every year but like the weather were often caught by ... [ Read More ]
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 ]
Heres what you need to know to protect your healthcare entitys revenue stream. We all know that the heart is one of the most important organs of the body. The heart is responsible for multiple lifegiv... [ Read More ]
Who has time to read all those wordy news releases and transmittals Here8217s news you can use in under 5 minutes. Catch up on the latest coding and billing updates that will affect your Medicare Part... [ Read More ]
Stay on top of the latest in diagnosis coding by reviewing this chapterbychapter summary of the changes effective October 1. Highly anticipated the Centers for Medicare 38 Medicaid Services CMS releas... [ Read More ]
Many of our claims are being denied for non-covered services because this is not deemed a medical necessity by the payer-based on LCD. I review the LCD list and the dx code is not listed, and there i... [ Read More ]
We had a patient have a colonoscopy with anesthesia, and the gastroenterologist perfed the colon, which then required the patient to be transported to the hospital from the ASC. What is the proper way... [ Read More ]
I am very confused on when MAC (MODIFIER QS) is appropriately used and what documentation is required.
What types of anesthesia allows for billing the QS modifier (for MAC) with it? Does General ane... [ Read More ]
We are receiving denials from UH, Fidelis and Wellcare for our cardiac anesthesia billing for the TEE’s. An example billing is as follows:
93320-26-59... [ Read More ]
Hello, I am new to pain coding and needing some guidance for coding that is rejecting by Medicare. The codes billed were 63650,63685 and 95972. Can these be billed together and do they need modifiers?... [ 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 ]
When coding Outpatient Colonoscopies and EGD's are we to also code the MAC separately (99152, 99153; in this instance)? The sedation is inclusive to the procedure, correct? The CPT description for t... [ 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 ]
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 ]