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Latest activity
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Ttammyweinel@gmail.com replied to the thread High Risk Screening Scope.I agree with you on using the screening dx code as the primary diagnosis. I do facility coding and would have used the screening as primary and the skin tag as secondary.
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LIn the coding book I am looking at 46040 - I &D of ischiorectal and/or perirectal abscess (separate procedure) What does (Separate procedure) mean? I though I was allowed to bill 46020 along with it because it was a "separate procedure" I...
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Aallilamb reacted to sls314's post in the thread KAISER HOSPITAL OUTPT CODING PRE ASSESMENT TEST with
Like.
It’s not unusual for organizations to administer an assessment for coding positions to verify that applicants have the basic skills and knowledge needed for the role. There usually isn’t any special preparation beyond reviewing the same coding... -
Rprovider is questioning the diagnosis code for IOL exchange. I need to show why I bill with T85.29XA. Any help would be appreciated!
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Kkelly.kirkman@icloud.com replied to the thread RHC claim denial.Okay, this makes a lot of sense! I was on the right track. Thank you so much for your help. I have an expired coding certificate due to the inability to afford CEUs and never being able to find a job after completion. I was blessed to land a job...
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PWe are seeing this as well. Our lab equipment doesn't perform a panel for these three tests. We use individual swabs, and run all labs individually. In the past, I've been able to fight these denials with the CMS LCD Article #A58741 showing...
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Aallilamb posted the thread KAISER HOSPITAL OUTPT CODING PRE ASSESMENT TEST in Employment General Discussion.HAS ANYONE TAKEN A KAISER PRE ASSESMENT TEST? I APPLIED TO AN OUTPT CODING POSITION AND THEY RESPONDED WANTING A PRE ASSESMENT TEST, WONDERING WHAT IS A GOOD WAY TO PREPARE FOR THIS TEST. THANKS FOR ANY HELP!
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YDoes anyone having information on billing 77002 with 20610. I have tried to research this unsuccessfully. Medicare is now bundling
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Rrconpatton reacted to NRaizman's post in the thread Release of radial collateral ligament with Like.
It's not an NCCI issue, it's merely an issue of what was done and what is an integral component of the procedure. Open tx of the MCP dislocation includes arthrotomy/capsulotomy and collateral repair, per GSD, if you need a source. NCCI PTP edits...
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SI work for an orthopedic office and was wondering has anyone else experience UHC denial of the professional component for Xrays? I realized April 1st a new policy was implemented. Is anyone else using an Xray template and getting paid for it by...
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Kkelly.kirkman@icloud.com replied to the thread RHC claim denial.99213 WAS SUBMITTED WITH A SECONDARY DIAGNOSIS CODE AS THE ONLY, PRIMARY OR PRINCIPAL; THEREFORE 99213 IS NOT REIMBURSABLE. I tried to put the S code first and the clearinghouse is throwing an edit because the code is a sequela, but when I put...
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Rrachaelwilleford replied to the thread hydration and infusion.Any time attributed to the infusion cannot be included in the time considered for the hydration. Must be completely separate.
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KI could use some advice on a claim I have for a male patient. The insurance is BCBS. The billed code is 99213, and the dr coded the encounter with F07.81 and S06.0X9S. I have spoken to our coding department, and they are not giving me much help...
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RJ3301 has an MUE of 16 units. It also has an MUE Adjudication Indicator (MAI) of 3. MAI 3 means the edit is based on clinical benchmarks. The billed units would be unlikely to appear on a correctly coded claim, but in rare or unusual...
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Mmiriambroyles replied to the thread ICD10 for long term use Semaglutide/Dulaglutide for non-diabetic patients.The coding clinic referenced above is confusing as both semaglutide and tirzepatide are listed by name in Appendix A: Z codes for long-term use of drugs in the 2026 ICD-10 code book and code to Z79.85. :unsure: