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    Review of Systems based on HPI

    I have a note that states HPI: 1)Here to talk about Viagra, 2) feels depression for about a year. ROS: see above. How would this count in the History section?
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    New patient wellness and OV

    Can a new patient office visit be charged with a new patient wellness? The patient was new to the clinic and the provider, and was scheduled for a wellness visit. The patient also has chronic comorbid medical conditions which were discussed and prescriptions provided. My billing office is...
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    J1040/j1030

    We give a lot of 120mg of DepoMedrol injections. We use 80mg multidose vials. My billing office is telling me I cannot use J1030 because we do not have 40mg vials in the office. I disagree because it is a multidose vial and the only way to bill 120mg is with the two different codes. suggestions?
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    Which modifier during global

    Sorry, this is a duplicate entry. Please disregard!
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    Which modifier during global

    A patient was in for her Medicare AWV and the physician cryoed a plantars wart on her foot. She came back a week later and had another plantars wart cryoed, same foot, different location. What modifier would I attach to the second 17110 done one week after the first?
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    Billing 96372 twice

    Is it possible to bill 96372 twice? A patient comes in and has two separate medications of their own that need to be injected. I don't think a modifier would be appropriate because 96372 is not considered a "medical service." Any suggestions?
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    G0250 - aloowable dx codes

    Can anyone help me with billing G0250? I can find the aloowable dx codes, and everyone I ask says they never get paid, but I cannot find any guidance on exactly how it should be billed. I know the tests have to be done one week apart and you can only bill every 29 days, but how do you indicate...
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    Code for No history of Chickenpox

    I have a patient who is hesitant to receive the Zostavax vaccine. she belives she may have never had the chicken pox. We could draw a titre to see if she has, but Medicare will not pay for it. Her secondary, which is through a retirement plan, said they would cover the titre if it was coded...
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    Modifier with G0438

    My doc saw a patient for several issues (99214-25) and also did the Medicare Wellness (G0438). In addition he did a trigger point injection (20550) and tobacco cessation counseling (99406). I know the modifier -25 is necessary, but the edit on my sofware is telling me there is another modifier...
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    Coding for reading EKGs

    My doctors read EKGs at the hospital both for in and outpatients. Should the reading for the EKG be billed with the POS as inpatient, outpatient or ER? This would be as opposed to billing them as being read in the office, which they do not.
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    Coding for reading EKGs

    My doctors read EKGs at the hospital both for in and outpatients. Should the reading for the EKG be billed with the POS as inpatient, outpatient or ER? This would be as opposed to billing them as being read in the office, which they do not.
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    NCD/LCD for 17000

    In Arkansas there is an LCD for the use of 17000 & 17003 for 702.0(actinic keratoses). However, I have never had this CPT and ICD combination denied by Medicare. Recently I had a Medicaire Advantage plan deny a claim with these codes based on the LCD. i asked my providers to have ABNs signed...
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    Which modifier for primary service?

    A punch biopsy(11100) and cryo(17000/59) were done on Medicare patient. The punch biopsy was denied as bundled. Any suggestions?
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    malignan/benign lesion removal

    A doctor excises a skin lesion which the pathology determines is malignant and close to the borders. He brings the patient back in for a wider excision to be sure the malignancy is completely removed. The path report of the second excision comes back completely benign. Do you code a malignant...
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    Using codes from the Neoplasm Table for beningn lesions

    How do I convince another CPC that I do audits with that it is okay to use benign codes from the neoplasm table if the lesion is benign? She insists that the code has to be 709.9 if a benign lesion is treated, biopsied or removed.
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    Cpt 96372 - If a patient brings

    If a patient brings in their own injectable medication, i.e.-B12, Depotestosteone, DepoProvera, does the NCD have to be provided on the claim? A local BC/BS rep told me no, but I am wondering about Medicare, and possibly other carriers.
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