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Latest activity
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CI'm not sure what CPT to use for the I&D of the pelvic abscess. Am I going to have to use an unlisted code? Procedures Date: 12/10/2025 - 12/15/2025 Date of Service: 12/15/2025 Pre-op Diagnosis: . Status post hysterectomy 7 cm pelvic abscess...
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AAmiraAbdellatif posted the thread Wiki codes from 49560 till 49566 in Medical Coding General Discussion.codes from 49560 till 49566 deleted or with us for 2025 updates? also are those the codes where we report mesh use with them??
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Nntmenendez@hotmail.com replied to the thread Wiki Coding/billing 99214 and 99406 on the same day...HELP!.Hi, curious if this was resolved and if so how?
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TTThivierge reacted to EditaPetrosyan's post in the thread Wiki Using Modifier 25 for Toradol Injection with
Like.
Modifier -25 isn’t based on whether the injection was planned ahead of time. It’s used when the provider performs a significant, separate E/M service beyond what’s normally required to give the injection. If the provider evaluated the patient... -
KMelalui nomor telepon +62 878 1217 7713 · Melalui Aplikasi Shopee pada Tab Saya, pilih Menu Customer Service atau melalui Menu Pusat Bantuan, pilih Telepon
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TTThivierge replied to the thread Wiki mental health counseling service.Hi Akj LMH or LCSW can use CPT 90785 interactive psych therapy which can be billed with 90832-90835 and 90792 and 90791. However this interactive can be walking . Check out pages 757 in the 2024 yr. CPT manual. LMH or LCSW or psychiatrist MD can...
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TTThivierge replied to the thread Wiki Wharton's Jelly -HCPCS Code Q4246.MArk Here are the diagnosis in which Whartons Jelly can be used.... see below. I hope this data helps you Joint & Bone Issues: Tendon & Ligament Injuries: Soft Tissue Damage: Osteoarthritis Treats osteoarthritis, rheumatoid arthritis...
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TTThivierge replied to the thread Wiki CPT code 89399.Hi Allyson Why not use CPT 88305 and link the proper dx code to it. 89399 is unlisted and not in CPT manual CPT code 89399 was an "unlisted" or "not otherwise classified" code for reproductive medicine laboratory procedures, but it's now a...
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AIf psychotherapist meets patient at McDonalds for a face to face session, what CPT is used? What location is used? Also, for a walk and talk session that starts and ends at office, is it pos 11?
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TTThivierge replied to the thread Wiki 99238 required documentation.Hannah There are discharges services for inpatient status, nursing facilities and newborn babies...usually providers need to see each patient face to face to bill a certain CPT code. Now each medical documentation should have separate paragraph...
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AWe have a provider who does telehealth for our neurology group. He is wanting to bill G0427, but documents 45 minutes. I know this code is normally 70 minutes, but can this code also be billed by Medical Decision Making? Has documented - MDM...
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TTThivierge replied to the thread Wiki CAH and E/M.Hello Sabrina I d bill both these scenarios as observation NOT EM codes. If pt moved to inpt. status bill these codes. Ensure the dx code is showing acute or exacerbation hopefully from provider notations. Also per the CPT manual pg 18 -19...
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TTThivierge reacted to Pam Warren's post in the thread Wiki Is this Fraud? What should I do? with Like.
Hoo boy. You are in a tough spot. However, yes, keeping patient refunds is a problem, whether it's Medicare or a commercial payer. Here's a great article with some good citations...
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TTThivierge replied to the thread Wiki E/M Clarity Question.Yes you can per description of annual exams (99391-99396 per age) can add CPT 99202-99215 with modifier 25......however documentation must show getting annual physical all data chronic or new problem should be addressed. I d add modifier 25 if...
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Pam Warren replied to the thread Wiki Is this Fraud? What should I do?.Hoo boy. You are in a tough spot. However, yes, keeping patient refunds is a problem, whether it's Medicare or a commercial payer. Here's a great article with some good citations...
