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Understand the additional work required to receive rightful payment. When a procedure exceeds the normal range of complexity modifier 22 Increased procedural services may come into play. But difficult... [ Read More ]
42 FAQs clarify the finer points of billing during the threeday payment period. A Dec. 3 2020 MLN Matters article reaffirms appropriate billing procedures and compliance associated with the threeday w... [ Read More ]
Where do diagnosis and procedure codes come from Find out An ICD10 Coordination and Maintenance Committee virtual meeting is scheduled for March 910 from 9 a.m. to 5 p.m. The Centers for Medicare 38 M... [ Read More ]
Here are a few tips and reminders to help officers keep their chapters running smoothly. Remind chapter members when joining your virtual meetings that each must sign in with their first and last name... [ Read More ]
AAPC member Donna Stanhope CPC CHONC is a 20year veteran in the healthcare system. She has worked as a financial review specialist at a large oncology practice in Maine for the last four years where s... [ Read More ]
Which is the appropriate CPT for breast expander exchange?
DX: expander displacement, hx of breast cancer
Surgeon removed expander, and replaced with a new expander.
Please advice. Thank you.... [ Read More ]
I am curious to know how everyone is billing Lower Extremity angioplasty when performed in the AT, PT and peroneal arteries. I am not attaching a report as this is for general knowledge as I have see... [ 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 m rapid... [ Read More ]
what would be the correct code for food poisoning - A05.9? or T62.91XA? and why?
There is no other specification on food poisoning. The patient went to doctor for nausea, abdominal cramping and bloody... [ Read More ]
Our Pediatric office is looking for the best/correct CPT code to use when performing a Rapid Covid test in our office. We've tried 87635, 87426 and now 87301. Has anyone had success with any of thes... [ Read More ]
Hello, we are looking to start a drive by covid testing center. We have the CLIA waived tests 87635. If a patient comes specifically for the testing (no e/m) may we bill 99211 & 87635QW? From what... [ Read More ]
I am just wondering if modifier 76 and 77 can be reported on the same line to indicate the relationship between multiple ECGs performed by the same/different providers: 93010-76-77 ?
Thank you,... [ Read More ]
I have a unique situation here. My provider removed a perineal abscess, which we billed 10060. The patient then was admitted to the hospital the next day and discharged 2 days later, for the same prob... [ Read More ]
Can someone please help me with this. My understanding when billing a TCM you have to see the patient for a face to face visit within 7-14 day. You would bill a 99496 or 99495 on the date the patient... [ Read More ]