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NNRaizman replied to the thread Wiki Hardware Removal Inclusive denial to Tenolysis.That is utterly ridiculous. Tenolysis is in no way incidental to the hardware removal here. They are separate procedures and should be resubmitted with -59 and extensive documentation. I would absolutely fight this tooth and nail. N.
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Hello, I'm hoping for some insight on what codes people are using for intraarticular scar excision? I've always been told to use the complex repair codes but that doesn't make sense to me if the excision is from INSIDE the joint but I've... -
Sshanno-77@hotmail.com replied to the thread Reimbursement included in another code.We are getting alot of denials from Nebraska Total Care with Cpt code 99381 we are using the NU modifier "no referral given" and EP modifier signifies services related to Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) for...
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Nnishaganesh reacted to barnali.gogoi@aapc.com's post in the thread Wiki FORUM GUIDELINES: Please read before posting! with
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Do not cross-post in multiple areas of the forum. Stay on topic with each thread. Limit your posts to one per topic. Moderators may move your thread to a more suitable category. Commercial content is not allowed (no spamming, advertising, or job... -
KKorbc replied to the thread Wiki Coding for pessary.ahhh okay that's what was throwing me off thank you! i was thinking that they were including the typical patient info in with the entire portion of what would be included, thank you so much!
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NHey there, I have a billing question regarding one of our Medicare Advantage PPO patient through Anthem. We billed G0444 along with an office visit and this cpt was denied with CO119 : Benefit maximum for this time period or occurrence has been...
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VHello! I'm a new coder (been working about 2.5 months), so please be patient in your replies, and dumb it down if you can, as I'm still learning all the lingo and verbiage of coding! I work for neurology, and we frequently end up giving Toradol...
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VOne of the ways I think about separately identifiable (and reportable) E/Ms is whether the treating provider was surprised. If the treating provider can reasonably say "I had no idea the patient would need X procedure when I walked in the exam...
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SHi, Can anybody please help me with the email ID to contact CMS regarding queries related to SNF CB related updated published on CMS website?
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MHelloo!!! I would like to know if this is the correct way to code this procedure. IUD Insertion Procedure Note (UEHRC) Type of IUD:Kyleena With the patient in the dorsal lithotomy position, bimanual exam prior to insertion showed that the...
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KI am looking for clarification on how to code this screening colonoscopy scenario correctly. The patient came in for a high risk screening (history of polyps) c-scope with no symptoms. During the procedure, no polyps were found, however, a skin...
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KOur practice is currently reviewing the "Single Anastomosis Duodenal-Ileal Bypass" procedure. Per my research, I do not see a listed CPT as of 2025. We are also trying to find a good comparison. Any suggestions? Thank you!
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Ddsibley67 replied to the thread Wiki Help please.Thank you so much for your help!
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DThe tenodesis cancels out the biceps tenotomy and labral debridement. The synovitis -could- be counted separately, and I would argue that 29823 is supported here, as it was not debrided solely for visualization. The synovitis in the axilla is...
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Pam Warren replied to the thread Wiki 87631-Dx Codes.You're going to want to report the reason that the physician ordered the test. Are there symptoms that warranted the test? Is this test to confirm a specific influenza? Is it for a screening (no symptoms, which is unlikely)?