medicare part b

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    Wiki Nursing Home Visits (Medicare Part B providers) Prolonged Visits

    The new updated CPT codes for Nursing Home Visits is quite confusing for prolonged visits (non face to face). Our providers perform several hours of additional care (updated meds, pain management, chart review, admitting the ER etc). Previously we would bill CPT 99358 for these services...
  2. S

    Wiki Behavioral Health billing to Medicare Part B

    When billing for BH services- intake and ongoing- where do you find the code sets used for Medicare part B in Arizona? I submitted an H0031 and it was denied. Does anyone have any information to share with me, please, any help or guidance would be greatly appreciated. This is a new area in our...
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    Wiki z79.899 diagnosis usage for LCD L35049 Monitored Anesthesia Care

    Hello, I am getting mixed opinions of when to use z79.899. I did refer to the icd-10-cm book, appendix A, and found a long list of examples of medication for each long term diagnoses code, however not finding the answer I need. The only allowed long term med usage diagnoses listed on this MAC...
    • Legacy79
    • Thread
    • l35049 long term medication mac anesthesia mac policy medicare part b
    • Replies: 0
    • Forum: Anesthesia
  4. S

    Wiki J7322 2017 reimbursement

    The new 2017 code J7322 for Hyaluronan or derivative, hymovis, for intraarticular injection, 1mg is not listed on the 2017 first quarter ASP file from CMS and does not pull up on the ASP fee schedule with Florida Medicare (First Coast Service Options). Just wondering if anyone has started using...
    • sarthur
    • Thread
    • 20610 hymovis j7322 medicare part b
    • Replies: 1
    • Forum: Anesthesia
  5. L

    Wiki Coding for suboxone, H0033

    Does anyone know of an alternate code I could use for suboxone dispense(oral)? I have been using H0033, and some payers are reimbursing it however we are wondering if there is a way we could get payment for dispense for our Medicare patients. :confused:
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    Wiki Palmetto GBA- NC area- MSLT LCD L36593 Coding

    Palmetto GBA recently updated their allowed DX codes for sleep studies. The most effected one for us was for the MSLT 95805 codes. It was once allowed to use Hypersomnia as an allowed and now they no longer seem to be allowing symptoms as their only options are diagnosis. But the point of the...
  7. L

    Wiki Palmetto GBA- NC area- MSLT LCD L36593 Payments

    Palmetto GBA recently updated their allowed DX codes for sleep studies. The most effected one for us was for the MSLT 95805 codes. It was once allowed to use Hypersomnia as an allowed and now they no longer seem to be allowing symptoms as their only options are diagnosis. But the point of the...
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