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Latest activity
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jkyles replied to the thread Wiki Can 99395 be billed if it was done via telehealth?.Hi there, no it can't unless you have a payer that allows it. Make sure your providers have the code lists of audio/video and audio-only codes in the CPT manual and the CMS list if you're performing telehealth for Medicare patients. -
DI need help verifying that I haven't missed anything. I have read this op note several times. I am thinking the code should be 28086, straight synovectomy. Originally, I had 27658, 28086, & 28261. After reading the description of the codes and...
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AAGSCodify9 replied to the thread Wiki multiple units for 92507??.The individual frequency of 4 time(s) per 99 Day(s) for procedure code 92507 has been exceeded by 16. The following claim(s) and associated claim line(s) contributed to frequency:
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SHello, I work for an Oral Surgery department. My provider frequently performs 21243 (Arthroplasty, temporomandibular joint, with prosthetic joint replacement), however for this case he also performed a bilateral coronoidectomy (21070). The AAPC...
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AI keep getting denials from Medicare for 93298 and 93297 when the patient also sees provider same DOS. On a separate claim 99214-25 and 93010 are billed. My claim is showing denial for 93298 or 93297 with this as the reason: This procedure or...
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EWith the current political climate and social media disinformation, we have had an increase in vaccine hesitancy within our patient population which has created more alternate/delayed vaccine schedules. Patients on a delayed schedule are asked...
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BIf a patient is seen in the ER by one of our providers but is then admitted, am I billing an ER code or an initial inpatient code? For reference, the patient was ER from 12/15/25 1:30 to 12/15/25 12:26 and was then inpatient from 12/15/25 4:46 to...
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Ppconger01 posted the thread Wiki CPT CODE for EXCISION of PSEUDOANEURYSM/VENOUS MASS in Medical Coding General Discussion.Good day. Wondering if someone out here can lead me to the correct code on a procedure? Excision left groin varix Details are as listed, a 5 × 2.6 × 2 cm left groin soft tissue mass consistent with a large varix supplied by multiple...
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KDoes Care Plan 99483 qualify as an initiating visit for PIN G0023 or does it need to be an E/M 99213-99215 visit?
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PWe have been asked to do some radiology coding and invoice "for each chart coded" rather than an hourly rate. The majority of the codes are 70450, 70551 & 70553. The charts come over sort of "pre-coded" in the Optum CAC Professional Coding...
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FFITLU01 posted the thread Wiki Denials for 9083x / 9613x Services on PHP/IOP Days in Medical Coding General Discussion.HELP! I am looking for peer insight on a behavioral health billing issue we are encountering. We are receiving denials when outpatient services (e.g., 90832–90838, 90839 for crisis, and psychological testing 96132–96133, 96136–96137) are billed...
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JCurrently reviewing the changes upcoming with bifurcation PCI 92930 and CTO Will these codes be billable with any primary PCI code ex: 92928 92933 ? Where can we gather better information. Medicare doesn't currently show anything for these codes
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LLisaAlonso23 replied to the thread Wiki CPT for Ganglion Impar Nerve Block.It's still coded using the unlisted code. 64999.
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Mmeli990618@gmail.com replied to the thread Wiki IUD failed.Yes, my coworker sent the claim and then a corrected one, and she is trying to use that case as reference w/ a similar situation now but still wondering if it is correct to bill it that way. Thank you so much!!! I always appreciate your quick...
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DI'm just curious as to why cpt 70015 "Cisternography, positive contrast, radiological supervision and interpretation" would need a modifier 26 or a modifier TC when the code description states "supervision and interpretation". Looking at cpt...