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In my last blog Special Rules Apply to Endoscopic Sinus Surgeries I discussed the change to the Multiple Endoscopy Rule for multiple surgeries when performed within the family of endoscopic sinus code... [ Read More ]
Clinical Consensus Statement Balloon Dilation of the Eustachian Tube BDET published by the American Academy of Otolaryngology Head and Neck Surgery June 4 is important because BDET is newer technolog... [ 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 ]
Whether you are just getting your certification or are a veteran in the medical coding job market you dont have a magic 8 ball for your career. The closest you can get are people like Gina Piccirilli ... [ Read More ]
If provider orders a KUB and we have the facility to do the TC portion of the KUB and then we send out to have read by another source who intrepret the KUB. When patient comes in and we interpret doe... [ Read More ]
Has anyone run into the iStent inject (placement of 2 istents) and the medicaid insurance indicates the 0376T is not on the fee schedule, so not payable. The LCD for this indicates it is payable for o... [ Read More ]
Do you see this as 44125? Or 44120.52-44310?
PREOPERATIVE DIAGNOSIS: Perforated NEC, s/p resection and abdominal closure
POSTOPERATIVE DIAGNOSIS: Same
1. Exploratory laparot... [ Read More ]
I am looking for any tips to pass the CPPM exam. I scored a 56 my first attempt and a 67 my second attempt, my boss is paying for this and I really just need any advice from those that... [ Read More ]
A patient has been followed for OA and the decision for total knee replacement is made due to exacerbation of OA and pain limiting daily activities. For the visit when the decision for surgery is made... [ Read More ]
I wondered if another CRC might be able to help me with a question regarding Risk Adjustment encounter data for 2022....
Does anyone know if the rule to exclude IP claim data applies only to MA Risk o... [ Read More ]
On Amount and/or Complexity of Data: I can't find anything that will help me determine whether my provider "reviewed the results" of a test or did an independent interpretation of a test. Do... [ Read More ]