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Aangelarleta replied to the thread Wiki Incomplete Ablation.I have a similar question. My provider states he performed Programmed stimulation and pacing after IV drug infusion. However per the provider I just put the patient on the table and watched on the monitor for extra heart beats. When I saw...
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Ccsmith90 replied to the thread Wiki Anesthesia for Central Venous Port Removal.Thank you for your help with this! I have been using Optum Encoder Pro. We have noticed some differences between this platform versus Select Coder and it has made me wonder which one has the more accurate information.
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Ccsmith90 reacted to jkyles's post in the thread Wiki Anesthesia for Central Venous Port Removal with
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Hi there, you can't report MAC as moderate sedation. What source are you using for the crosswalk information? The ASA Crosswalk indicates 00400. You will need these books to code anesthesia services: www.asahq.org/shop-asa/mk2026combo -
jkyles replied to the thread Wiki Anesthesia for Central Venous Port Removal.Hi there, you can't report MAC as moderate sedation. What source are you using for the crosswalk information? The ASA Crosswalk indicates 00400. You will need these books to code anesthesia services: www.asahq.org/shop-asa/mk2026combo -
If you held claims for telehealth services that are covered by waivers performed during the shutdown you can submit them. If you received denials for services covered by a waiver, you'll need to resubmit them. More information from CMS here...
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WI have searched high and low for coding guidelines on how to properly diagnosis code EKG’s. In addition, I have searched for guidelines on the date of service. For example, should you report the 93010 on the date the EKG was read or on the date...
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JCritical care involves high-complexity decision making to assess, manipulate, and support vital system functions to treat single or multiple vital organ system failure and prevent further life-threatening deterioration of the patient’s condition...
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Pprimarymedbilling@yahoo.com replied to the thread Wiki BCBS & NDC qualifier.I am having the same problem /w bcbsh of OK denying all my 90658-flu vaccine codes this year (2025) stating I am using an invalid hcpc?? I am just checking posts here in AAPC portal before I take the time to make that difficult call to speak to a...
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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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Ccynthiag14 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...
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Ccynthiag14 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...
