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PPdeibler posted the thread CareOr and Immunization not given Codes in Medical Coding General Discussion.Is anyone getting reimbursement from CareOr for the Immunization not given CPT codes? We tried billing the G0312, G0313 (Pediatrics) but those denied. I even attempted the 90482 series, but that was wishful thinking! Any tips- or things you've...
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DI have a provider who is treating a multi-directional shoulder instability. In addition to the capsular shift, he is doing a separate reconstruction of the coracohumeral ligament with a semitendinosus allograft. There is no code for this...
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LAnyone on here do billing for mental health?
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TWe are getting denials for our Medicaid telehealth services when billing E/M services 99212-99215 with modifier 95. Our system does not recognize the new codes 99804 - 99807 for telehealth services. Is this happening for everyone and how are you...
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CCmama12 replied to the thread Billing growth ultrasound with BPP (76818,76819).These are separately billable.
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Ttlindo1 replied to the thread Netsmart and My avatar.What do you do if a provider enters the wrong diagnosis code in the billing diagnosis, or the primary diagnosis entered is incorrect? Once the note has been finalized, it goes right to the claim, and a change can't be made.
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CCmama12 replied to the thread Growth Ultrasound in third trimester.76805 can be billed after the 1st trimester. If all the elements are documented that support 76805, and there is no previous growth ultrasound, you can bill it. Normally one would be done around 20 wks, with possible follow up later for any...
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Tshould i use 53 for this injection or just not charge it? i'm charging for the physician in the office. it's the do not use for "elective cancellation" part of the description that's tripping me up. it was too painful for the patient to continue...
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Ccrbm71@gmail.com posted the thread Follow-Up Acetabular Fracture after 1 yr - healed - S32.401D or Z87.81? in ICD-10.A global radiology established patient office visit patient encounter has a patient who had a total hip arthroplasty one year ago that was complicated three months postop from a fall and an acetabular fracture. The patient has a current follow-up...
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Ccrbm71@gmail.com posted the thread Question about Hyperlipidemia / hypertriglyceridemia and dosage coding in ICD-10.I have a patient encounter assessment that states, "Hyperlipidemia with severe hypertriglyceridemia on moderately high doses of niacin and Zetia," and I was wondering if you report E78.2 (mixed hyperglyceridemia) even though the patient encounter...
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Bbhuesgen0269@gmail.com reacted to nielynco's post in the thread Required NST Documentation - 59025 with
Like.
Per the ACOG Coding Committee, the following is a brief description of CPT code 59025, Fetal NST: "The patient reports fetal movement as an external monitor records fetal heart rate changes. The procedure is noninvasive and typically takes 20... -
BFirst, it is always best if you have a question that is unrelated to the thread you are reading to create a new thread. It makes it easier for others to research the topic in case they have a similar question. In this case, you have not...
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BIf you enjoy learning new things, now is an AMAZING time to start learning OB. 🤓 I agree with Pam to focus more on what isn't changing. Remain flexible on the antepartum/delivery/postpartum services until the new guidelines start 01/01/2027...
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BThe changes are due to be implemented in January of 2027. I'd take the opportunity and learn as much as you can from a gyne surgery perspective. The unbundling of the OB package is just one piece of what's done in OBGYN coding. There will be...
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Bbhuesgen0269@gmail.com reacted to nielynco's post in the thread Viability Ultrasound and AMA with Like.
If it an initial screening I would use z36.87 rather than the AMA Dx as this is the primary reason for the scan on all patients. If the scan is only done on high risk patients, then you would choose the Dx that matches that diagnosis. I would...