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Latest activity
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LIf my provider removes a plate and screws at C6/7, exploration of fusion C6/7, acdf C5/6 with interbody cage and Resonate Globus plate and screw how would you code this?
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jkyles replied to the thread Wiki AWV and telehealth.Hi, the telehealth waivers that allow all Medicare patients to receive telehealth from home are in effect until Dec. 31, 2027. CMS updated its Telehealth FAQ to reflect the latest changes... -
jkyles replied to the thread 0232T only?.Hi, that's correct. I only see the PRP procedure here.
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Ccommitsvs replied to the thread Wiki CPT 95165 Allergy Mixing and units.Please let us know if anyone has submitted claims following the Medicare billing standards outlined below. If yes, kindly share the claim status so we can better understand the outcomes and take appropriate actions based on your expertise. Thank...
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CWould i only bill 0232T for this procedure? or would there be additional codes that i could use? Indications: Right knee pain secondary to degenerative joint disease and various tendinopathy's in the right knee Description: After obtaining 120...
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nielynco replied to the thread Wiki medicare coding.If it is a covered year you bill G0101 for the Medicare portion. If the provider did more than this you would bill the patient (or her secondary insurance) for 99397. -
nielynco replied to the thread Coding dx for suspicion for high-grade squamous intraepithelial lesion.Cytology results involve examining a small sample of cells to identify abnormalities and if this had been a cytology smear result you would certainly report r87.621. But this was a biopsy result which involves analyzing a larger tissue sample to...
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Bbishml2727@gmail.com replied to the thread Wiki administration charges for 2 initials.Yes- drug administration. If the 2 distinct sites are medically necessary- Not to use when IV infiltrates, catheter damage, etc and another IV site has to be established.
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Mmarissaclemmer replied to the thread Question Is 73030/26 billable before and after 23650 or is it included?.If your payor allows, the second X-Ray 73030 would require 77 modifier with the 26 modifier. Assuming your provider is doing this to assess post reduction. However, if it is a Medicare patient or payor that follows NCCI guidelines, Chapter 9...
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Gguidelines: order of modifiers CATEGORIES: 1. PRICING modifiers (eg.,21, 22, 26, 50, 52, 53, 60, 62, 80, 82, P1-P6) 2. PAYMENT Eligible Modifier* (eg. 24, 25, 51, 57, 58, 59, 76, 77, 78, 79, 91) (*presence communicates special situation...
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Rrachaelwilleford replied to the thread Wiki administration charges for 2 initials.Drug admin? When there are two distinct sites usually. Review the introductory guidelines and parentheticals in the CPT manual.
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Rrachaelwilleford reacted to Pam Warren's post in the thread Wiki Doctor indicates "No Charge" E/M visit with
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Any failure to bill for a service that was provided could be considered a violation of the anti-kickback statute, where you are offering a service without financial expectation (or providing financial incentive to choose you as a provider by... -
Kkrenatesmith posted the thread Coding for Assistant Providers in Surgery PA's, NP's in Medical Coding General Discussion.Question concerning coding for assistants: The coders have been asked to start coding for all assistants during surgery even if the CPT does not allow an assistant to be paid for. We have to bill every assistant so they can get RVU credit. Is...
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Kkrriley posted the thread Question CPC for 12 years looking to get out of production coding in Employment General Discussion.I have been a production coder for 12 years. Mainly ancillary, edits/denials, and some surgery. I have found that I am just not enjoying it as much as I once was. I borderline dread working every day. Not to mention how difficult it is to...
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MMetroderm replied to the thread Question 88305.If the hospital already billed 88305 as global, the reading 88305-26 will not be paid. If hospital bills 88305-TC, then your doctor can bill 88305-26.