medication

  1. J

    Wiki JW Medication waste billing

    Has anyone come up with an efficient strategy to deal with reporting RX waste charges, when a vial size is used that leaves waste beyond the optimal vial size combination? "The units billed should where possible correspond with the smallest dose (vial) available for purchase from the...
  2. C

    Wiki Medicare denying claim for missing procedure modifier

    Last Update: My supervisor says she doesn't want me doing denials. At least, not yet. It was a co-worker who had asked for my help in getting it done. I had wanted to try doing denials anyway, but since I was dropped into the deep end without a float, I felt frustrated and stuck when the...
  3. F

    Wiki YUPELRI (revefenacin) billing/coding

    Has anyone heard anything about codes being assigned to the new COPD medication YUPELRI (revefenacin)? I was able to find that they applied for HCPCS but nothing beyond that. Any info appreciated! Thank you!
  4. I

    Wiki Pre Op Injection Administration

    I am an auditor and have a hospital who wants to charge administration for Pre-Op IVP Versed (96374). I have explained that this would be considered part of the facility's Global Surgical Package as anesthesia writes for the medication when they begin to prep their patient for the operating...
  5. M

    Wiki Refill Medication

    Hi y'all, Some of our physicians will refill a medication during a visit that has nothing documented regarding medication management. Example, patient comes in with at cold, the documentation is all about the cold, but the physicians will refill a medication for high blood pressure. There is...
    • Marlajp1
    • Thread
    • management medication
    • Replies: 0
    • Forum: E/M
  6. M

    Wiki Z79.4 Long Term Insulin Use

    Has the guidelines/description changed for Long Term Insulin Use from ICD-9 to ICD 10 to include use of long term DM medication as long term insulin use too? I have received information from several parties that CMS and plan are now including long term DM medication with the code of long term...
    • mamoore56
    • Thread
    • cms insulin medication plan term
    • Replies: 10
    • Forum: ICD-10
  7. D

    Wiki Pregnancy Complication or Not??

    Hello, This forum has been such a huge help for me as a brand new coder! I am hoping that someone here can help me. I am having a hard time wrapping my head around coding pregnancy complications. For example, a pregnant woman came in with hyperemesis and dehydration. The H&P lists GERD...
    • Daisy29
    • Thread
    • coding complication daily medication pregnancy
    • Replies: 5
    • Forum: OB/GYN
  8. T

    Wiki Needs med to get MRI done

    Pt requests Xanax to have MRI completed. She went twice and got claustrophobic. Dx: Lipoma--pt has huge lipoma on neck. RX for Xanax given. Advised not to drive while taking it. What's the best code for this visit? The reason for the visit is to get medication, not to have the lipoma...
  9. J

    Wiki HCPCS/NDC Number

    Does an NDC number need to be submitted w/HCPCS medication code?
    • jkluck
    • Thread
    • code medication ndc submitted w/hcpcs
    • Replies: 2
    • Forum: Urology
  10. A

    Wiki How long is long term?

    Does anyone know if there is a specific amount of time a patient needs to be on medication (specifically contraception) for it to be considered long term use? Is it a year?
    • asehr
    • Thread
    • considered contraception medication specifically term
    • Replies: 2
    • Forum: OB/GYN
  11. L

    Wiki Coding History

    Per our physician, he states that on a visit that we can pull diagnoses from medication lists and active problem lists even if he does not assess or document anything to do with those diagnoses. For example, he states to look at a medication and pull down the diagnosis that goes with it as a...
  12. J

    Wiki Vaccine Refusal

    One of our providers mixed up the medication to give the injection, but the parent refused it at the last minute. I have the diagnosis code for the refusal, but can we bill for the medication since it was already mixed up and we had to waste it since the parent refused?
  13. J

    Wiki Billing for medication starter packs

    Good Morning, Our practice has a facility in a rural area with no pharmacy near by. The clinic would like to give patients a "starter pack" of the medication they would be prescribed at a visit to get them started on the medication until they can make it to their pharmacy. How do we code/bill...
  14. S

    Wiki OB Coding

    I am currently trying to find an ICD-10 code for discontinued medication due to patient being pregnant. The medication is Lithium. Any help?
    • smannes
    • Thread
    • due lithium medication patient pregnant
    • Replies: 0
    • Forum: ICD-10
  15. R

    Wiki code hyper or hypothyroid??

    I have a provider that keeps coding hyperthyroidism on patients who are on hypothyroid medication but because their dose is off, they've become abnormally suppressed. Should I actually be coding hyperthyroidism, or just hypo since that is what we were originally treating and we're still keeping...
    • Radcoder86
    • Thread
    • coding hyperthyroidism hypo hypothyroid medication
    • Replies: 2
    • Forum: ICD-10
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