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Latest activity
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Ssheridan2296@gmail.com replied to the thread Wiki Nausea AND vomitting..I am super new to this, when you say medical necessity has to be in the top x code lines, does that mean it is ok to put supporting codes that are relevant but may not be considered medically necessary under my state's LCD? or will that get the...
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Mmiriambroyles posted the thread Will CMS consider morbid obesity dx supported if on GLP1 but BMI is decreasing? in Risk Adjustment.Hello, Should CDI coders consider a dx of morbid obesity clinically supported/audit compliant if the BMI has fallen below 35 with GLP1 use? I understand morbid obesity can be coded if the provider diagnoses it regardless of BMI, coders are not...
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Jjuliagreen1968@gmail.com posted the thread Wiki Medicare Advantage and Medicaid in Payer/Health Plan.We had a patient come in with a medicare advantage plan. When we billed them for the co-pay, they then came back with their Medicaid information. This was not presented at the time of service. We are not Medicaid providers. Can we bill the...
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Rrachaelwilleford replied to the thread Wiki Coding/billing 99214 and 99406 on the same day...HELP!.That's interesting. Thank you for sharing that feedback. I never considered that.
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PHi all, I have been having some problems with the use of unlisted codes when procedures a done laparoscopically. This is in Gen Surg. Seems to happen often in Lap Roux en Y procedures.(43659) This is an A/R nightmare.. Wondering if anyone out...
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JJim Pawloski replied to the thread Drainage catheter placement.Remind the provider that imaging is bundled into the drainage procedure.
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JJim Pawloski replied to the thread renal cath/embolization 36253 and 37244.The embolization is usually done after some type of imaging is done, as a CTA of the renals. If there isn't documentation of any imaging, then I would code 37244 and 36253. If there is imaging, then I would code 37244 and 36246. HTH
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Mmelissacrowe12 replied to the thread Drainage catheter placement.I would use 49406 as its draining from the peritoneum. 49405 is if its on/in the organ "visceral (eg, kidney, liver, spleen, lung/mediastinum)"
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Shttps://www.cms.gov/files/document/medicare-ncci-policy-manual-2024-chapter-11.pdf 8. CPT code 94640 (Pressurized or non-pressurized inhalation treatment for acute airway obstruction... (IPPB) device) describes either treatment of acute airway...
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Mmelissacrowe12 posted the thread renal cath/embolization 36253 and 37244 in Interventional Radiology.I have an encounter that was done and getting help one coder says 37244 and 36246. Another is saying 36253 and 37244. While there is no CCI edit, would these be billable together since guidelines states to code based off of why the px was...
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YI agree with Thomas. The biopsy code would be reported when the procedure was performed for the specific purpose of obtaining a sample for diagnostic examination. In this case, the procedure was performed for the purpose of the excision.
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YBiopsies are done on almost every procedure that involves the removal of tissue from the patient, and considered and incidental part of the more extensive procedure. So you would only code for a biopsy if the provider just took a sample of the...
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BGood Morning I have a question regarding an IR procedure, it is a percutaneous placement of a 10 French drainage catheter into a complex anterior abdominal fluid collection. Provider submitted 75989 only, which is guidance only. We are in need...
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KKorbc replied to the thread e/m leveling.hey guys! also i've seen multiple sources consider pregnancy as a chronic condition when leveling or moderate level in of itself. heres a link to one source...
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KHey guys! Since in 2027 i will have to level all OB visits when the guidelines change i was just wondering if you guys would consider this visit a 99212 instead of a 99213. I think it's a 99212 "said patient" is here today for routine OB...
