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Quite a few code changes and revisions were made to the Radiology section of CPT for 2020. Less confusing language and expanded code categories will make life easier for medical coders. Heres a quick ... [ Read More ]
Prevalence and risk require targeted diagnostic testing. Onychomycosis tinea unguium or fungal infection of the nail causes almost half of all nail pathologies worldwide. It is a progressive infection... [ Read More ]
An Ambulatory Surgical Center Payment System ASC PS update that took effect July 1 2019 changes billing instructions for various payment policies and codes. Here is what you need to know to properly b... [ Read More ]
For our next Q38A session were mixing things up and holding the call on a Thursday to see if that attracts additional officers. So be sure to join us on Thursday May 16th at 1200 ET for the next Local... [ Read More ]
Is anyone experiencing NC Medicaid denying charges for both GT,CR modifier? Mine are and I work for pain management .. I keyed the claim in on NC tracks and claim paid with only the GT modifier. Plea... [ Read More ]
Is it ok to use a non-face-to-face prolonged care code for 30 min+ spent in addition to a phone code 99443 (30 minutes)? I thought this code set was for services on a date prior or subsequent to the v... [ Read More ]
We are getting denials for urinalysis 81003 with E&M 99214 in POS 22. Denied for invalid POS, treatment carried out in invalid POS & bundled. Some carriers say to report a mod 25 on the E&am... [ Read More ]
We are trying to fill an A/R Specialist position and struggling to find candidates with the right experience (heck, we're struggling just to get candidates with any experience!). We've been looking f... [ Read More ]
Is anyone billing oral surgeries each on a separate line in their ASC rather than rolling them up on the same line for each distinct code? I am being told that each D-code (and any other procedure) s... [ Read More ]
Hi everyone - I've been wondering about coding concurrent cases - I have a surgical that is malignant and the concurrent flow isn't but the case states "Correlation with the results of histologic... [ Read More ]
Hello,
We are new to optometry and would like to know what is the correct way to bill a Comprehensive eye exam for a child 6 months and older? We are also wondering if there is a specific Dx to suppo... [ Read More ]
I have a Urology office in TX that due to shortage of 3 month Lupron, gave a 6 month injection in September with the next one scheduled for March. Humana has denied due to "exceeds unit limits&q... [ Read More ]