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Latest activity
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MMissdeehamp replied to the thread Dupuytren's contracture injection 20550 and perq aponeurotomy 26040 same finger.I would be cautious about reporting both 20550 and 26040 on the same finger/date of service. CPT 26040 describes a percutaneous palmar fasciotomy (needle aponeurotomy) for Dupuytren's contracture. The procedure itself involves repeated needle...
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MMissdeehamp replied to the thread Z01.149 vs Z01.141.My understanding is that the "abnormal findings" designation is not limited to findings within the body system being examined. For example: * Z00.01 = Encounter for general adult medical examination with abnormal findings * Z01.411 = Encounter...
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MMissdeehamp replied to the thread CHI Community Health Integration Claims.I think you may be looking at the MUE a little differently than Medicare intends for CHI services. For Medicare CHI, the primary codes are: * G0019 = First 60 minutes per calendar month * G0022 = Each additional 30 minutes per calendar month...
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MMissdeehamp replied to the thread HCPCS code E0246.HCPCS E0246 (Transfer Tub Rail Attachment) is a valid DMEPOS code, but Medicare pricing is not found on the Physician Fee Schedule. Instead, DME suppliers must look at the DMEPOS Fee Schedule. If you are unable to find a fee amount, I would...
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MMissdeehamp replied to the thread Established visit vs. Establishing Care visit.A few things I would look at before accepting the denial as valid: 1. Verify whether the payer is applying the CPT definition of a "new patient" correctly. Per CPT, a patient is considered new if they have not received professional services from...
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KI believe the correct modifier that should have been used was 57, since the visit resulted in a decision to do the surgery on the same day of the visit. However, that modifier is usually used with an E/M code, not a consult code.
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Jjmjansen replied to the thread G2211 and RAF score.You would never bill G2211 alone. The E/M is what risk adjusts on a claim, not the G2211. For Risk adjustment, the type of service as well as the quality of documentation matter. G2211 might be billed on a risk adjustable eligible claim, but...
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Kkatelinmatjazic replied to the thread Devoted Health Denying 87486, 87581, 87798 — Do They Want 87633 Instead?.I am having a similar issue. Did you ever find an answer?
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Jjodielonkoski replied to the thread Kyphoplasty.Sequela codes cannot be sequenced first by ICD guidelines.
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CCSFHC replied to the thread Podiatric billing needed.Sure - my email is suzisiorho@gmail.com
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KHey guy! quick question, the ultrasound portion took place in our office and we own the equipment but the nst portion took place on L&D and the nst equipment is owned by the hospital. would i use a mod 26 or not on 76818 since half we owned and...
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LLEE ANN replied to the thread 49659 with 49650.Look at this article for an explanation of the 55520.
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Llwoods@southsidepain.com replied to the thread Kyphoplasty.I am also having issues with UHC ours I believe to be coded correctly with primary diagnosis of M80.88XS and Secondary Diagnosis as S32.050K. Any ideas how I could make corrections?
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SI understand your line of thinking and don't necessarily disagree with it being a valid interpretation of the guidelines. Let me give you mine. If a patient is seen by a PCP for a problem and the PCP diagnosis the cause of the problem and also...
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AAshishlinda16@gmail.com replied to the thread New CPC-A looking for Job Opportunity.I passed my exam last year, applied many places, lots of rejection letters. I am very disappointed. I appreciate any help. Thank you
