1. M

    Wiki 96127 and UHC

    Hello, we are able to get reimbursement from every major healthcare provider. We are at a loss with United healthcare though. I was wondering if I can get any feedback from somebody on how they get reimbursement for the 96127 CPT code. Not sure if it has something to do with the diagnosis or a...
  2. M

    Wiki Therapy Billing

    I recently started billing and coding for a Therapist/Counselor for substance abuse. I am billing all insurance as out of network. My claims are continuously getting denied. How should I be billing out of network for a substance abuse therapist?
  3. L

    Wiki What is STO coding?

    There is a job posting on that says, "Medical Coder (STO and Inpatient Facility and Profee Fees ONLY)" What is STO?
  4. M

    Wiki OBGYN

    Twin pregnancy, Baby A delivered vaginally, but demised. Baby B, C-section, alive. What CPT codes would you used for delivery? This is global insurance.
  5. K

    Wiki Antibody testing

    I need help. I have antibody testing that needs to be billed out but not sure exactly what codes to bill out for IgM, IgG, and IgA test. Do I bill out 3 codes for each one of them? Is it one code? I have found that 86769 is the antibody testing code. Just not sure if I need to bill it out 3...
  6. T

    Wiki Coding Department Structure

    Can anyone share with me the organizational structure of the coding department you work in? I would love as many responses as possible. Feel free to also share feedback, what you like or dislike about the structure, any roles you feel are missing. Really trying to gain a solid perspective of...
  7. C

    Wiki Ambulance Billing and Coding

    I am posting here to get some insight, references, and general knowledge about ambulance service billing and coding. I have been in my position as the sole biller and coder since December 2018. I've picked up most of my knowledge just by being in the position, but I would really like to learn...
  8. M

    Wiki Experienced Biller and Coder looking for Coding/Billing Opportunities

    Magdalene M. Dorsey 616 Gold Sand Road, Louisburg, NC 27549 Home: (919) 853-9000 – Cell: (919) 441-0408 - Education Associate of Applied Science Vance Granville Community College Area of study: Medical Coding Cumulative GPA: 3.773 Graduated: May 2014 High...
  9. T

    Wiki 99211 , 96372 coding when patient brings his own Testosterone Medication

    I work for a Urology Practice. The patient brings his own medication for Testosterone. We are questioning coding for 99211 &/or96372. The nurse is injecting medication the patient brings to office. In the Office note signed by the MD it is documented as there is HPI, PQRI, Allergies, Medication...
  10. R

    Wiki Telehealth interrupted

    What would you code/bill (I'm with an FQHC in AR) a telehealth virtual visit where connection was lost and ended up just being a telephonic visit? Would it depend on the time of each? What about a modifier? (I'm thinking reduced service maybe?) Any help would be appreciated.
  11. V

    Wiki G8990 - alternative code?

    Good afternoon everyone, Our office has been using HCPCS code G8990 for our grip strength tests and cannot seem to find a similar code in either the HCPCS or CPT book since the code was deleted on January 1, 2020. Does anyone have a suggestion? I would rather not use an unlisted procedure...
  12. G

    Wiki Does anyone code for Medicaid of WA RHC?

    We are an RHC and we are having issues getting OB claims processed by MA WA. Biggest issue at this time is MA WA does not accept our billing of high risk DX codes and only wants to pay on normal pg DX codes. ????? Any help or pointing to references that actually can help would be greatly...
  13. ily620

    Wiki CPC w/ Coding, Billing, and Revenue Cycle Exp.

    Hello, I am CPC certified with 15+ years of medical coding, billing, and revenue cycle management experience. I am looking for a remote coding and/or billing opportunity that can be either part time or full time. I have attached my resume for reference of my skill set. Thank you in advance...
  14. B

    Wiki I changed my career path...earned my CPC on my first looking for a coding opportunity!

    You and I might have something in common. We are both looking for a long term relationship which will benefit each of us. And like many successful relationships, it all starts with a hello. Now, I am not trying to sound pompous but I have many years of experience and skill. But, here’s the...
  15. M

    Wiki Which part of the documentation can Coders use to code from?

    I'm really sorry if this has been posted before but I couldn't find anything when I searched the forum (probably because I couldn't figure out how to phrase it correctly.) Which part(s) of the documentation can coders pull dx codes from? Say, the provider only listed BMI or Obesity on the...
  16. J

    Wiki Coding Pressure Ulcers in the same area

    I'm need of clarification. When a patient has 2 pressure ulcers in the same area (ie. 2 separate ulcers on the left buttock, stage 2), would the code be used twice since the guidelines states "assign as many codes ... to identify all ..."? Or would coding it once suffice since both ulcers are...
  17. Mtee

    Wiki Flexible hours remote coding companies

    Hello, Does anyone know of remote coding companies that offer flexible hours? Such as being able to set your hours as long as you meet a weekly work quota or have totaled 40 hours or some other arrangement. Or remote coding companies that pay per chart or per code? Thank you for your help...
  18. P

    Wiki Urology coding question

    Medicare is denying payment for coaptite injection using 51715. It seems that they do not like any of the incontinence diagnosis codes but that is all the doctor describes as far as diagnosis. Does anyone else have this problem? Or is there any other diagnosis code I could possibly use?
  19. S

    Wiki SIJ/Medial Cluneal Nerve Stimulator Coding

    My pain management provider coded this procedure with 64555-51 (2 units), 64575, 64590 (2 units). Medicare denied the last 2 codes. Are the codes included in the primary? DX code is G58.9. Can anyone clarify this? Thanks in advance!
  20. C

    Wiki ILR (implantable loop recorder)

    Can someone please tell me if they have located DX for ILR specifically CPT 33285 or 33286 with in LCD or MCD TIA
  21. F

    Wiki Lumpectomy with Savi Scout coding?

    If my doctor does a partial mastectomy and uses the savi probe to identify the savi reflector, would this be reported separately or considered bundled to main procedure since it is the approach? I am thinking of a comparison to 38900 when billed with 38525. Anyone have any thoughts???
  22. emeskina

    Wiki Coding all documented conditions...

    ICD-10-CM coding guidelines instruct coders to accurately capture secondary dx as documented/addressed by the provider in the body of their note and A/P to the highest specificity. We are also instructed to code all documented conditions that co-exist at the time of the encounter/visit AND...
  23. S

    Wiki Commercial and Medicaid Maternity Billing

    Hello, We often have patients that have commercial insurance with Medicaid primary for all of their maternity care. If the patient meets the requirements for a global delivery we will bill the global delivery but in this case the patient doesn't have maternity coverage with her commercial...
  24. B

    Wiki Coding Neuroendocrine Tumor

    Neuroendocrine tumors are a rare type of tumor composed of cells that produce and secrete regulatory hormones. Tumors comprised of these cells are consequently capable of producing hormonal syndromes (e.g., carcinoid syndrome), in which the normal hormonal balance required to support body system...
  25. K

    Wiki Dental Claim to Medical Carrier-codes??

    Hello, Can anyone help me translate how the following dental codes would be coded for medical? The dental carrier wants it to go to medical first. d7240- removal impacted tooth 32 d7240- removal impacted tooth 32 d7241- removal full bony impaction, difficult d9239 intravenous moderate...
  26. F

    Wiki Coding P55.0 and P55.1

    What is considered clear documentation for coding ABO and Rh incompatibility? Does the MD have to give the blood types and/or state Coombs positive or negative test results? If the result is negative do I still code the finding?
  27. M

    Wiki Varicose Vein education????

    Hello all, I am curious to see if y'all know of any education courses/books/ANYTHING that could help me with varicose vein coding? I can't find any specialty courses or anything that have to do with lower extremity varicose vein management coding. PLEASE ANY ADVICE IS HELPFUL!!! Thanks in...
  28. H

    Wiki CPC with coding/revenue cycling experience looking for remote position

    HELEN SUMNER, CPC 68 Raisin Lane | Hazard, KY 41701 | 606-854-5526 or 606-487-1213 | OBJECTIVE Self-motivated, self-sufficient, fast learning Certified professional coder with a passion for medical coding seeking a remote position. EDUCATION Associate of Applied...
  29. M

    Wiki Coding for new medical related cell phone apps

    Are there any codes relating to medical apps for cell phones such as Abilify Mycite, Propeller, Thrive, reSet? The apps are intended to assist with patient adherence to treatment plans, In the case of reSet, physicians can send messages to patients regarding appointment reminders etc. Any...
  30. Y

    Wiki Mammogram Diagnosis Codes

    Mammogram script returned for incorrect diagnosis code of Z12.31 on a 74 year old patient. Stated the DX code was not appropriate for age? Does anyone know what Diagnosis to use?
  31. J

    Wiki URGENT: Orthopedic Coder Needed

    In urgent need of IP/OP remote multi-specialty pro-fee coder that is an expert in ORTHOPEDIC SURGERY and E/M coding. DOMESTIC coders only. Please see details of project and how to log your experience HERE:
  32. J

    Wiki URGENT: Podiatry Coder Needed

    Aviacode is in URGENT need of IP/OP remote multi-specialty pro-fee coder that is an expert in PODIATRY coding (part-time). DOMESTIC coders only. Please see details of project and how to log your experience HERE:
  33. J

    Wiki URGENT: Ophthalmology Coder Needed

    Hi AAPC Ophthalmology Coders - Aviacode is in URGENT need of IP/OP remote multi-specialty pro-fee coder that is an expert in OPHTHALMOLOGY coding (part-time). DOMESTIC coders only. Please see details of project and how to log your experience HERE:
  34. K

    Wiki Oral biospy cpt code

    Hi, I am new to Oral & Maxillofacial Surgery. I gave codes for the vestibule of the mouth and was told it is not the vestibule of mouth it's an oral biopsy Right retromolar area excision. So I found CPT 41826, Under Excision and Destruction Procedures on the Dentoalveolar Structures under...
  35. M

    Wiki All Chronic Conditions Master List

    Hi Everyone, Can someone please share a master list of all existing chronic conditions ICD-10 codes in CSV or excel format, or share a source from where I can download this info. I greatly appropriate your all help and time. Kind Regards, Muhammad Imran
  36. M

    Wiki Icd 10 to cpt cross walk

    What is the best tool to cross a codes CPT's by ICD 10? For example, If I would like to see what procedures can be performed for a condition such as (A63.0)? What is the best tool out there which everyone uses? I appreciate your help.
  37. J

    Wiki CPC-A, Experienced HDS, Seeking Coding Positions Remotely or in Michigan

    I am a dedicated CPC-A seeking a fitting position in this field to utilize my meticulous detail-oriented skills, over 4 years of healthcare documentation experience, and extensive knowledge of medical coding. Please see the attached resume for further details. Thank you!
  38. C

    Wiki Cpc_a resume for remote coding position

    Courtney Beth Gainey (Burk) CPC-A 1400 Margina Ave Daytona Beach, FL 32114 Phone: (678)654-7644 E-mail: PROFILE: Highly capable and detail-oriented professional seeking a Medical Coding position to utilize and enhance industry knowledge and coding education...
  39. M

    Wiki Need advice-Stay at home mom with previous 10+ yrs Coding experience cannot find work

    I would like advice on what to do in order to get back into medical coding. I have 10+ years of coding experience. I have been a stay at home mom due to my husband receiving military orders overseas from 2012-2015. I last coded in 2012 and since I do not have current ICD-10 experience, I cannot...
  40. S

    Wiki Multiple Units of One Code??

    I'm trying to code for gouty tophi excisions done on multiple fingers and can't figure out how to do this... The code I found to use is 26160 (if you have a better one for gouty tophi then by all means correct me). The doctor performed the excisions on the left index, middle, and ring fingers...
  41. S

    Wiki X-ray billing help!

    I'm new to an ASC facility and when it comes to x-rays (almost always performed along with a surgery), I am told that we code professionally with -26 modifier but don't bill at all for the facility side. It was explained to me that x-rays are included in the global surgery package for...
  42. Z

    Wiki ROS Confusion

    Can a Review of Systems be counted as complete if it appears as the following on a note: Review of Systems Below systems reviewed with the patient's wife, all are negative except as noted above General ROS Allergy and Immunology ROS Hematological and Lymphatic ROS Endocrine ROS Respiratory ROS...
  43. S

    Wiki Biller/Coder w/ ASC/SDS Expertise - Looking For FT Work (Remote or NW Houston, TX)

    Hello, I am a certified Medical Biller and Coder with expertise in multi-specialty Ambulatory Surgery Centers/Same Day Surgery looking for full time work either remotely or in Northwest Houston, TX. Willing to do Billing, Coding, or Both. Attached is my resume for your review.
  44. J

    Wiki Epic Cupid procedure log

    Is anyone else experiencing the pain of Epic cupid cath reports? Has anyone seen this work well yet? Our MDs can only get a good report if they do a lot of cut and past or free text. The procedure logs are just not cutting it. I would love to hear some opinions and what you are doing to get...
  45. K

    Wiki Skelentonized lima/rima cabg

    Hello All! I wanted to know if anyone else has had to code or has seen skelentonized LIMA/RIMA for CABG with their providers? I'm under the impression this is a technique on the LIMA/RIMA, but I wanted to verify if there was any additional coding for this? Maybe T codes? I can't seem to find...
  46. U

    Wiki Hands on learner, looking for help.

    Good afternoon everyone, I recently graduated from Penn Foster Medical Billing and Coding program and was wondering if their is any hands resources available. I want to start practicing to get certified, but I am more of a hands on learner when it comes to things. I currently work as an...
  47. C

    Wiki Foley just to allow wound healing

    Our Director of Nursing has placed a Foley cath so a patient can stay in bed while a pressure ulcer heals. I've coded the foley and the pressure ulcer, but she also wants a code to show that the foley is for wound healing. I'm coming up empty...I don't think it exists. Anyone else have the...
  48. Q

    Wiki CPT and Dx Coding for Medical Marijuana/Cannabis

    I work for a Hem/Med Onc in Florida who wants to start seeing and prescribing medical cannabis to qualified cancer patients. I have seen several other posts on the matter and they have helped answer some of my questions regarding the coding for these encounters. However, it got me thinking about...
  49. E

    Wiki Medicare Denials - Infusion Coding Guidelines

    Recently, Medicare has denied some infusion, injection, and hydration charges on our observation claims due to not having an initial service billed for each date of service on the claim. Our HIM Dept is stumped because we have always followed the coding guidelines that only 1 initial service...
  50. A

    Wiki Does Practicode count as an internship?

    I've seen a few LinkedIn users that posted "AAPC Practicode Online Internship" in their work history. Is this correct? Can I add Practicode to my work history, or should I just post it as a test score? I know it shows some experience, so I'm trying to figure out how to best show that to...