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  • Hi RaeMarie,
    I have a question about Anesthesia add-on codes. If we have a case with burns requiring 01952 and add-on code 01953 we had been using modifier AA on the claim line for 01952 and no modifier for the claim line with 01953 which we were being paid for. Recently we noticed Medicare and VA(Folows medicare rules) stopped paying for the add-on code claim line due to missing modifier. It seems that we need to also use AA as a modifier for the add-on code claim line but I am wondering if this is correct. Thanks very much for your help.
    Barbra
    Hi,
    I am trying to get some help with coding a trans luminal catheter with ultra sound. Would anyone have any suggestions or ideas?
    thanks,
    I am getting conflicting information on Laryngectomy and MRD, the CENT practicum states 31365,38724-59, No 50 modifier. the Otolaryngology Alert and Zupko states it would be 31360-38724-59 50 if bilateral. Help I am taking the ENT specialty and need help.
    Hi,
    I have a question about the 93503. NHIC is denying the diagnosis codes stating it is not acceptable for the heart cath/angio. These are for open heart not cath/angio. They are basing the denials on a LCD for a cath/angio. Am I missing something, I don't understand the connection. Can you explain?
    You should use the icd code of 440.23 which contains all of these disorders and systoms.
    I can help with your peripheral coding.
    Could you tell me how to code for a failed cephalic version. I am looking for a dx and procedure code. Don't think there is a procedure code for it but would like to know if it is billable.
    Needing Help:
    I'm trying to find current documentation that states whether or not a an E/M is needed on EVERY encounter in Urgent care? I am conflicted w/ this because the documentation isn't backing up the -25 rule. Our doctors aren't doing complete work up then... managing a separately identifiable problem. Please help!! If you'd need an example:

    John Smith comes into UC for broken leg. Doctor sends patient to x-ray, applies strapping and gives a pain med. ROS/PE are pertaining to the leg.

    Would a E/M be given with a -25 modifier, because of the office setting?

    Documentation would help a great deal, can you please point me in the direction I am needing.
    Hello I am new to ASC and was wondering if you had any ideas on a good billing software we could use in our ASC
    question ... what is considered a retained foregin body?? pt comes in through ER w/ a nail through pts finger while useing a nail gun. would that be coded retained foregin body w/ open wound??
    Hello,

    When a patient comes in to the ER and because they were in a car accident;the MDM is High-complexity and the patient is rushed to the OR would you still code from the ER services or is the patient automatically an INPT becuase he was rushed to the OR? Should we code then from the INPT section?
    :)Hi Can you help me. I have asked this question several times and no one has responded. When code 250.70 (diabetes with periphral circulatory disorders) are you only allowed to used codes 785.4 (gangrene) or 443.81 (peripheral angiopathy) or are there other codes you can use to identify the manifestation? If so what are they? Thanks
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