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How many SCS trials can be performed on a patient in their lifetime? Insurance: Medicare; State: Texas. I've reviewed both the LCD and LCA from Novitas, and did not see on whether or not the same pa... [ Read More ]
We have a patient has has a pseudo joint (lumbarization) at S1. I believe this would be coded as a 64493 as it is an extra vertebra, but I am not 100% sure. Any help is greatly appreciated.
Thank ... [ Read More ]
Looking for some guidance to determine whether the use of unlisted code 64999 is appropriate for billing a lumbar plexus nerve block for post op pain management or if this would fall under CPT 64449 s... [ Read More ]
How many units do you code if 1 mg of midazolam is used (J2250)? My doctor uses anywhere from 2-4 mg and I haven't been able to find the conversion into units to code. For example, J3301 Kenalog-40mg/... [ Read More ]
Good morning, all.
My physician was reading about Ischium bursa ablations and was asking how to bill for them. Is anyone doing this procedure? What CPT code would we use for this? Any information ... [ Read More ]
We have been having a discussion as to the correct way to bill screening colonoscopies that become diagnostic colonoscopies for Commercial insurance and Medicare Advantage. We agree with Medicare cha... [ Read More ]
I am trying to figure out how many reports should be coded per hour. Just an average.
I had heard 80 per hour for both anesthesia and pain management together.
Can someone shed some light on this f... [ Read More ]
Does anyone have any resources on how long intraservice time needs to be to bill 99152. The code says initial 15 minutes. Is that any number of minutes up to 15 min. or is there a certain number that ... [ Read More ]
Adverse side effects make the Janssen vaccine an option of last resort. Emergency use authorization guidelines for Johnson 38 Johnsons COVID19 vaccine labeled as Janssen and reported with CPT code 913... [ Read More ]
Recipients still have time to report Provider Relief Fund payments if they can prove extenuating circumstances. The deadline for requesting lateProvider Relief Fund PRF reporting for Period 1 has pass... [ Read More ]
A quarterly update for the Clinical Laboratory Fee Schedule CLFS issued May 4 includes nine new CPT codes for proprietary laboratory analyses PLAs. Medical coding and billing staff that process claims... [ Read More ]
Medicare Advantage Organization denials raise concerns that private insurers are maximizing profits at the expense of patients. Every year tens of thousands of people enrolled in private Medicare Adva... [ Read More ]
Coverage would continue after 36 months. On April 22 2022 the Centers for Medicare 38 Medicaid Services CMS issued a proposed rule under the Consolidated Appropriations Act 2021 CAA that would in part... [ Read More ]