Recent content by lisner1204

  1. L

    Hcpcs j7611-j7614

    I am trying to find out if these J codes can be billed in a physicians setting when we give a nebulizer treatment in the office? Thank you. L~
  2. L

    Proctoring

    Thank you, Chelle. Can I ask you some credentialing/contracting questions?
  3. L

    Proctoring

    A new gastroenterologist in our practice is being proctored by another physician. Do we bill under the new physician? Seems like a stupid question. I just want to be sure. Thank you.
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    Contracting and credentialing/Places of service

    How do I add a new place of service to our insurances? Does this place of service have to be a part of our contract? Do I just add it to CAQH? I've never done this so I don't know what to do? Thank you.
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    NCCI Edits

    Hi, I hope someone can help with this question. I am trying to bill 45380 with 45381. The NCCI edits do not have the codes in the column 2. If you look for 45380 in column 1 or 45381 in column 1. Does that mean I can bill them together without a modifier? What does it mean? Thank you for the help.
  6. L

    Need Dx Code...

    What Dx code would you use for "post-polypectomy scar in the proximal ascending colon". It was treated with APC. Thank you!
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    Food Impaction Dx

    My doc removed food impaction in the ER. The consult did not state there was any difficulty breathing, only difficulty swallowing. I don't really want to use T18.120A because it states "causing compression of trachea". What dx code would you use? Thanks.
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    Medicare Billing for an ASC

    Thank you so much for the clarification! You don't know how helpful this is!
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    Medicare Billing for an ASC

    I am having the most difficult time with my clearinghouse trying to setup billing for our new ASC. The commercial payers are fine. They are setup on UB-04s. From what I have read on CMS.gov, for an ASC Medicare and Medicaid claims need to be sent in a HCFA format. They problem I am having is...
  10. L

    -TC Portion Pathology in ASC

    I'm new to both pathology and ASC billing. I have billed our -TC portion of the pathology that was done in our ASC. I billed 88305-TC with a POS of 24. I am being denied with Cigna for inconsistent modifier use and an Aetna denial because "treatment has been rendered by the payer to be...
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    hot vs cold biopsy forceps

    My two docs disagree on a coding issue. Can you gurus help? Polypectomy done with a cold biopsy forcep. 45384 or 45380 ? Their logic...One says 45384 can be done hot or cold regardless of what the CPT book states because it is a "removal of a polyp by biopsy forceps". One says no. The CPT...
  12. L

    New Gastro ASC

    Thanks!
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    Need ICD-10 help

    Thanks!
  14. L

    CMS Base Units

    I am new to billing Anesthesia. I am trying to figure the anesthesia allowable for Medicare in my area. Does anyone know the base units for 2015? I found the conversion factors for 2015 and the base units for my codes for 2014. And I know how to calculate it. I just want to make sure I am...
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    Need ICD-10 help

    My report states "An esophago-gastric anastomosis with an ulcerated stricture was found in the upper third of the esophagus. One superficial esophageal ulcer with stricture with oozing blood and no stigmata of recent bleeding was found 20 cm from the incisiors a the anastomotic site." Any...
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