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Yes, but I would speak to the provider about updating the documentation so modifier -22 can be billed. Keep in mind that it may or may not be paid. But right now there is no way it could be.
I am reviewing a labor and deliver summary that one of our providers signed; a resident delivered the baby, it is noted that our provider (DO) was present for the entire delivery as the attending. I am finding differing info about billing - some...
I've been getting in trouble for coding laterality incorrectly am I right with the below surgical note that I have coded as:
26440-F5
26440-F8,59
26440-F9, 59
With DX Codes M67.144, M64.841, S66.194D(A?), S66.196D(A?), S66.091D9A?)
I began at...
The surgeon performed right L4–5 and L3–4 hemilaminectomies, medial facetectomies, foraminotomies, and far lateral microdiscectomies using microsurgical dissection techniques.
The patient had a right-sided L4–5 foraminal/far lateral disc...
DRG stands for Diagnosis-Related Group.
If you’re coding inpatient physician E/M services, you are not using DRGs. DRGs apply to facility reimbursement for inpatient hospital stays, not to physician professional billing.
For simplicity, I’m...
Just a heads up for everyone. ACOG published this on their website and it indicates that coding for pregnancy care may change in 2027.
https://www.acog.org/practice-management/coding/coding-library/payment-for-obstetric-services
In tandem with...
Hello, everyone! I too am a newly CPC. Looking to get a start in the healthcare industry. Please let me know if any one has any helpful suggestions.
Thank you!
Hello! I am looking to see if any one has experience with billing reimbursement for commercial insurance on this topic? I have all the coding and dx used just wanted to get a little more insight. As we are switching processes. Thank you in advance!
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...
Online versions of CPT often have missing information. I strongly encourage everyone to purchase (or have your practice purchase) the current year CPT book, every year.
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A bit of my background for starters. I've been doing inpatient E/M coding for 7+ years now for specialties like hospital medicine, ICU, pain mgmt, palliative, psych/SUD. In all my years I have never heard any of my co-workers or superiors...