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I'd try framing the conversation with the LCSW as that the additional diagnosis isn't indicating that they are treating the physiological condition. Rather, it is painting the full picture. They're treating "Anxiety due to {condition}." If... -
alvesey replied to the thread Wiki 90792 Frequency Exceeded.If it is less the 6 months from the last 90792and the patient has Medicare or a Medicare MA plan, it should be submitted as a corrected claim for the appropriate level of service of an IP visit. If it has been at least 6 months but not over a...
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NNagesh34064 replied to the thread Wiki Bilateral ICD with 20611(RT).CC- Pt with right knee pain & effusion Procedure-US guided right knee Aspiration Assessment-Bl Knee Osteoarthritis ( M17.0 ) 20611--RT--M17.0 this way is super correct.
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DUlcerative Colitis is a lifelong disease (thought to be autoimmune) and not curable. Remission would be coded as the type of ulcerative colitis without complications, you would only code history of when the patient had a full colectomy. UC can be...
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Ddanachock replied to the thread Wiki Nail bx icd-10 question.Hello LeticiaS, The pathology report provides no indication here unless you have access to other information from the patient's medical record elsewhere within their health record. My very first cardinal rule of pathology coding is just because...
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MAs a practicing orthopaedic surgeon, billing a level 5 for that would be completely inappropriate unless somehow based on time. If you're billing a 5, it's because you're sending the patient to the hospital for a life or limb-threatening...
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Mmhink693 replied to the thread E/M coding-99214 vs 99215.I agree it isn’t ALWAYS black and white, but if the patient is a normally healthy patient coming in for knee osteoarthritis with planned total knee I just don’t think that can get to a 99215 unless the patient does have other issues. Thank you...
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nielynco replied to the thread Wiki AAPC RVU calculator question.Yes, these newer RVUs were effective 1/01/26. But just as a general comment (as I review RVUs for a client each year), almost every physician work RVU has been decreased this year, but it was offset by an slight to substantial increase in the... -
Ccfostercpc replied to the thread Wiki Ulcerative Colitis.Thank you, sometimes you just need someone else to confirm to make sure nothing has changed.:)
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The calculator is correct for 2026: 57425 has 16.60 work RVU for one unit. 58571 has 14.63 work RVU for one unit. It looks like your book was based on the 4th quarter 2025 file (RVU25D). This is reasonable, because the 1st quarter 2026 file...
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nielynco replied to the thread Wiki C-section after epidural stopped 12+ horus.Have you posted this question on the anesthesia forum? If not, I think you will get a much more accurate answer from anesthesia coders, rather than ob/gyn coders who normally do not bill for anesthesia.
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Mmskitaly09 replied to the thread Wiki Should this be coded a 99213 or 99214 based on documentation?.I was told at Healthcons/Auditcons previously with a minor historian the provider must document "mother states, father states, grandmother states, mom reports, etc"....we can't just go off based on the age of the patient to count it towards the...
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Ddesireewhite185@yahoo.com replied to the thread Wiki AAPC RVU calculator question.Is this as of 1/1/2026? TY!
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Ddesireewhite185@yahoo.com reacted to sls314's post in the thread Wiki AAPC RVU calculator question with
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The calculator is correct for 2026: 57425 has 16.60 work RVU for one unit. 58571 has 14.63 work RVU for one unit. It looks like your book was based on the 4th quarter 2025 file (RVU25D). This is reasonable, because the 1st quarter 2026 file... -
Mmskitaly09 reacted to amyjph's post in the thread Wiki Should this be coded a 99213 or 99214 based on documentation? with Like.
I was commenting specifically on your question about the COPA. However, this is Low/Mod/Mod so your provider is correct in choosing a 4. You are missing the independent historian credit (Mom since I am assuming this is a minor child). Acute...