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Latest activity
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TTharville reacted to sls314's post in the thread Coding Iron Deficiency Anemia following bariatric surgery with
Like.
If the provider specifically documents the condition as iron deficiency anemia due to bariatric surgery status, I would consider D50.8 (Other iron deficiency anemias). Index: Anemia - iron deficiency - specified type NEC I would also assign... -
Mmarycopus2019 posted the thread Transthoracic Echo after a heart transplant- how to code this? in Cardiovascular Thoracic.I'm sorry if this is not the correct forum for this but I have a patient who had a congenital cardiac defect who had a heart transplant. So, I know that a TTE (93303) is for congenital defects and a TTE/3D (93306) is for acquired heart defects...
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Kkreich1120 replied to the thread Saved Imaging - New BX Codes.The MRI images would be saved at whatever facility did the MRI - and if your provider is doing an MRI-fusion biopsy, they are likely doing it wherever the MRI was done, and would not be required to have those images in their "office" files for...
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Jjaimee4069@gmail.com reacted to NRaizman's post in the thread -22 modifier usage for assist at surgery with Like.
Yes. The Assistant Surgeon or Surgical Assist claim should generally match the primary surgeon's claim with regards to modifiers. The ordering of the modifiers on the claim form is anyone's best guess, but it should work out to be the same. N,
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Kkreich1120 replied to the thread Prostate Biopsy.Agree with 55709.
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Kkreich1120 replied to the thread prostate biopsy 55700.No set code... depends on approach (transperineal or transrectal), the # of targeted lesions... sometimes can be MRI-fusion (prior MRI doesn't qualify as fusion). Check out new prostate biopsy coding guidance at prsnetwork.com.
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Mmsnbabs001 replied to the thread 2024 Split or Shared Visits.Hi, To select the E/M level based on MDM once the billing provider has been determined, is it based only the MDM of the billing provider or can you include the MDM of the other provider, sometimes, this may raise the level? Thank you, Barb
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TTharville posted the thread Coding Iron Deficiency Anemia following bariatric surgery in Diagnosis Coding.I have a patient seeing an oncologist with a diagnosis of iron deficiency anemia following bariatric surgery. I'm not sure where to start on this one. Can someone please give me instruction on where to begin, and a rationale would be great...
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Eeosorio8507@icloud.com replied to the thread Depo Provera Denials.I have the same problem with BCBS and code J1050. Any updates?
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CWould a rhinectomy wide local skin excision be an 88305 or higher? Thanks!
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EEditaPetrosyan posted the thread New York Medicaid/Home Care Billing Question in Medical Coding General Discussion.I’m looking for clarification regarding New York State Medicaid billing for home care certification/recertification services performed via telehealth. Are there any restrictions on billing a home care recertification when the certifying provider...
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TYou are getting denials because you have to use the new codes. Sounds like your practice needs to have their system updated correctly depending on the health plan policy. Code changes happen routinely, how is this normally done within your group...
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CGood afternoon Coders!! I have a group of payers asking me to produce a comparative code for PLA 0364U clonoSEQ Assay. This is an NGS MRD test in blood cancer. I need a comparative code that is NOT a PLA code.....so a CPT code that is also NOT...
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NNRaizman replied to the thread Coracohumeral reconstruction.Any and all reconstruction for MDI is 23466. You could add a -22. You could try for an unlisted code. It would be entirely inappropriate to use an AC joint reconstruction code for this, as the diagnosis is different, and the reconstruction has...
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Iiimc701 replied to the thread Birthday rule.If the adult has their own insurance from their coverage that is always primary. the parents insurance or spouses insurance would always be secondary to that. The birthday rule is when two parents are covering a child.