Search results

  1. M

    Diabetic Shoe Returns

    A lot would depend on the company you purchase the diabetic shoes from and what their policy is on returns. One of the companies we deal with allows up to 6 months. However, our office policy is 30 days. After the patient has had them for 30 days, we do not allow returns. It runs in to a huge...
  2. M

    Codes 11719 and 11720 or 11721

    You can bill for an E&M for visits only if there is a significant and separate identifiable E&M service that is unrelated to the decision to perform the following procedures: 11719, 11720, 11721, or G0127.
  3. M

    Debridement of preulcerative lesions

    CPT codes 11040 and 11041 have been eliminated; they are replaced by CPT codes 97597 and 97598 as appropriate for débridement of dermal and epidermal skin layers.
  4. M

    Help with 11721 and Medicare

    This is a little late and I don't know what region you are in but for Michigan, Illinois, Wisconsin and Minnesota region, these are the guidelines: http://www.wpsmedicare.com/part_b/policy/active/local/l30322_ft001.shtml
  5. M

    L3000 Bilateral

    We bill for L3000 on two lines: L3000 RT L3000 LT No other modifiers and have been paid for both.
  6. M

    Custom Orthotic billing Question

    Is there a standard form for "Receipt of Delivery" or is it something that we do ourselves?
  7. M

    ASPMA coding test

    Just wanted to post that I took the ASPMA coding certification test and passed it! Sure does make me feel a lot more confident in my coding abilities for coding podiatry. :)
  8. M

    CPT 2010 Help

    Here is the link to the new 2010 ICD-9 and CPT codes that are new, revised or deleted. http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/07_summarytables.asp#TopOfPage Hope this helps!
  9. M

    Diabetic shoes

    I have not heard of using modifiers (rt/lt) on shoes but will be keeping my eye out for it. Thanks.
  10. M

    post op x-rays

    I have run into a dilemma coding post-op x-rays so if anyone could help me, I'd greatly appreciate it. My office manager tells me to use 71907 as this has been paid in the past. I know this is wrong! You don't code what's not in the chart notes. If the patient isn't having any pain or swelling...
  11. M

    Podiatry coding certification

    Are there a required amount of CEU's you need to obtain each year like the AAPC does? The Podiatrist I work for belongs to the ASPMA and he pays for all the MA's to be members. I'm looking in to if he will pay for me (as a coder/biller) to be a member and if he will pay for the certification as...
  12. M

    Podiatry coding certification

    Tammy, Are you a member of the ASPMA?
  13. M

    Podiatry coding certification

    Oh ok, I didn't know that. Thank you. I will be checking in to that! Thanks!
  14. M

    Podiatry coding certification

    Does anyone know if there is somewhere to get certification in Podiatry coding? Is anyone here certified in Podiatry coding? I know the AAPC doesn't have this specialty as yet. I wonder if they will eventually. I have been in Podiatry for a year now and I'm thinking of making this my career and...
  15. M

    11721?

    When using the Q modifier, do you always need PCP name and visit everytime?
  16. M

    11721?

    Oh and it's Medicare that is denying.
  17. M

    11721?

    Billing a 11721 px with a dx of 1101 and 44020. Getting denied. Is it because of not using a Q modifier? Anyone have this prob?
  18. M

    Post-op co-pays

    No, you don't charge for post op visits, this includes co-payments. It is bundled in to the surgery. They only way to collect on a post op visit is if the patient came in for something other than the surgery post op. (ex. post op period is from surgery for bunion and pt came in for tennis elbow...
  19. M

    Would you remove your A from CPC-A?

    Thanks to all who answered! After reading the responses, I have decided to keep my -A for now. I know I have a lot to learn still so I don't want to give the impression that I know everything or most everything (especially since my only experience is in Podiatry). Thanks again! Marcia
  20. M

    icd?

    While I can't look up the codes at home (don't have current ICD-9 here), my first guess would be yes. But my suggestion for you is to repost this question in the Podiatry section on here as this deals with the foot. I'm sure you would get a great amount of help there!
  21. M

    Would you remove your A from CPC-A?

    I am a CPC-A and I have been employed by a Podiatrist for a year now. By the AAPC guidelines for becoming a CPC I need one year experience and 2 letters, one from employer and one from an instructor. By those guidelines, I can have the A removed. But my concern is that my experience has only...
  22. M

    Help with podiatry

    Good point! I over looked the 440.20. Sorry!
  23. M

    Help with podiatry

    That is confusing! I just learned that Medicare is now requiring a secondary dx but you have the correct dx. According to Medicare (I'm in Michigan), it states: ICD-9 CM code 110.1 must be reported as primary condition and the appropriate Q modifier showing that coverage criteria has been...
  24. M

    job search words

    Hello all! Is anyone having as much trouble as I am searching for a biller/coder position on some of these job sites? I enter my state, job radius (I've used 100 miles), then it wants key words to search for and a category. Key search words I've used have been coder, biller, medical coder...
  25. M

    hammertoe correction (multiple)?

    When doing multiple toes we use the T modifiers and the modifier -59.
  26. M

    Podiatry-Dr. does a debridement

    I work for 3 podiatrists and I've never used a mod -59 with 11721.
  27. M

    Thank you, AAPC

    I agree! A certification for Podiatry is greatly needed!
  28. M

    Thank you, AAPC

    I have been coding Podiatry for 7 months with just graduating college and passing CPC exam so I have LOTS of questions! I'm so glad someone at AAPC seen my comment and made this group! Once again, Thanks AAPC! You really helped us fellow Podiatry coders!
  29. M

    Podiatry for Michigan Medicaid

    Stephanie, Not a problem, Glad I could help!
  30. M

    Podiatry for Michigan Medicaid

    Stephanie, I spoke with our office manager and she said that the APMA (American Podiatric Medical Association) notified her. Here is the link for the article. http://www.michigan.gov/documents/mdch/MSA-09-28_280899_7.pdf Let me know if this doesn't work for you. If it don't I'll find another...
  31. M

    Toe ?..please help!

    I'd love to help but unfortunately I don't code the surgeries, only office visits. Sorry! :(
  32. M

    Podiatry for Michigan Medicaid

    Stephanie, Sorry, I wasn't able to find out where to locate it today. My office manager didn't come in to work. She will be there on Monday and I'll ask where she found it.
  33. M

    Thank you, AAPC

    Just wanted to give my THANKS to the AAPC for creating a "Podiatry" heading for discussion. I realize we Podiatry coders could ask questions in the general area but it sure is nice to be able to go to one area specifically for us. Great work!
  34. M

    Why not a "Podiatry" heading?

    Tammy, Thank you for responding but I guess I don't know the site very well as I'm having trouble finding it. Anyways, when I signed in to read your message, I see they have added a Podiatry group! What a great surprise!
  35. M

    Podiatry for Michigan Medicaid

    Stephanie, Straight Michigan Medicaid has suspended coverage for podiatry services from July 1, 2009 to September 30, 2009. I'm not sure where it can be found (my office manager told me) but I think there is something about it on BCBS/Web-denis. Don't quote me on it though as I'm not sure. I'll...
  36. M

    Podiatry E/M?

    F Tessa, Thanks so much for helping me see that there really is more there than what I seen! I really need to find a "checklist" for ROS, HPI and MDM to take to work. I believe that would help me greatly! (I'm locating one as soon as I'm done with this post.) We do have the patient fill out a...
  37. M

    Podiatry E/M?

    Thanks for all the responses. I have an example of what I was talking about. This is actual dictation from one of the doctors. "S: This patient is seen in the office today with history of diabetes. He is 67 years old with good to fair glucose levels. He is using diabetic shoe gear. He is here...
  38. M

    Podiatry E/M?

    Being in a Podiatrist office we don't have the review of systems that you would have in a family practice office or other specialties but you still need ROS to code office calls. I'm super frustrated over this. How am I to know how to code an office call when we don't have the usual ROS? Someone...
  39. M

    Dx coding for xrays

    Thank you! That helps me. Marcia
  40. M

    Dx coding for xrays

    Tommie, Thank you soooo very much!!! I have even lost sleep over this since I'm new and not sure about approaching "experienced" people but yet at the same time I do NOT want to put my credentials in jeopardy. I know you can code pain for an xray but is there any other symptom that would...
  41. M

    Dx coding for xrays

    All through college in my coding classes, we were told over and over that you DO NOT code for "suspected, rule out, possible" but now that I'm in a podiatry office I'm confused. What do you code for an xray due to a possible fracture, looking for a foreign body and so on but don't find a...
  42. M

    dx coding for xrays

    All through college in my coding classes, we were told over and over that you DO NOT code for "suspected, rule out, possible" but now that I'm in a podiatry office I'm confused. What do you code for an xray due to a possible fracture, looking for a foreign body and so on but don't find a...
  43. M

    medicare rules for x-ray notes

    I found this interesting as I work in a Podiatrist office and we do our own xrays too. The doctors dictate the findings of the xray in with the dictation of the E/M visit. My question is: an xray is done to rule out a fracture and a fracture is found. Do I code the xray for pain as the reason...
  44. M

    Why not a "Podiatry" heading?

    Josalyn, Any idea where I'd find info relating directly to Podiatry coding? I feel so lost right now and the Medicare website is a nightmare to work through, which leads to feeling even more lost. Currently at this office, the Doctors do the coding (as if they know all the rules lol) and I read...
  45. M

    Why not a "Podiatry" heading?

    I recently graduated college, passed my CPC exam and now work in a Podiatry office. I was wondering why there isn't a Podiatry heading along with all the others (cardiololgy, pediatrics, etc)? It would be nice to have a place to ask others in this area questions. Thank you.
  46. M

    Cpc Exam

    I am taking my exam next Saturday and I'm sooo nervous and scared! I didn't buy the practice exam and now I wish I would have. If it wasn't so close to my date, I'd get it now but I don't think it would arrive in time. Everyone keep your fingers crossed for me!
  47. M

    Charges for copies of medical records

    Thanks for all the replies. Yes, they were all very helpful!
  48. M

    Charges for copies of medical records

    In one of my classes we were told that the doctor could charge so much per page to copy the patient's medical chart. I need that information now as a doctor in my office is quitting practice and the patients are having fits about being charged but I can't find it. I need to say that she is only...
  49. M

    Cpc Exam

    Yes, you have to get 70% in each section and if you fail one section, you fail the exam. Good luck!
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