cpt

  1. J

    nasal stenosis repair and advancement flaps

    Our md is billing cpt code 30465 with cpt code 14060- for advancement flaps. Are these 2 codes inclusive of each other. Please help!!!!!!!!!!!!
  2. G

    job

    hello, my physician group(UROLOGY) is looking to fill a medical charge entry/coding and billing position, also a position to do A/R appeals and work denials. we are located in downtown Albuquerque full time positions only, no certification needed. CPT, ICD-10, HCPCS II, CMS-1500 is required if...
  3. L

    Oral Appliance Sleep Study CPT Code

    When researching oral appliance sleep study cpt codes all I find are the cpt codes to bill for an oral appliance itself. What I am looking for is the sleep study cpt code to bill when doing a sleep study with an oral appliance since we are not using pap therapy. We do not supply the oral...
  4. C

    Wiki New CPT code 69209

    I'm looking for where i can find documentation on new CPT code 69209 and if this new code has the requirement of being done by a provider? I know that cpt code 69210 although not included in the actual description of the code, in order to bill for this service, it must be provided by doctor or...
  5. C

    suture repair

    Patient had a suture repair of a small opening in the apical upper lobe mechanical pleurodesis, , would cpt code code cpt code 32650 be the right choice ?
  6. S

    Cpt and icd.10 book suggestions please

    It is time to buy 2016 CPT and ICD.10 books. I am hoping for a little advice on this. I will be taking my CPC with these books as well as coding and billing at my job. I want to make sure before I purchase that these books will help me in both areas. Also, regarding the exam...Has anyone heard...
  7. A

    Coding Question: EDG with EUS 43237 vs 43259

    The description for CPT 43237 is an EGD; with EUS limited to the esophagus, stomach or duodenum , and adjacent structures. The description for CPT 43259 is an EGD; with EUS including the esophagus, stomach, and either the duodenum or a surgically altered stomach. Should the documentation for...
  8. A

    Aborted Colonoscopy

    In the 2015 CPT book, I was informed in multiple meetings that the "Colonoscopy Decision Tree" found right before the Sigmoidoscopy section was incorrect. I was told that when the colonoscopy didn't reach the splenic flexure, we were supposed to still bill the colonoscopy but with the...
  9. J

    Billing CPT 36410

    Happy New Year! Can anyone help me with cpt code 36410? Can this code be billed by a CRNA if the nurse requests that it be performed by a CRNA due to the patient being a hard stick? Thanks for any help that you may be able to provide. Jennifer
  10. A

    43237 vs. 43259

    The description for CPT 43237 is an EGD; with EUS limited to the esophagus, stomach or duodenum , and adjacent structures. The description for CPT 43259 is an EGD; with EUS including the esophagus, stomach, and either the duodenum or a surgically altered stomach. Should the documentation for...
  11. C

    CPT Code 62267 or 10022 - I am looking fo

    I am looking for some advice for as I am not too familiar with this tyoe of procedure. Indication: Paraspinal soft tissue infection * The risks benefits and alternatives were explained and informed consent was obtained. 1 mg of Versed and 100 mcg of fentanyl were administered intravenously for...
  12. A

    coding dispute between CPT book and Anesthesia code

    I work for a group of Anesthesiologists and I had a case where a patient had implanted plates removed from her ribs. I coded 20680 and the code crosswalks to 01360 for anesthesia. On the EOB that the patient received the procedure description said she had work done on her femur. She called the...
  13. A

    anesthesia coding

    I work for a group of Anesthesiologists and I had a case where a patient had implanted plates removed from her ribs. I coded 20680 and the code crosswalks to 01360 for anesthesia. On the EOB that the patient received the procedure description said she had work done on her femur. She called the...
  14. A

    CPT Coding for Anesthesia

    I work for a group of Anesthesiologists and I had a case where a patient had implanted plates removed from her ribs. I coded 20680 and the code crosswalks to 01360 for anesthesia. On the EOB that the patient received the procedure description said she had work done on her femur. She called the...
  15. A

    2016 rule for Mental Health CPT code 90838

    I was wondering if anyone has any information about there being a new rule for the CPT code 90838? How the new rule applies. Here is the question presented to me. *can we bill two separate clinicians as long as one is the MD/NP the second being a ph.d./lcsw as long as same day same location...
  16. S

    Can CPT 49446 be billed separately from 43830?

    CPT 49446 states that for converstion to gastro-jejunostomy tube at the time of initial gastrostomy tube placement we are to use 49446 in conjuction with 49440. CPt 49440 is for a percutaneous approach. Our doctor performed an open approach which was coded as 43830. I have received a bundling...
  17. D

    2016 IR CPT Crosswalk

    By chance, has anyone created a crosswalk for the new Biliary and Urinary CPT codes that they would be willing to share? Thank you in advance!!!
  18. C

    HBIG Vaccine coding help please

    I need help on how to code for the HBIG Vaccine for a patient who had a needle stick from a contaminated needle from a patient with HBV. The patient received the HBIG Vaccine and I'm not sure how to code the CPT portion? Since the cost is about 15x higher then the regular vaccine I needed to...
  19. T

    New To Behavioral Health Billing

    Hi, We have a new Clinical Psychologist starting in a PCP office and I have no idea how they bill. Any tips on what CPT and ICD codes they can use. Would love to communicate offline with an experienced biller that bills for a CP. Thanks.
  20. T

    Buccal Swab

    What is the CPT code for the Buccal Swab? Does anyone know if we can bill for this?
  21. J

    Modifier 59 - bariatric practice

    Our office is going back and forth regarding the following issue: We are a primarily bariatric practice, however my surgeon typically repairs a hernia (cpt code 43281) while she is there is she notices it. Can we bill cpt code 43770 with 43281 (with modifier 59)? or should this be modifier 51?
  22. A

    Medical Paying G6021 for Colonoscopy with EMR

    Medicare Paying G6021 for Colonoscopy with EMR Has anyone had any luck getting Medicare to pay G6021 for a colonoscopy with EMR? The CPT code is 45390.
  23. S

    NCCI edits policy for different surgeons working together

    Dear All: Good day! I have a query regarding the NCCI edits policy for diffrent surgeons working together in same operative session. Eg. Gyn Specialist performed CPT 58150(Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s)...
  24. S

    NCCI Bundling policy for different surgeons

    Dear All: Good day! I have a query regarding the NCCI edits policy for diffrent surgeons working together in same operative session. Eg. Gyn Specialist performed CPT 58150(Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s)...
  25. I

    cpt code 99386 and colon screening

    Does anyone know if you can use the preventative medicine cpt code 99386, (initial comprehensive preventive medicine evaluation and management of an ind. inc. an age/gender approp hx, exam,counseling/antic. guidance/risk factor reduction iintervention, and the ordering of lab/dx proc, new pt...
  26. C

    Sequencing of CPT affect REIMBURSEMENT?

    Does sequencing of CPT coding affect REIMBURSEMENT! I’m coding physician’s facility and non-facility. What or where can I get something in writing? “I know for audit purposes sequencing will be a issue.” Everyone, please give me your opinion. Thank you, CPC, I wondering now!
  27. B

    hiatal hernia

    What heading do I find hiatal hernia under in the cpt 2010 edition manual.:confused:
  28. J

    Psychiatry CPT Code questions

    Which CPT code would best reflect a 60min session? 90806/7- 45 to 50min or 90808/9 - 75 to 80min? Both face-to-face. What about 65min?
  29. J

    CPT Code question re: times on psychiatry

    Which CPT code would best reflect a 60min session? 90806/7- 45 to 50min or 90808/9 - 75 to 80min? Both face-to-face. What about 65min?
  30. K

    CPC-A looking for entry-level job in MN, ND, or SD

    Cotact infomation: KIMBERLY SEVERS PHONE: (218) 205-4237 • E-MAIL: KIMBERLY.SEVERS@GMAIL.COM OBJECTIVE I would like to fulfill a job in the Medical Coding field in the surrounding area. I am very eager to start my medical coding career and I believe I would be an excellent addition to you...
  31. L

    CPT ICD crosswalk

    Does anyone know of a free CPT/ICD crosswalk on line? Thanks. Lin CPC
  32. S

    Creating a new CPT code

    Hello, All! Today I spoke w/ a man who offers a medical "product" for our weight loss clinic. He asked me about billing, and what he needs to do to have his particular product become something that insurance will pay for. I explained to him that all medical goods and services have a CPT...
  33. T

    Prolonged services

    once per day or once per day per patient. It may sound stupid but I am involved in a power struggle.
  34. D

    Please let me know what I did wrong...

    I recently applied for a coding position and was given a test to judge my coding abilities. After taking the test, I was told that while the codes I assigned were correct, I left off several CPT/ICD-9 codes and modifiers. Can you please help me where I went wrong? Here's 3 examples from the...
  35. donformica

    Thyroidectomies: Complete vs Total

    Hello all, I am a Coding student and even my Instructor cannot explain the difference (if any) between a Total and a Complete Thyroidectomy.:confused: Thanks in advance to any who can clarify
  36. O

    Seeking Medical Coding position - Richmond, VA

    EMPLOYMENT 2007-Present Billing Specialist, Pediatric Dentistry and Orthodontics  Posting of encounters using CDT codes  Appeal Letters to insurance companies  Paper and Electronic billing of Insurance companies  Reviewing and correcting errors due to posting incorrectly and insurance and...
  37. M

    Wiki CPT 97110 vs. 97530

    Hello everyone! We are just about going batty over here trying to figure out exactly what can be billed under the CPT code 97530. Our therapists (PT and OT) tend to use 97110 and 97530 interchangeably, or they use 97530 for anything that may be considered an "activity" (ex: going to a movie...
  38. L

    Medicare denying 96375

    Im getting denials from Medicare for CPT Code 96375. They are stating that it is an unbillable code. I made sure the claim had the proper Initial Code, but it still is denying. Any insight would be great. Also, i know this code is Modifier 59 exempt, but i found a claim that paid this code...
  39. T

    cpt for collection of urine sample

    Hello. Is there a cpt code for collection of urine specimen in the office to send to the lab? Thank you. Tammy
  40. J

    Allergy immunotherapy vials 95165

    Our allergist prepares her own immunotherapy vials for her patients' allergy shots. We bill out CPT 95165 for the professional preparation of multi-dose vials. Many of our patients have multiple allergies so the antigens are mixed in several separate vials (it's not possible to put it all...
  41. J

    CPT codes 64475 and 64476

    If anyone has experience on coding for CPT codes 64475 and 64476, I will appreciate your help. When billing Medicare, I have a Pain Management provider who does MULTIPLE BILATERAL injections utilizing CPT codes 64475 and 64476. In the past, I used to bill these with a RT and LT modifier along...
  42. K

    July 2007 CPT Updates

    Hello Everyone~ Where may I locate the official release of new/revised CPT codes effective July 01, 2007? I have searched the AMA site without success. :confused: Thanks in advance.
  43. A

    Critical Care and Mid Levels?

    Would like opinions... At a recent ACEP seminar I heard that mid-levels could bill for Critical Care, just not for Medicare. It was stated that the CPT rules differed from CMS on this, and that if the commericial insurance didn't prevent it, it was ok to bill. But when I look at the CPT...
  44. S

    Break by specialty?

    I wonder if it wouldn't be easier if this thread was broken down even further by specialty or even subject. For example Family Practice, Pediatrics, Surgery, Radiology, etc.... OR E/M codes, ICD 9, CPT etc....Just a thought. So glad this Forum/Message Board is finally available. Michelle Z. CPC
  45. L

    stress echo-I have a new

    I have a new client that is interested in doing Stress Echo's in their office. They currently do treadmill tests, and do echocardiograms. What CPT codes would go together for a complete Stress Echo. Right now we use 93307, 93329 and 93325. Please let me know how to bundle all CPT codes to...
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