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Injury and poisoning locations are key components of many insurance claims and especially for workers compensation. In ICD9CM use the following codes with the appropriate fourth digit subcategories to... [ Read More ]
Hello: Left epistaxis bedside procedure. Packed once by different provider and now being repacked by ENT. Left nasal cavity anesthestized but further exam revealed no active bleeding site.
7.5 ... [ Read More ]
Hi everyone, does anyone know if ordering an EKG can be part of the cancer workup or follow up care? Or if it will be covered for cancer (ie. breast, colon, stomach etc) if patient is having continuat... [ Read More ]
Our office is wanting to start giving the blood transfusions in the office. The product will be coming from the hospital so I know they will be billing that portion. All research has led me to HCPCS 3... [ Read More ]
Our urologist orders a pre-procedure urine culture prior to some bladder and transurethral procedures. We have been billing these with Z01.812, and they are being denied. Is anyone else seeing this a... [ Read More ]
En E.U. la población latina alcanza un 17% según las estadísticas desde el 2017, Puerto Rico es parte de Estados Unidos, y nuestro idioma principal es español. En nuestra Isla se trabaja con los ... [ Read More ]
Provider billed 28470x2
After appealing with chart notes, UHC says that the chart notes do not support that the 28470 was preformed. Dispensal of pneumatic cam walker was document... [ Read More ]
I know that stimulations cannot be billed on same DOS as E&M codes, unless of course separate and significant, however I'm not finding a clear answer regarding billing IMRT planning 77301 on same ... [ Read More ]
I am having issues with a provider insisting on billing 11044 with 26952. He says because it was a traumatic partial amputation of the right index finger, that he can bill for the debridement wi... [ Read More ]
We have a patient that was sent back to us with a new diagnosis for evaluation for PT. This was <12 months after the first eval was billed, but does have the exact same line items as the first eval... [ Read More ]
I am seriously puzzled by the new risk guidelines. As a coder, how do WE determine the risk level if it isn't specifically notated? Or, do we need to require all our providers to specifically list the... [ Read More ]