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  1. P

    Aftercare (suture removal, dressings, etc.)

    There was no transfer of care. The patient was in another state and was injured, so he's home to have post op care. I am pretty sure the surgeon did not bill with modifier 54. Thanks
  2. P

    Aftercare (suture removal, dressings, etc.)

    Should I just bill E/M code for aftercare sx that was performed by another physician in another state? Thanks in advance for any help.,
  3. P

    99238 without seeing a patient

    The problem is the physician does everything except the face to face on the day of D/C
  4. P

    99238 without seeing a patient

    Can I bill for DC hospital or nursing home without face to face, but complete dc order, etcs. Thanks, PPS
  5. P

    29871 or 29877

    They billed 29877, 29871 and 27570. I definitely don't see 27570 in the op report.
  6. P

    29871 or 29877

    Hello Everyone! UHC denied my claim stating op report doesn't match cpt..... HELP!! OPERATIVE PROCEDURE: The patient was brought to the operating room after suitable general anesthesia. She was placed supine on the OR table. The right leg was sterilely prepped, draped, exsanguinated and placed...
  7. P

    29877 Help, Help.....

    Thanks you :)
  8. P

    29877 Help, Help.....

    Some payers may require use of G0289, which may be reported when a chondroplasty is performed at the time of another arthroscopic procedure in a different compartment of the same knee.
  9. P

    29877 Help, Help.....

    What about in different compartment?
  10. P

    29877 Help, Help.....

    Technique right knee arthroscopy with large partial posterior horm medial meniscectomy chrondroplasty of the medial femoral condoyle the the trochlea and the partial posterior horn medial meniscectomy chrondroplasty of the medial femoral condyle the trochlea and the undersurface of patella...
  11. P

    Help!! I &d??? 15002?

    Please help with the following op report.... An 18 gauge needle was used to aspirate the subcutaneous tissue at the tip of the olecranon and we immediately obtained subcutaneous tissue at the tip of the olecranon and we immediately obtained several mL of purulence, which was cultured both...
  12. P

    Telephone consults

    Have anyone had any luck getting paid for Coding for Telephone Consultations CPT 98966, 98967, 98968, 99441, 99442, 99443 THANKS IN ADVANCE, PPS
  13. P

    Coding consultations

    Have anyone had any luck getting paid for Coding for Telephone Consultations CPT 98966, 98967, 98968, 99441, 99442, 99443 THANKS IN ADVANCE, PPS
  14. P

    Coding for Telephone Consultations

    Have anyone had any luck getting paid for Coding for Telephone Consultations CPT 98966, 98967, 98968, 99441, 99442, 99443 THANKS IN ADVANCE, PPS
  15. P

    97002 w/ 98943

    Can we have PT bill for evals and re-evals, but the chiro bill for 98943 without bundling issues? Same practice, same tax id.. Sorry 97002 and 97110. Can i just use 59 modifier Thanks in advance.
  16. P

    Chiro Supervising ACT

    Can anyone provide me the guidelines? How many patients at one time, etc? SORRY ATC Thanks, PPS
  17. P

    Consult and critical care

    PHYS WAS CALLED IN FOR A CONSULT AND LATER THAT NIGHT PHYS WAS CALLED IN TO DO CRITICAL CARE FOR 2 HOURS... CONSULT IS NOT BILLABLE?/ hELP
  18. P

    ICD-10 decimal

    What about paper claims
  19. P

    ICD-10 decimal

    Someone just advised me that payers do not want decimal for ICD-10?? I can't find this information anywhere? Help.
  20. P

    Global Period Modifier

    BWC of Ohio is requesting money back for E/M claims that was performed by another physician during global period. I really don't think 24 is good to use??? Help PPS
  21. P

    CPC (AAPC) and CCS (AHIMA) Course Preparation

    Hello, I wanted to see if anyone in the Cleveland area would be interested in joining our CPC (AAPC) and CCS (AHIMA) Course Preparation? There's 4 ladies already signed up. We have the course preparation, so you would have to bring CPT and ICD-10 books. Please email me...
  22. P

    Nursing home visits

    Is there a limit of visits a physcians can go to a nursing home? Is there a limitation? If so, can you please forward where I can have a copy?? Thanks a bunch, PPS
  23. P

    Nursing home billing

    Is there a limit of visits a physcians can go to a nursing home? Is there a limitation? If so, can you please forward where I can have a copy?? Thanks a bunch, PPS
  24. P

    Nursing home billing

    Is there a limit of visits a physcians can go to a nursing home? Is there a limitation? If so, can you please forward where I can have a copy?? Thanks a bunch, PPS
  25. P

    Denied Privileges

    Can you advise a physician if they was given a bad peer review?? The end result was we couldn't hire the physician. PPS
  26. P

    Hospitalist H&P day of surgery

    The hospitalist can bill for the H&P with modifier 57 on the same day of surgery?? Thanks,
  27. P

    Admission and Critical Care Same Day

    Pt was admitted at 7 am, but suddenly became critical. You can bill for the admission and the critical care? Thanks in advance. PPS
  28. P

    99291 w/99238

    Pt was inpatient to critical care 99291 then later to 99238 d/c
  29. P

    99291 w/99238

    Can we bill critical care and 99238 discharge? The patient has expired. Thanks in advance
  30. P

    Removal of BB (from a bb gun)

    To remove a BB from neck? I was thinking about coding from removal of foreign body? Any tips would be helpful PPS
  31. P

    Keeping EOB's

    What's the rules for keeping EOB's? I know medical records is 7 years. Thanks. PPS
  32. P

    Consult with Scope

    If a patient comes in for a new patient consult and then requires a scope, but the doctor only gives one dx.... Can we bill the consult with the scope with a modifier 25??? Is there any links/information you can send to me. Thanks, PPS
  33. P

    Can 93005 & 93015

    Can I bill 93005 with 93015-59 for payment? Per CCI they are bundled but modifier is allowed... Help PPS
  34. P

    Deer Tic Removal

    Please help me with removal of a Deer Tic?? It was located on the pt's back. It was cut out.. Thanks, PPS
  35. P

    Tick Removal???

    What CPT code would I use to remove one tick off his back and one off his leg?? Thanks, PPS
  36. P

    X-Ray DX.....HELP

    The x-ray are of either the neck or back... He states "Shadow of necK??"
  37. P

    X-Ray DX.....HELP

    Can someone help me with a dx for a shadow in a xray of the neck or back?? He states when he see a shadow that's when he orders a ultrasound?? Help.......
  38. P

    After hours cpt

    Can anyone tell me the cpt for after hours calls to patients?? Thanks, PPS
  39. P

    Wound Culture

    What's the cpt for swabbing the wound for a culture??? Is that included in the pathology?? Help...... PPS
  40. P

    CPT for Wound culture??

    Can anyone help me with cpt for wound culture?? Thanks, PPS
  41. P

    Massotherapy??

    Can anyone give me feed back for regulations on billing 97124, 97140, or 97112? I read you have to have an order, but is it covered by most carriers? Thanks in advance, PPS
  42. P

    CLIA Question

    If a practice is CLIA cert do we have to bill the QW or just bill that lab without modifier? Does it make a difference in payment?? Thanks in advance, PPS
  43. P

    ?? Hx of Man 2 positive

    I am just confused. The Dr. stated this pt was given a tb test for hx of man 2?? Can anyone help with DX? Thanks, PPS
  44. P

    Neuropsychologist billing...help

    Can anyone give me advise on PSY-D billing? My doc wants to have one join our group, but I am wondering if it's profitable? What are the rules of billing, etc. CPT Codes: 90801-90804, 96118, 96120, 96101 Thanks in advance, Pinnacle Physician Services
  45. P

    Neuropsychologist(PSY-D) Rules

    Can anyone give me advise on PSY-D billing? My doc wants to have one join our group, but I am wondering if it's profitable? What are the rules of billing, etc. CPT Codes: 90801-90804, 96118, 96120, 96101 Thanks in advance, Pinnacle Physician Services
  46. P

    Ortho Coding Book

    Can anyone give me som suggestions on coding books for op reports for ortho? A book that defines what have to be done in order to bill, so if they miss a step we could show them what all is involved with coding certain procedures? Thanks, PPS
  47. P

    In-Situ Decompression/Trapeziometacarpal

    Can anyone help me with direction with coding In-Situ Decompression/Neuroplasty ulnar nerve at cubital tunnel Left open carpal tunnel release Trapeziometacarpal arthroplasty/hematoma arthroplasty 64721 64719 64718 Thanks, PPS
  48. P

    Knee Patellar Tendon Repair, Complicated

    Can anyone help me with this coding of op report? The pt had a knee patellar tendon repaired with patellar debridment.. Where do I start? Thanks, PPS
  49. P

    Shoulder Arthroscopy decompression paralabral cyst

    PROCEDURE PERFORMED: Left shoulder arthroscopy decompression paralabral cyst, superior labral repair with posterior superior labral repair, and debridement of anterior and inferior labral tear. Appropriate antibiotics were given intravenously prior to starting the case. He was carefully...
  50. P

    Pain management in an ASC

    Do the facility have to keep the images in the chart? Thanks,
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