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coding advice needed

  1. C

    Wiki consult or new patient?

    1. If physician sees a patient who has paperwork that says “referral” or “transition of care” on it from the PCP or other referring provider, is this a consult or a new patient e/m? We have seen some of this paperwork have “referral” and “consult” on the same pages and my physician wants to...
  2. K

    Wiki possible limits on billing 96127 emotional/behavioral assessments

    My new boss says that we can only bill for these assessments once per patient. I see that we are allowed only 2 units on a claim but I can't see anywhere where it says bill only once per patient. Anybody out there have any other info on this?
  3. K

    Wiki Correct coding/billing of a CDL physical

    I have a new job at a clinic where they are coding CDL physicals as a sick visit -99214- with the dx of Z02.4 and billing it to the patients insurance and most of our contracted insurances are paying for them. They also have patients who come in for a pre-travel visit when they are going out of...
  4. A

    Wiki Lucentis Injections

    Hello Everyone, My administrator has asked me to verify payment of a Lucentis Injection for a patient who has a MediCal HMO. The facility has an authorization for the procedure, which includes the J2778, as well as the 67028. The IPA for the HMO is stating as long as I have the approval, it...
  5. B

    Wiki Revenue Code 200 ICU

    Hello thank you in advance to any response I receive to this question. I am CPC who deals primarily in Professional coding and billing for my daily work. I'm trying to learn a little more about facility coding to aid a friend who had spent some time in the hospital recently. This individual was...
  6. M

    Wiki Since when does Medicare bundle 76942 with 76872

    For years Medicare has accepted these codes for a prostate ultrasound and biopsy with no bundling issues. This is the order we billed them 76872, 55700, 76972. Since July I have been getting flagged that 76942 is a component of 76872 and a modifier is allowed to differentiate between the...
  7. C

    Wiki Strapping & supplies

    Are supplies (99070 ect) allowed to be billed w/ strapping codes? (29540 ect):confused:
  8. F

    Wiki Coding Question, Please help

    Can I code for a synvisc injection in the right knee and a synvisc injection in the left knee on the same day for the same patient and put a lt and rt as the modifier with the cpt code for a medicare patient and his secondary is tricare for life? Please help. Will I get reimbursed for the full...
  9. T

    Wiki Coding from doctor's notes

    I am a new coder, and still have trouble coding from the description in doctor's notes. I need more practice in what is coded and what is not. I try to look at the description of the code, to see what it includes, but I still need some help. Any hints? I keep being told I just need to practice...
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