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At some point during the late 1980s or early 1990s I forget the exact year someone bought a small beige plastic box into the office I was working in and placed it on my desk. I immediately began usi... [ Read More ]
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 ]
This is a wonderful resource for chapter officers. It is available now in the 2019 Officer Facebook group. With all the technology available today we are hoping you can take advantage of this informat... [ Read More ]
Clinical diagnostic laboratories submitting claims to Medicare should be aware of 12 new tests recently approved by the FDA. The new Clinical Laboratory Improvement Amendments of 1988 CLIA waived test... [ Read More ]
The CPT codes that are considered a laboratory test under the Clinical Laboratory Improvement Amendments CLIA change each year as well as throughout the year making it difficult for healthcare provide... [ Read More ]
Has anyone had any experience with using Mod 90 with venipuncture code 36415 or 36416 for BCBS of AL? There is a debate going on where I work about this. We have certain payers that state in the pro... [ Read More ]
My provider wants to bill 99328 (75 min) for and ALF phone only visit. I think I need to change it to 99443 (21-30 min) telephone visit. Is there an additional telehealth codes I can use to extend t... [ Read More ]
Good morning.... I am looking for a CPT code for Ovarian artery doppler and I am contemplating 93976. Is anyone else using this code for their uterine artery doppler scans? Thank you!!... [ Read More ]
I billed G0180 to Medicare and was denied for "payer deems the information provided does not support these many services". I called Medicare and they told me that another doctor has billed ... [ Read More ]
I am new to gasto coding and have a question. It is my understanding we cannot bill for the pre op visit for a colonoscopy if it is done within 24 hours as the pre op is part of the colonoscopy servic... [ Read More ]
Is this allowed?
2 Cardio providers from different sub-specialty piecing out the service to bypass bundling rules for the main procedure.
Only 1 Catheter Lab Encounter
Prov A Interventionist
Prov B... [ Read More ]
Can we bill 99211 as telehealth/telemed if our MA calls patient and reviews home blood pressure readings with patient? The MA then gives the information to the provider and the provider will then dete... [ Read More ]
Does anyone else have issues with Humana denying injections for non-bilateral body parts (such as a left shoulder and right knee injected on the same visit) because they are requesti... [ Read More ]
I'm trying to better understand what the difference is between the new codes N18.31 and N18.32 (stage 3a and 3b). I have looked in the new 2021 book and the guidelines, but I can't find anything. Ma... [ Read More ]