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By Ken Camilleis CPC CPCI CMRS CCSP Analyze documentation to understand the intricacies of diagnostic and procedural fracture coding. Because there are so many types of fractures and fracture treatmen... [ Read More ]
I understand the new changes for 2021 but I had a doctor question if they can pick either the 2021 or the 1995 guidelines. I am not sure if they can pick a guideline I would think they have t... [ Read More ]
When our office bill commercial insurance for Screening/Diagnostic mammogram w/ tomosynthesis same day, Cpt code 77063 is always denied for "procedure code incidental to primary procedure".
... [ Read More ]
Procedure Performed: Right VATs surgery with right apical lung resection and chest tube placement for mechanical pleurodesis.
OPERATIVE COURSE: Patient was taken to the operating room, timeout calle... [ Read More ]
I have received a couple of denials for CPT 25301 as "services not documented in the patient's medical records" after they have been reviewed by Orthonet. My surgeon disagrees. Does anyone h... [ Read More ]
We are an outpatient surgery center and usually when we bill a three level bilateral cervical/lumbar radiofrequency ablation procedure it would look something like this (example):
6463... [ Read More ]
Our office is suddenly having denials from UHC for Toradol stating it needs a modifier. UHC is only denying the J1885. This is something that has just recently started happening. When we call UHC th... [ Read More ]
Does anyone know of a procedure code for diagnostic lap with intrauterine device removal. I've looked for laparoscopic iud removal with no luck. The only code I see is 58301, but that does not appea... [ Read More ]