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  • M
    That was my thought but wanted to confirm, Thank you for your help!
  • nielynco
    All delivery codes include the admission H&P. If there is a medical reason to round on her after admission and at least 24 hours before delivery you can bill that visit. The visit on the date of delivery will always be included as well.
  • nielynco
    nielynco replied to the thread Wiki Breif Ultrasound.
    Up to you. CPT does not update their vignettes once the service is granted a code unless they modify the code, and the RVUs assigned to the code are based on the work described in the vignette.
  • nielynco
    nielynco replied to the thread Wiki Aetna and antepartum care.
    You can complain on this practice both to ACOG and your State's Department of Insurance on behalf of the patient. That frequently gets results (or has in the past), but given today's climate, who knows.
  • nielynco
    nielynco replied to the thread Wiki lapro myomectomy.
    You are correct, the robotic surgery was aborted, but the surgery was done laparoscopically. That is what you code. A modifier -53 is used when the whole procedure stops and the patient is removed from all surgery, not a conversion process. In...
  • J
    Hello, I am in an ASC as well. We are having difficulty getting paid with Aetna for the 65756 with V2785. Does anyone know what we should be billing for the endothelial tissue that is being implanted? and can we bill separately for it? Thanks!
  • jkyles
    I wonder if it is a difference in subscription levels? I pulled that crosswalk code from a SelectCoder subscription level that includes the ASA's crosswalk information, which is the only official crosswalk source. (Full disclosure, I work for the...
  • A
    angelarleta 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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  • C
    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.
  • C
    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
    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
    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...
  • W
    I 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...
  • J
    JDACPC posted the thread Wiki Critical Care in E/M.
    Critical 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...
  • P
    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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