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A fourth COVID19 vaccine code has been released by the American Medical Associations CPT Editorial Panel along with a proprietary administration code. The AMA released on Jan. 19 2021 CPT code 91303 ... [ Read More ]
Insight into the history of ICD and how it has changed over time is key to developing a plan for moving forward and embracing ICD11.The post The Rules Are Changing ICDs Continued Evolution and the Imp... [ Read More ]
Now that revolutionary cancer therapy Chimeric Antigen Receptor Tcell CAR Tcell is covered lets take a look at coding CART.Last month the Centers for Medicare 38 Medicaid Services CMS finalized the lo... [ Read More ]
Professionals on the revenue side of healthcare left Vegas rich in medical coding knowledge friendship and confidence. This years HEALTHCON in Las Vegas April 28May 1 was a whirlwind of excitement edu... [ 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 ]