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  1. mdm58

    Question Coding Changes made by AR Staff

    I submit the codes electronically and am able to view who changes the codes or removes modifiers from the claim. And our supervisor who is the practice manger is aware of the problem. Would I still be liable for any fraudulent claims they file. Also they will leave my name as the owner of the...
  2. mdm58

    Question Coding Changes made by AR Staff

    We have three AR people in my office that often will change my coding. If the claim denies for any reason (ie: request for med records) if the claim has modifiers listed for pacemakers or defibrillators or TAVRS the AR people first just remove the modifiers and rebill the claim instead of...
  3. mdm58

    Stents in different vessels

    You are correct
  4. mdm58

    ICD and Watchman shared decision making

    Formal Shared Decision Interaction The only thing I have found states the FSDI has to be between the Pt and an independent, non interventional physician?
  5. mdm58

    Icd for Primary prevention denials

    Seems all of our ICD 33249 are denying that are being billed for Primary prevention. Since we changed from CAHABA to Palmetto we are getting medical necessity denials. Does anyone else have this problem and does any one know if the requirements have changed or what's the deal
  6. mdm58

    Rotablation to LAD

    That would be an atherectomy was there also a stent?
  7. mdm58

    Global Period for Pacemaker

    There is no Global period for the Temp Pacer
  8. mdm58

    Split Shared billing in Hospital

    I have found conflicting information on line about split/shared IP consults for Medicare. Since Medicare will not accept Consult codes can you split share the admit code that you would need to bill to Medicare ie if the consult were to be a 99255 and you changed the code to 99223 can you...
  9. mdm58

    Help with icd 10coding

    I found a new website on line to search for icd 10 codes it is and it is an awesome tool
  10. mdm58

    Review of Systems

    My question is if the pt fills out the review of systems questionnaire. And the Dr (Cardiology) in his dictation list hard of hearing in his review, and states ROS reviewed with pt. And that's all that is in his note. Can he count that as a complete ROS?:p If anyone has an answer for this...
  11. mdm58

    concious sedation for 2017

    99152 99153 In CPT it states Moderate sedation by the same provider performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the pts level of consciousness . In our Cath lab there is a...
  12. mdm58

    Tee - We are using 93318

    question What TEE code would you use during an EP ablation 93312 or 93318
  13. mdm58

    TMVR with 93355

    93355 I bill those two codes and have never had a problem One Dr does the TMVR and another one of our Drs does the TEE
  14. mdm58

    CPMA Exam-National Conference

    Question Do you have to have your CPC to take the CPMA test
  15. mdm58

    Coding for bi v defibrillator relocation +++

    Dr Is moving ICD to other side of pt's chest doe to recent dx of Lung CA. But the existing leads will will have to be extended so extenders for the leads have been ordered. I have looked and for the relocation looks like the code would be 33223. But what codes would be used for the extenders...
  16. mdm58

    Correct Dx Coding

    If a Physician states I "believe" the pt has non reversible bradycardia due to xxx can you bill the xxx DX code?
  17. mdm58

    Closure of PFO and ASD

    pending report I haven't seen his dictation yet. He had just sent me an email stating patient had two holes in the heart and he used 2 closure devices. I'll know more when I review his dictation.
  18. mdm58

    Closure of PFO and ASD

    If Dr uses two devices to close a PFO and ASD in the same procedure can 93580 b billed twice?
  19. mdm58

    Documentation question

    Thanks That was the answer I gave my administrator after an A/R person changed my DXs..
  20. mdm58

    Documentation question

    can I code a procedure using DX that may be indicated with in the pt's chart by other Drs but was not used as an indication for a procedure on my Drs OP NOTE
  21. mdm58

    Cardiology Coder

    Hi I have been coding Cardiology for 13 years if I can help you just email me at
  22. mdm58

    DX Help

  23. mdm58


    I have a patient my Dr Removed infected defibrillator and leads. he then gives me a charge of 33207 in the body of his report he states he used an old PM generator that still had plenty of life left and he does give me the serial # of new permanent pacing wire. No mention of where the...
  24. mdm58

    new X modifiers

    X modifiers Right now I am still using the 59 modifier on the cath. until I get a rejection. I have checked CMS web site and it is still unclear as when to use the x modifiers. we are doing a webinar next month Just on the X modifiers.
  25. mdm58

    Cinefluoroscopy Aortic Valve

    Does anyone know if this procedure can be billed in conjunction with a LHC? And if it can what CPT code would you use?
  26. mdm58

    Workers Comp Consult

    WC Consult Thank you so very much Marcus.
  27. mdm58

    Workers Comp Consult

    We had a consult(IP Consult) that was billed to workers comp and they are denying because of our DX we saw the pt for 427.31 and the WC pays for DX 202.2 pt has expired pt's daughter calls and wants the 202.2 DX added to our claim. I get a call for our A/R person asking if it can be added to...
  28. mdm58

    TAVR claims

    Tavr billing So if I have rounding charges and a charge for a TEE while the patient in In house for a TAVR procedure all charges have to be billed with the Q0 modifier?
  29. mdm58

    TAVR claims

    Tavr Yes I am entering the CT # on line 19 of the 1500 form
  30. mdm58

    TAVR claims

    TAVR codes We are billing 33366 62 & Q0 modifiers dx 424.1 V70.7 claims are denying invalid CT #
  31. mdm58

    TAVR claims

    TAVR codes 33366 mostly
  32. mdm58

    TAVR claims

    Is anyone getting TAVR claims paid? Medicare is denying invalid or missing Clinical Trial # but it is on the claim. If anyone knows how to get these pd please email me @ Thanks
  33. mdm58

    Cardiology Charge Card

    Does anyone have a copy of a hospital charge card (index card that dr can just check procedure codes and enter dos for rounding charges) If anyone has one that they could email to me that would be wonderful! Email address Thanks
  34. mdm58

    Two-sided book stand

    double sided book holder I am also looking for a double sided book holder that one that used to be in the AAPC magazine. If anyone knows where I can get one. Please contact me @ Thanks
  35. mdm58

    E/M audit tool

    E&M coding template I am looking for a template or cheat sheet that even a Dr can follow (no offense to Drs) but it can get confusing when trying to explain the whole process to them. I have a meeting today with one our new Dr that thinks if the PT had 5 Dx he can charge a level 5 consult. If...
  36. mdm58

    Please Help!

    answer the 93459 includes the 93564 if you have a cpt book for 2013 look on page 512 first paragraph left side of page and I would use the 52 modifier
  37. mdm58

    Help with a pulmonary vein CPT Code

    I have a procedure a congenital R&L Heart Cath, Pulmonary Artery angio, and also per the Dr dictation selective L&R upper and lower pulmonary VEIN angio. I can not find a code for the VEIN Study. Can anyone help with this?? Thanks
  38. mdm58

    93458 or 93460

    93460 93460 is a left and right heart cath. 93459 is a left heart cath with bypass grafts.
  39. mdm58

    Hardware removal-does nay one know

    hardware removal Thanks
  40. mdm58

    BiV implant for primary prevention

    BiV implant for priary prevention Yes that is correct
  41. mdm58

    Hardware removal-does nay one know

    does nay one know is antibiotics are given prior to hardware removal
  42. mdm58

    Life Watch and Cardi o net CPT codes

    Does anyone know the correct codes for billing for Life watch and Cardi o net??
  43. mdm58

    Modifiers for Coronary Arteries

    I am in TN
  44. mdm58

    Modifiers for Coronary Arteries

    Cardiac Stent modifier denials I am in TN
  45. mdm58

    Modifiers for Coronary Arteries

    Coronary artery stent modifier denials I just found out today that our medicare carrier said they are having a Claims issue with the new codes and the modifiers. We were told to hold for a couple of weeks and resubmit and they should have the porblem taking care of. So we are coding correctly...
  46. mdm58

    Modifier LD - applicable with this procedure

    LC RC LD modifiers We are getting the same denials and have been told that the modifier is invalid for this code, and they can not tell us how to bill!!! We are just appealing the claims. I have no idea what the problem could be!!
  47. mdm58

    Job opportunity

    Any one have ALL the requirements 2+ years of OP coding experience - Physician coding experience - Cardiology - Nextgen software Send me an email @
  48. mdm58

    93642 with in global period

  49. mdm58

    93642 with in global period

    I am billing 93642 within the 90day global.Do I use a modifier or not???
  50. mdm58

    Edit for 93621 billed w/ 93653

    But 93620 is included in 93653 so if 93621 can not be billed what code do you use for left atrial pacing ? If any one has an answer would you please email me @