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Ssroyal1031 replied to the thread Wiki Incident - to billing.Thank you for your response. So the rules didn’t change for an APP to include virtual supervision for incident-to? The supervising MD still need to be within the office of an APP?
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Rrmyohn posted the thread Wiki Modifier 25 usage for Professional Charges within the Emergency Department in Modifiers.Having some issues in regards to when to use and not to use Modifier 25 on the professional charges within the Emergency Department. Currently, if the provider does anything over and above a physical exam (i.e, reading of EKG completed by another...
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BBiller2023 replied to the thread Wiki Telehealth update.Hi - I believe Medicare has updated this article. https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00027460 From what I understand from the article, Medicare will cover telehealth services moving forward even if...
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Aate.mcgriff@gmail.com posted the thread Wiki Seeking Remote CPC‑A Opportunity in Employment General Discussion.Hello AAPC community, I’m currently seeking a remote CPC‑A position and am open to opportunities that allow me to work from anywhere. I’m eager to apply my training, gain hands‑on experience, and contribute to a team that values accuracy and...
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TIt really depends on the documentation. However, even though there is no "Excludes" specifically for F39, it does exclude Major Depression. Generally, I would not code them together unless the provider documents them as separate conditions.
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TTThivierge replied to the thread Wiki Modifiers.Tlindo I would not send beh health session on same day to payer unless for differ dx problems. If you do one of MH visits will probably get rejected if for same dx. The modifier XE is ok but ensure the dx codes are different. Why would payer pay...
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Ssnorman3 replied to the thread Wiki 76937 & 75710 with New LE Revascularization Codes.75710 is billable if diagnostic. I'm wondering the same about 76937, we are receiving denials and our coding software doesn't show any of the new revasc codes as being a primary procedure code for 76937. Also, caths are not billable.
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MI am in Massachusetts and we are starting to see denials for especially group therapy via telehealth. There is a Massachusetts law that requires payers to pay for telehealth services if the same service is covered when done in person. Is anyone...
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Ttlindo1 replied to the thread Wiki Venous ulcer coding.
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Ttlindo1 replied to the thread Wiki G-tube pulled out by patient.K94.23 would be the correct ICD-10 code
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TTanya058 replied to the thread Wiki OP MENTAL HEALTH SETTING IN DELAWARE.Also in an OP mental health setting in Delaware when is it acceptable for a provider to see a client and then the claim is submitted under another providers NPI.
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TTanya058 posted the thread Wiki OP MENTAL HEALTH SETTING IN DELAWARE in Medical Coding General Discussion.Which codes if any are used in an OP mental health setting coding that we can use from different dates of services. If I'm not reading any diagnoses in this current encounter for a particular day of encounter when and where does it states I can...
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Rrableashlyn14@gmail.com posted the thread Wiki ENT Coding Issue in Medical Coding General Discussion.Hello, I work for an ASC and code for the facility side, I currently have a claim that has been denied over and over again, it is an Anthem claim. I keep getting a B15 denial (and they are asking for a qualifying procedure to be utilized), here...
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Ttlindo1 reacted to sls314's post in the thread Wiki Can a CPC assign and/or correct CPT/ICD-10 codes? with
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Yes, as coders we are trained to code based on the documentation, and that's how I do my job. Do some employers impose what I consider to be unreasonable restrictions on that? Unfortunately, yes. I don’t understand why a practice would... -
Ttlindo1 replied to the thread Question Bipolar and Mood Disorder.It really depends on the documentation. However, even though there is no "Excludes" specifically for F39, it does exclude Major Depression. Generally, I would not code them together unless the provider documents them as separate conditions.