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  1. W

    I am being told to code colonoscopies a certain way -- HELP

    We use the G codes for all carriers but only if the indication for the colonoscopy is screening and that is all that was done. If the indication is for history of polyps then we do NOT use the screening code but rather the regular cpt code which is usually 45378 with the history of polyps dx...
  2. W

    ANNUAL WELLNESS Z00.00 VS WELL WOMAN Z01.419 Help

    We have a multi specialty and family care practice. Our family providers will bill the regular yearly PE with the regualar dx code . If the patient opts to have her GYN done with an OB/GYN provider that provider also bils the prevent cpt code but with the well woman DX. Our family providers also...
  3. W

    96160 for tyrer cuzick model screening

    Thank you very much.
  4. W

    96160 for tyrer cuzick model screening

    Our manager wants our providers to bill cpt code 96160 when a patient completes the Tyrer Cuzick breast cancer risk assessment. Is this appropriate? I think it's part of the E & M but can't find any info on it. Thanks
  5. W

    Sick / well same date

    thank you
  6. W

    Sick / well same date

    Help. Disagreement with co coder . I have an np that did a well woman and found a lump in the pt breast. She ordered an us . I have no hpi as there was no complaint. I have no exam above the normal breast exam. All i have is mdm of moderate for new prob with work up. I say sick visit isnt...
  7. W

    Sick/well documentation compliance

    Help. Disagreement with co coder . I have an np that did a well woman and found a lump in the pt breast. She ordered an us . I have no hpi as there was no complaint. I have no exam above the normal breast exam. All i have is mdm of moderate for new prob with work up. I say sick visit isnt...
  8. W

    Sick/well on same date

    Help. Disagreement with co coder . I have an np that did a well woman and found a lump in the pt breast. She ordered an us . I have no hpi as there was no complaint. I have no exam above the normal breast exam. All i have is mdm of moderate for new prob with work up. I say sick visit isnt...
  9. W

    billing/coding physical & sick visit together

    Thank you.
  10. W

    Sick and well visits billed on same date 2017 rule

    thank you so much. there is as ton of disagreement in our office about this
  11. W

    Z00.00 rule

    Does icd 10 really restrict same day sick and well visits? After reading the article in the july issue of the aapc magazine , me and my fellow coder agreed with what is stated however, our corporate office doesnt agree with the article and states there are no changes needed by our providers in...
  12. W

    Sick and well visits billed on same date 2017 rule

    Does icd 10 really restrict same day sick and well visits? After reading the article in the july issue of the aapc magazine , me and my fellow coder agreed with what is stated however, our corporate office doesnt agree with the article and states there are no changes needed by our providers in...
  13. W

    billing/coding physical & sick visit together

    Is this stated anywhere else? I can only find this being said on AAPC . Our corporate office states it's just an opinion of the interpretation of the rule and that our drs do not need to follow. They can just keep billing sick and well visits together . They want this stated in writing from a...
  14. W

    Wiki Well Woman Exam/Annual HELP!!

    Well woman and general well exam If a woman comes in for a general pe you code the prevent visit with the icd 10 code for the general exam z00.00 ( assuming no abnormal findings) if she then comes in for a well woman exan in a week,a month or even the next day you code the prevent visit again...
  15. W

    how many charts per hour?

    My previous job we had to do 60 per hour with 90% accuracy. Hope that helps
  16. W

    New vs established patient

    Q10. Doctor A is new to our group. If a former patient sees Doctor A under our group, is this patient new or established? If the former patient has a visit with Doctor B, in our group with the same specialty as Doctor A, is the patient new or established? A10. If Doctor A sees his/her former...
  17. W

    Wiki Gangrene and diabetic foot ulcer

    Thank you!
  18. W

    Wiki Gangrene and diabetic foot ulcer

    Hi- i just took a refresher course on icd 10 on aapc and one of the practice to be coded examples states pt was seen for a diabetic right great toe ulcer with gangrene, necrosis to the bone. The "correct" answer is e11.621 i96 l97.514 why is i96 on there when the book states i96 excludes...
  19. W

    76856 and 76830

    76856 and Aetna For Aetna you have to append a modifier 59 to 76856. It's due to an edit in their system. they will pay both and they will not change the edit
  20. W

    suspected Crohn's disease

    I agree with you- in the absence of known findings/disease code the signs and symptoms:)
  21. W

    wanting to double ck myself on dx

    I would use DX code 999.5 instead of 995.27 as it is a reaction to an immunization. Fran williams,CPC
  22. W

    Newsletter has gone out

    News letter Great idea! Please include me in your list. fwilliams@prattmed.com thanks, Fran Williams, CPC
  23. W

    need dx code please !!

    ICD 9 code 795.79
  24. W

    exam documented under hpi

    I have a specialist that under the HPI note section of the patients record on our EMR "CT scan shows no inflammatory process or mass, also no hernia. The Left-sided tenderness is significantly decreased. Exam is unremarkable. No evidence of abdominal surgical disease at this point. RTC prn."...
  25. W

    Mixed Hearing Loss

    no 1 insurance- many of them do not like the 389.9 but we often do not know what type of hearing loss the patient has
  26. W

    Mixed Hearing Loss

    We are having the same denials but with ICD-9 code 389.9
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