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Kkkindle1807 reacted to marissaclemmer's post in the thread Wiki Major Joint Injection Billing with
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If you do an injection you need to bill for it, you can't just lump it all into an EM code. It's also highly unlikely you would be reimbursed for the J code without the injection code also. If your documentation supports a separately... -
KAgree with Marissa above, to be sure. This is a loaded issue, as many payors, starting with CMS, have tried for years to argue that there is enough overlap in work between the E&M associated with the visit and the work of the injection that they...
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CI am struggling with this procedure. The surgeon states 28730 x 3. But i think it would be 28740 to cover all three rays that were fused. or possibly 28740 with 28297? A dorsal incision was made over the 1st and second incision over third...
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OOrthocoderpgu 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.
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HPatient 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...
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CCHASITYWATSON posted the thread Wiki REPAIR OF LEFT QUADRICEPS TENDON in Medical Coding General Discussion.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...
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JJessicaSlone replied to the thread Wiki Impella Device Cpt Code.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?
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LGood 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...
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OI located this via Availity under Payer Spaces- Aetna - type in add on codes in search and you will see the policy - Hope that helps
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Ssparkles1077 replied to the thread Wiki Corticotomy.I have the same question but it is tibia and fibula. Anyone?
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AProvider 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...
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schamerloh@allcareeye.com replied to the thread Wiki 92072 Adjustments.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... -
AMy 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...
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TIt 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...
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Ttjskjr@yahoo.com posted the thread Wiki Practicode for Billing? in Medical Coding General Discussion.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