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  • O
    Orthocoderpgu replied to the thread Wiki Bone Marrow aspirate.
    Code 20900 is used for obtaining cortical bone. Bone marrow is not the same as cortical bone. The provider has chosen the incorrect code.
  • H
    Patient previously underwent an LRTI, so provider indicated that revision of LRTI was performed. Provider wants to bill 25448. I am wondering if this should just be billed as a tendon transfer since removal of the trapezoid/trapezium was already...
  • C
    I’m reviewing an operative report that was dictated as a “Revision repair of left quadriceps tendon,” but the documentation doesn’t actually describe a quadriceps tendon rupture or a true quadriceps tendon repair. I queried the surgeon for...
  • J
    Hey, I know it's been about Eight(!) years but we have a provider that is replacing the Impellas. Does that need to be codes as if it's a new device or is there now a replacement code?
  • L
    Good Morning, When I worked at my 3rd party billing company the company policy per the compliance department was that once we found a refund do a letter went out to the insurance to notify them of the overpayment and they had a certain about of...
  • O
    omkarrakmo reacted to smihm's post in the thread Wiki AETNA and G2211 with Like Like.
    I located this via Availity under Payer Spaces- Aetna - type in add on codes in search and you will see the policy - Hope that helps
  • S
    sparkles1077 replied to the thread Wiki Corticotomy.
    I have the same question but it is tibia and fibula. Anyone?
  • A
    Ashok2022 reacted to Jess1125's post in the thread Wiki Are these codes correct? with Like Like.
    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
    Additionally, with respect to routine contact lens examinations (92310), I would like clarification regarding billing procedures for the second and third contact lens fitting follow‑up visits. Is it appropriate to bill code 92012 for these...
  • A
    My provider is doing an open reduction and internal fixation of right navicular stress fracture with iliac crest bone marrow aspirate. The provider chose CPT code 20900, which I feel is incorrect. My research is steering me towards unlisted...
  • T
    tucker3450 reacted to Pam Warren's post in the thread Wiki Non-covered lab charges with Like Like.
    It depends on the payer, but CMS and the commercial payers all have coverage policies. I know they're 'so much to look through', but that's the business of medicine. Overall, though, we should be coding based on the physician's order, and...
  • T
    I am currently working through the Practicode for Coding and finding it very useful for improving my coding skills. Is there a Practicode, or something similar, for Billing? tia
  • A
    andreahassenstab reacted to nielynco's post in the thread 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
    nielynco replied to the thread lapro corneal ectopic preg.
    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 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...
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