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    Medical Supervision modifier questions

    if the anesthesiologist is supervising 2, 3, or 4 concurent procedures we use Qk, for the CRNA we use Qx
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    Billing two E/M on the same DOS for separate providers in the same office

    we are able to bill if they're two different specialties...one will need a 25,27 and if a patient has medicare , it requires a G0 condition code. hope that helps.
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    well child components

    do you bill the well child components for all insurances? we used to write them off if an insurance didn't pay for them, but now our manager wants us charge for them, which I disagree with.... I think it should only be for the medical assitance etc. (we had an audit in 2013 that said we needed...
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    well child components

    do you bill the well child components for all insurances? we used to write them off if an insurance didn't pay for them, but now our manager wants us charge for them, which I disagree with.... I think it should only be for the medical assitance etc. (we had an audit in 2013 that said we needed...
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    G0402/g0463

    if the patient complains of any other issues above and beyond the IPPE we charge the G0463 but i wouldn't use the Z00.00 dx (example: oh by the the way doc, I have stomach pain.... and the doc examines them, orders labs, xray) if they have no other dx, then i wouldn't be charging the E/M G0463
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    Gardasil 9

    that is what we use too....maybe the insurance company needs to update themselves? we haven't had any problems :)
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    Preventive, Breast Pelvic, and Pap for Medicare Patient

    At the clinic i work at, it's our policy to bill the preventive px with a GY mod and then reduce the price of it by subtracting the cost of the G0101 (if at least seven components were met...) and Q0091 example 99397-Gy $246.58 G0101 -78.95 Q0091 -75.71 TOTAL $91.92 for px
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    99212 vs. G0463

    I work at a clinic/hospital where we do provider based billing (PBB) so we use both G0463 (the technical) and a 99212 etc (professional side)
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    allergy shot coding

    in MN we would code 95117 with dx V07.1 hope that helps
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    Influenza 87804

    in minnesota, we are able to bill it as 87804X2 and haven't had any problems
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    GI screening colonoscopy for MCR advantage

    I may be way off on this but 210.3 "benign neoplasm of floor of mouth" is not relevant to the colonoscopy-- do you have to have that code on there?
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    CPE denials...

    we get these all the time...people always call and want us to change it to an office visit or vice versa, but if they came in for a px there's nothing we can do. It's their responsibility to know whats covered BEFORE they come in, not after :)
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    What modifier can I use for 77001

    we have only been ablle to use this code once per day per patient....the 26 is only the professional side of the code
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    Medicare and Rabies shots

    you could try putting a GY mod on it?
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    Testosterone Injections

    we still use 96372 if the nurse gave the shot....
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