Recent content by janny

  1. J

    billing/coding physical & sick visit together

    Chapter Guidance This note at the top of Chapter 21 makes me think that this DOES NOT prohibit combined sick and well visits: "Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for...
  2. J

    What to use instead of J0530-J0550??!!

    CMS's explanation Found the explanation below at http://www.cms.gov/prit/pritia/itemdetail.asp?itemid=CMS1233104 "February 12: The HCPCS Level II code set are maintained by CMS. The HCPCS code set included three codes (J0530, J0540 and J0550) all for the same drug (Pen G Benzathine and Pen G...
  3. J

    J0559- does anyone know WHY this changed?

    CMS's J0559 explanation I found this at http://www.cms.gov/prit/pritia/itemdetail.asp?itemid=CMS1233104: "February 12: The HCPCS Level II code set are maintained by CMS. The HCPCS code set included three codes (J0530, J0540 and J0550) all for the same drug (Pen G Benzathine and Pen G...
  4. J

    CPT add-on 90474 oral/nasal admin

    One more word to the wise: As there can be only one "first" admin (whether oral or injectable), make the initial code whichever reimburses higher If they're unequal. Good advice I got from the Pediatric Coding Alert newsletter.
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