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The shift to outpatient services puts billers and coders with an understanding of the OPPS in demand. Hospital outpatient services are all services provided to a patient in a facility that do not requ... [ Read More ]
Know where to find the proof you need to support your coding billing or auditing. As a medical auditor biller or coder you cant expect a physician to take kindly to you telling them how they need to d... [ Read More ]
Brush up on modifier 24 guidelines to ensure payment for postsurgical unrelated EM services. Standard postoperative care including related evaluation and management EM is not separately reportable but... [ Read More ]
One of the codes 99072 is for reporting additional supplies used to mitigate spread of the virus. Two new Category I CPT codes have been approved by the CPT Editorial Panel for immediate use during th... [ Read More ]
The new CPT codes are for only nonphysician practitioners who cannot report their own evaluation and management EM services. The post New Behavior Assessment Codes for Telehealth appeared first on AAP... [ 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 ]