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Latest activity

  • R
    Hi, I am not an expert. I file E/M with 99497/8 without modifier. Per Encoder 'These codes may be reported separately when performed on the same day as another E/M service. Use 99498 in addition to 99497. These codes may be reported in addition...
  • I
    My provider done Percutaneous Ultrasonic Tenotomy of Achilles Tendon and I report 27605 & 76942 for this, and can you please suggest me should I report 27685 for lengthening of Achilles Tendon? as he also done it.
  • N
    This could be coded as I&D of postop wound (10180 vs 10140) or foreign body (10121) with an unplanned return to OR modifier during the global (+78). I would think that any foreign body deep in a spinal wound constitutes "complex" and also think...
  • N
    It's a valid question, but it's also the difference between 23473 and 23474, so if you're revising a single component, the work is the exact same, the surgical approach is the exact same, there is no reduction in work whatsoever in 23473 if...
  • J
    jhanmer83 replied to the thread Who has taken the CEMC?.
    Have you studied the MDM table? The more you memorize from the table, the quicker you'll be at pulling out the elements and levels. Just break it down by the elements (problem, data, risk) and don't forget to consider time as well. Code to the...
  • M
    Hello! I took my CPC exam in December 2025 and I passed. Since then, I have been looking for a role and an opportunity in medical coding. I am a physician from Cuba, and I am currently pursuing my Master's degree in Nursing. I am looking for a...
  • N
    ny2scgirl posted the thread Who has taken the CEMC? in E/M.
    Can someone who has taken the CEMC give me some pointers please. I barely passed the practice exam and would like advice before I sit for my exam. Thank you for any help!!
  • J
    jhanmer83 posted the thread Anthem Pregnancy Denials in OB/GYN.
    I work for an OB/Gyn practice in Alabama. We had a patient that we saw for her entire pregnancy. She had 18 prenatal visits (high risk complications), delivery, and 2 postpartum visits. We noticed that all of her prenatal testing was being denied...
  • J
    jhanmer83 replied to the thread Query Process.
    There have been a few different policies at the 2 hospitals I've worked at, but they're pretty consistent in how they do things. We would send the initial query and give the provider a week to respond. If no response, we would send a follow-up...
  • J
    I have a compliance question regarding ultrasound documentation and where the interpretations get documented. Currently at the clinic I work at the ultrasound techs document the technical data on the ultrasound reports with their findings, but...
  • A
    Hi I passed my CPC-A exam almost in December 2025, and I am doing the Practicode program. I am still looking for an entry-level job opportunity in Connecticut. I am flexible with remote, hybrid, and in-person jobs. Thank you, Abida Imran...
  • U
    urmilaverma reacted to lgardner's post in the thread Hypothyroidism with Like Like.
    I code Home Health Certifications for my practice (I know it's not the same), and it seems to me, that dementia could be a more appropriate code than hypothyroidism. Like I said, I have never heard of any rule like this, but you should be...
  • A
    My journey in medical coding began with a strong interest in healthcare and a desire to build a stable and growth-oriented career. Over the past 12 years, I have been working as a Quality Analyst in medical coding, where I have gained extensive...
  • A
    Hi everyone! My name is Abby and I am a CPC with experience in Insurance verification, authorizations, and claim denials. I have experience in radiology, office visits, neurology, and a myriad of other specialties. I want to expand my knowledge...
  • A
    Greetings! Third party billing company is looking for an experienced fully remote Orthopedic coder. The position would entail around 50% of time coding orthopedic surgeries and office visits, and 50% of the time working denied claims for coding...
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