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Latest activity

  • A
    andreahassenstab reacted to nielynco's post in the thread Wiki Billing a Growth Scan with Like Like.
    78616 is reported when the provider is re-evaluating fetal size, interval growth, or abnormalities they found on a prior ultrasound. 76815 is is limited to a focused quick look assessment of one or more of the key elements: fetal position, fetal...
  • nielynco
    Here is the intraservice work description for code 59150 reported when the code was added to CPT: The manipulator is applied, with possible dilatation of the cervical canal. Skin incisions are made. A pneumoperitoneum is created. Trocars and...
  • nielynco
    nielynco replied to the thread Wiki Billing a Growth Scan.
    78616 is reported when the provider is re-evaluating fetal size, interval growth, or abnormalities they found on a prior ultrasound. 76815 is is limited to a focused quick look assessment of one or more of the key elements: fetal position, fetal...
  • C
    Our provider ordered 180mg's of Lanreotide for a Medicare patient which has a MUE of 120. Has anyone had experience with billing over the MUE limit for this drug, are you submitting the claim and then appealing the denial?
  • Pam Warren
    No. The discussion of the standard risks and benefits are part of informed consent for any procedure performed. The provider would need to separately document the patient-specific risks; i.e. anticoagulation therapy, diabetes, for example in...
  • Pam Warren
    Pam Warren replied to the thread Wiki new pt vs est pt.
    No, once they've joined the practice and see an already established patient, they are established to a new provider. There is nice decision tree on page 6 of the AMA CPT for 2026. It's very helpful.
  • B
    I am curious on this also. We are a pain management practice & we have always billed 72040, 72100, & 72070 with no problems. This year, Aetna is adding 72084 to my claims & denying the x-rays I billed as bundled together even though I never...
  • S
    When you have Diabetes associated with Mixed Hyperlipidemia I know you code E11.69 but for the mixed hyperlipidemia do you code E78.2 or E78.49?
  • P
    I am in same boat too. Got my certificate on Dec and started looking for job any tips and tricks will help to land a foot in healthcare industry.
  • P
    Hello, I am also on CPC-A. I am not sure about the EMR/EHR training, but I can share insight, possibly on finding employment. At my workplace, many of us had no healthcare experience. We have 20 people working in billing and coding. Many started...
  • P
    You're absolutely correct, finding a coding job is challenging fo new coders. I suggest you try to find a job in a related area of the revenue cycle and not expect to find a coding job. Look for a position in charge posting, medical records...
  • J
    Provider billed codes 32505/32310 for this procedure. I was looking at code 32141 and wondering if that was a better choice or did he choose correctly? OPERATIVE FINDINGS: Multiple adhesions, most of the bullae were in the apical and anterior...
  • schamerloh@allcareeye.com
    Question: if an Initial 92072 fit has been initiated, and the first lens needs to be adjusted for BC or power, is that considered a new fitting or still part of the initial fit?🆘
  • O
    I'm not going to address the specifics of this because there is a general concept that I think needs to be understood. If you replace a patient's knee (27447) you are going to perform an arthrotomy of the knee capsule, remove the meniscus...
  • K
    Korbc reacted to preserene's post in the thread Wiki Biopsy of vaginal cuff with Like Like.
    The remaining vagina after hysterectomy is generally called as cuff of vagina; it is nothing but the remaining vaginal tissues. The cpt code 57100 or 57105 would appropriate (simple or extensive) for the biopsy of the vaginal cuff. hope this helps.
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