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  • D
    dosobill reacted to jkyles's post in the thread Wiki HHHHHEEELLLPPPPP INCIDENT TO BILLING FOR PHYSICAL THERAPY with Like Like.
    Hi, this question comes up from time to time and while Medicare doesn't expressly forbid doing this, it isn't necessary and can create compliance problems for the entire practice. You can retroactively bill for the new provider's services...
  • M
    mcneilcortney@yahoo.com posted the thread Wiki Microlaryngoscopy with laser neuromyectomy in ENT/Otolaryngology.
    The micromanipulator CO2 laser was used to excise a small portion of the false vocal fold on the right to improve visualization. A laser incision just lateral to the true vocal fold and the micro suction was used to dissect the thyroarytenoid...
  • N
    NRaizman replied to the thread Wiki CPT 26210.
    26210 can be used for malignancy, but implies an intrafocal or marginal excision. Typically you don't take out malignancies with a marginal excision, you do a radical excision, for which there is a separate code. If you don't do a radical...
  • N
    NRaizman replied to the thread Wiki Minimally Invasive Osteotomy.
    Code the appropriate osteotomy code. Mini-open, minimally invasive are still the same as regular open.
  • N
    NRaizman replied to the thread Wiki Percutaneous Tenotomy.
    Yes. Unlisted, and could compare to any other percutaneous tenotomy code (achilles, lateral elbow, for example)
  • N
    NRaizman replied to the thread Wiki Nurse Case Manager visits.
    I have never seen anyone bill separetly for these. I guess you could count it as an independent historian for E&M purposes if you wanted. If you're getting paid for 99499, it's reasonable.
  • A
    ambergremington@gmail.com posted the thread Wiki 59 modifier on 96110 in Modifiers.
    We are seeing denials from Cox Health Plans for 96110 billed with a 59 modifier. For example, 99392, mod 25 90460 90633 96110 mod 59 The M-CHAT/autism evaluation questionnaire is only done at WCC visits at 18 and 24 months, so should be...
  • D
    drummrgirl108 replied to the thread Wiki Double Dipping?.
    Thank you!
  • S
    steph17alv@gmail.com posted the thread Wiki Passed the CPC exam, next step? in Employment General Discussion.
    Hello there! I just passed my CPC exam, and now I am thinking okay what is the next step? I've been doing some research and now have some questions. What is the best way to remove the 'A', if I am unable to get a job that requires a couple of...
  • E
    EricRmi replied to the thread Wiki About Telehealth.
    Thank you so much for both of your answers. I truly appreciate it! Requesting for thread closure if that is needed.
  • E
    EricRmi reacted to sls314's post in the thread Wiki About Telehealth with Like Like.
    CPT 98006 is synchronous audio-video. However, what you've shared does not specify that it is synchronous audio-video. The provider needs to be specific. Was it audio-video? Was it audio-only? "Telehealth" isn't specific enough about what kind...
  • E
    EricRmi reacted to jkyles's post in the thread Wiki About Telehealth with Like Like.
    Hi, The documentation for an E/M telemedicine visit still has to hit the requirements for an E/M visit. You'll need to check the specific payer for guidance. But in general the doctor needs to indicate what they did to justify payment. There...
  • jkyles
    jkyles replied to the thread Wiki Double Dipping?.
    It depends on the type of test. Double-dipping doesn't apply when the test doesn't require interpretation. This is in the Services Reported Separately section of the E/M chapter of your CPT manual.
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    drummrgirl108 posted the thread Wiki Double Dipping? in Medical Coding General Discussion.
    Hi, I need some clarification on what constitutes as Double Dipping. Specifically, I am working in the PEDS dept and come across a ton of charges where the patient comes in with viral URI + general symptoms where the physician orders strep/COVID...
  • nielynco
    nielynco replied to the thread Wiki new 2027 ob guidelines.
    The payer will probably give you instructions when the time comes on how they want this handled. The AMA and ACOG will probably also step in with advice. You can't prepare until you see the official guidelines and I know that ACOG for sure will...
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