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AAPC Senior VP of Products Raemarie Jimenez gives you the scoop on the code changes for next year. CPT 2022 includes 249 new codes 93 revised codes and 63 deleted codes. All sections of CPT received c... [ Read More ]
TRICARE adds laser skin resurfacing to fiveyear provisional coverage policy. Of particular interest to dermatologists a recent revision to TRICAREs provisional coverage for emerging services and suppl... [ Read More ]
Review the AMAs updated definition of what constitutes a unique test. Many coders are asking the question What is a unique test As always we must first turn to the guidelines to see how test is define... [ Read More ]
EMRs are not the endall for capturing essential MDM. As of Jan. 1 2021 we have been given new evaluation and management EM guidelines for outpatient office and ambulatory services that include specifi... [ Read More ]
A recent audit on Arkansas MMIS private contractor costs reveals millions in incorrect claims and inappropriate payments. Last month the Office of Inspector General OIG conducted an audit to determine... [ Read More ]
Our Family Practice Clinic is doing telemed visits. We have had a few patient come in after their appointment for an In House Lab. The Telemed has the location as 02. The Lab has the office locatio... [ Read More ]
I read on AMA site of modifier 93 (used for telemedicine for audio use only) for 2022. CPT codes 99441, 42, 43 and 44 are codes that were implemented in 2020 for telemedicine audio use only. My questi... [ Read More ]
Can someone please give me some guidance on this modifier? I received a letter from Cigna stating that we would need to start appending this modifier to our claims for patient's seen by our NP. Our NP... [ Read More ]
I recently started coding several lab tests - 88334, 88335, 84165, 84166.
Often on the results report there is no diagnosable condition or clinical history listed. I get things like:
"Weak IGG ... [ Read More ]
I have questions about the proper billing for an ambulatory infusion center at our hospital.
The infusion center wants to bill an e/m code for every visit. They usually use 99212. There is no physi... [ Read More ]
Hoping that I can get some guidance here.
During two separate audits of telehealth visits performed during the pandemic, our auditors identified that providers are noting â€śno exam performedâ€ť in t... [ Read More ]
I work for an Infectious disease clinic. Dr. billed T84.50XA as the primary and only dx for an office visit (POS 11), and insurance denied for: Per cpt guidelines , this service is not appropriate in... [ Read More ]
Looking for any ideas on what the proper coding may be for this procedure:
1. Endoscopic Transoral Left-sided anterior maxillectomy approach to V2 and skullbase
2. Endoscopic V2 Foraminotomy with Ul... [ Read More ]
Is RPAV considered a branch or the distal extension of the RCA?
DES was placed prox and mid RCA. C9600-RC. ( facility)
intervention also states RPAV lesion DES placed. Is C9601-XU,RC correct?
Iâ€... [ Read More ]
My doc is billing 20550 & 64450 together and I keep getting a CO-97 denial on 64450. It is not being billed for plantar fasciitis but instead a forearm nerve injury. I can't find a clear answer on... [ Read More ]