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nielynco replied to the thread Well Woman Visit.Technically you could bill both, but the payer will decide the outcome. Make sure you have clear documentation of a separate significant E/M addressing the vaginal dryness to support billing both codes. -
nielynco replied to the thread Anthem Pregnancy Denials.I strongly urge you to contact your State's insurance Commissioner with this issue and ACOG as well. They are playing games and need to be called out on it. Go to: https://aldoi.gov/Commissioner.aspx
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There are definitely scenarios where it is performed unilaterally, such as the example provided where patient only has one fallopian tube. Here's the more in depth answer. Each CPT code has a value assigned, and part of the value determination...
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nielynco reacted to Cmama12's post in the thread EMB requiring cervical dilation coding (58100 vs 58120) with
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Hi, this is correct per Coding Assistant October 2021 -
I would also recommend keeping an eye on the upcoming maternity billing changes. Beginning January 1, 2027, global maternity billing will no longer be used. Your practice will want to stay current on the guidance as details are finalized and...
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HHeatherCorum replied to the thread Question on referral end dates.We were always told the patient's referral is valid until end of day of the expiration date. I would definitely fight that.
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Jjodielonkoski replied to the thread Coding Question.Z12.11 is primary for screening colonoscopies, following by findings and/or high risk reason/history codes. Many insurances require Z12.11 primary to trigger screening payment and its well established guidance to code Z12.11 primary for a...
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AI am looking for supporting documentation on how to bill Medicare secondary when global code for imaging (74181) was paid by primary insurance. I am finding conflicting information. The provider office owns the equipment and performed the...
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SShahin7 replied to the thread 25400 vs 25652.25400 is used when compression technique is applied. Above scenario ,open reduction and internal fixation is done 25652 is appropriate. Debridement of nonunion site is not coded saperately.
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Mmrsnada2012@gmail.com replied to the thread Join my study group on Discord!!.I am also interested if still active.
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TTThivierge replied to the thread Bursitis versus neuroma diagnosis.LScoder Ahh he needs to tell you if pt,has which one and location of ....foot or toe,? Bill M77.4 and then G57 block per location on body. You can have both I hope this data helps you Lady T
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TTThivierge replied to the thread Coding Question.Tdeleon Why are you putting dx Z12.11 as first dx code? I have learned you put the D12.0 as first dx , then Z12 last. Dx Z12 is NOT first listed Z code per the ICD10 manual. If pt. has digestive biopsies and digestive problem put that as FIRST...
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TTThivierge replied to the thread 87150 & 87798 denials.Emily Stop using the CPT 87798 amp probe. All other lab descriptions above included type of lab test & amp. probe technique. This CPT code 87798 is redundant. Do you need to use modifier 91 on labs if repeated same day at differ times? Are the...
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TTThivierge replied to the thread FQHC Billing of 99214 + 90833 Telehealth?.Hi Kboisson I would not bill these 2 CPT together UNLESS each Dx. is discussed in the documentation and proper dx linked to the proper CPT. Do not use the G code. All psych dx go to 90832-95 telehealth, then telehealth (CPT codes 98000-98015) if...
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Mmmckibbin replied to the thread Attempted IUD placement- Bill for IUD device?.At our office it depends on the situation. If the device fails we get the manufacturer to replace the device. If it was the patients “fault” we couldn’t use the device we bill the insertion with a -52 modifier and bill the device.