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SI have a provider that is about to start performing new patient consults at tumor board at another drs location. This will be outpatient and not our clinic- at another drs. 1- is this billable? If so, would it be considered "medical team...
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Ccodinggal reacted to amyjph's post in the thread Wiki Shoulder inspace balloon spacer comparable CPT with
Like.
Check the health plan... Examples: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/surgery-shoulder.pdf "Subacromial balloon spacers for the treatment of rotator cuff tears are unproven and not medically... -
Ccodinggal reacted to NRaizman's post in the thread Wiki Shoulder inspace balloon spacer comparable CPT with Like.
Unlisted, and you'd need preauthorization for even a prayer of getting paid. You've already billed 29823 and 29827 for the subscap. I doulbt adding 29999 will do anything except lengthen your revenue cycle. N.
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CFYI if anyone is having the same issue.. I was never able to find formal info on this but I have been billing as 64772 x2 units w/64772-XU x2 units to all payers. On the original submission insurances are either paying only the first 2 units or...
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LLinnyheepo replied to the thread Wiki Botox muscle question.We would need more information-what was the Dx? Was this for chronic migraine?
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AAshleyAlbright replied to the thread Wiki 8 MINUTE RULE FOR PHYSICAL THERAPY BILLING.I am trying to create a spreadsheet for our physicians on which insurances follow 8 minute vs ama guidelines. I am getting conflicting results from the 2025 updates on UHC commercial and Cigna commercial. I currently have that UHC follows the 8...
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JEvery injection or decision for injection is not a level 4 just because they decided on an injection. If coding by MDM they have to have 2/3 elements, not just 1/3. Even if they had documented minor procedure with risk specific to the patient (OA...