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  • J
    Experienced many years in multiple medical field positions recently obtained my CPC & looking for part-time medical coding position local or remote to begin building my experience in medical coding to help get my foot in the door for future...
  • S
    The order would not be modified. Should it matter (if you have an inventory system or another system where it would matter), the physician can make a note on the administration note that he elected to only use 100 of the 200 units ordered.
  • S
    sxcoder reacted to shanamarie's post in the thread Question Billing waste unused vial with Like Like.
    No, you can’t bill for waste if the vial wasn’t used. Waste is only billed if part of the vial is used and the rest is discarded since it’s a single use vial it can’t be used on another patient. In your situation the unused vial could be used on...
  • C
    My physician does EUS and we bill these codes together as usually the 43242 is a bx which is usually aspirating fluid from a pancreatic cyst ect and the 43239 is a tissue biopsy usually from the stomach or esophagus. I do get denials where they...
  • L
    I would make sure the times on the claim match the times on the anesthesia record and appeal with the op notes. When a vag delivery (01967) becomes a c-section, you will always code the c-section with 01968. The times documented above don't...
  • O
    I can't help you with these but I have a couple of questions. If these are "cosmetic" then there is no "medical necessity", so should these be billed to insurance? You stated that closure would get paid but not the removal. Full thickness closure...
  • S
    ssanc2209 replied to the thread Locum tenen as attending.
    Thank you
  • S
    SharonCollachi replied to the thread Locum tenen as attending.
    The hospital isn't billing for the physician's services; the modifier goes on the physician's services.
  • S
    The order would not be modified. Should it matter (if you have an inventory system or another system where it would matter), the physician can make a note on the administration note that he elected to only use 100 of the 200 units ordered.
  • S
    Thank you Shanamarie! Would the provider need to modify their order? The order reads 200 units. Wouldn't there still be a discrepancy from the order versus what was administered. Appreciate it
  • M
    maramos posted the thread Infusions in Rheumatology.
    For Rheumatology if a provider starts and infusion does he need to be present the whole time of the infusion? Or can a NP step in? I've been looking for guide lines but cant seem to find any.
  • J
    I need some help! The provider scheduled for 56700 partial hymenectomy or revision of hymenal ring. During the procedure the provider discovered that it was not hymenal tissue but vaginal tissue measuring 25 x 3 mm just inferior to the urethral...
  • S
    ssanc2209 replied to the thread Locum tenen as attending.
    If a Locum is covering for our cardiologist and this locum does a procedure in the hospital, does the Q6 modifier go on the UB-04 claim as well?
  • M
    Perfect! Thank you for the response!
  • S
    No, you can’t bill for waste if the vial wasn’t used. Waste is only billed if part of the vial is used and the rest is discarded since it’s a single use vial it can’t be used on another patient. In your situation the unused vial could be used on...
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