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Latest activity
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KI wish I had a better answer. Dental diseases are not generally covered by medical insurance companies. There's nothing that says your provider cannot see a patient for mouth/tooth pain, but it's likely not going to be covered, since your...
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KKNelson56345 replied to the thread PCP trying to code tooth pain, abscesses, and rotten teeth.I also run into this. In our practice. If anyone has links to provider education on this topic please share. Thanks!
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Rrachaelwilleford replied to the thread G0498, 96416 for Medicare.MLN Matters - SE1609 April 2017 OPPS Update CR9749 details out the descriptor. If you notice, the code includes the follow up and the pump, which 96416 does not. WPS LCD 37205 - Current, references 9749. There's also an older Medicare...
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Bbrucep replied to the thread Injection into palate or snoreplasty cpt code.Per CPT Assistant, December 2004; Volume 14: Issue 12, "no specific CPT code accurately describes an injection snoreplasty; therefore, code 42299, Unlisted procedure, palate, uvula, should be reported." As this is an unlisted code, the article...
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KI am having trouble figuring out how many units should be billed. Can anyone help with this? This totaled 0.8 cc of dexamethasone, 20mg/ml. The patient was positioned upright in the clinic chair. The nose was prepared for laryngoscopy with 4%...
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Ddebbyallen replied to the thread New codes 92945 and 92930 PCI bifurcation.Did you ever get the information you asked for?
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Kkelly176 replied to the thread G0296 Humana Primary Dx Z87.891.I can tell you exactly what Humana wants because I had the same issue. I got in touch with Humana. They will not accept Z87.891 as a primary dx even though the patient no longer smokes. So, add Z12.2 as primary and the Z87.891 secondary for...
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Jjsz123 replied to the thread Critical Access Hospital claims billed with Method II.Our MAC is Novitas and we are finding that they want the 25 modifier included on the profee e/m also. Even when there is a 57 modifier already attached to the profee e/m.
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Ddeeva456 replied to the thread IVL of iliac for access during PCI -.access to the common iliac or femoral artery is inlcuded in the revascularization codes. bill 37262 with an angioplasty code
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JJmcostello3@gmail.com posted the thread Having trouble finding a job for a new CPC-A in Employment General Discussion.Hello. My name is Jack Costello. A few months ago I earned my certification in medical billing and coding. I thought it would be a great opportunity for me. Unfortunately at this time all I have been met with has been silence. There was something...
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EEthanzoe replied to the thread CPT 14040 OR CPT 14350.Thank you for your response. I greatly appreciate it!
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EEthanzoe replied to the thread CPT 14040 OR CPT 14350.Thank you for your response. I greatly appreciate it!
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Cckeeney replied to the thread Mental Status Exam-Where Does It Belong?.At the behavioral health facility where I work, we consider it part of the E&M based on the '97 specialty E&M guidelines for psychiatry. I have never seen any reference in the new E&M guidelines that this is not an acceptable part of the E&M...
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michelle@oandpinsight.com replied to the thread CPCO Exam.You aren't allowed to provide your own resources, just you and your brain. The instructions for the exam indicated that some resources will be provided as part of the exam (PDFs available for certain questions), but I didn't find them to be...
