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If the patient is supplying the Depo-Provera, I would report J1050 with a nominal charge such as $0.01 so the payer can identify what medication was administered, who is the payer? As for the E/M, I'd want to know what the physician is actually... -
nielynco replied to the thread global or not? to 56405.If this is your normal procedure - that is wound packing change - it would be included. Did the MD administer the MAC? If not, you should consider this as part of global. The hospital will charge for the room and MAC in that case.
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TWe are a community mental health center and there is a project to operate walk-in crisis intervention centers. Are there any thoughts about H2011 vs. 90839? We know that Medicare does not pay for H2011 (generally, only Medicaid will). We are also...
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Ttheresaseber@yahoo.com reacted to natuoc's post in the thread New Crisis Stabilization Center Claims Question with
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Hello there, I am hoping I can find some billing compliance guidance. I am mainly looking for Medicare and Medicaid guidance. Our Crisis Center is an HOD and we want to know what a claim will look like when a patient comes into normal ED and then... -
Ccatchisonwork@gmail.com posted the thread TOXIN billing 64642, 64643, 64644, 64645 in Medical Coding General Discussion.If the provider injects 8 muscles in 1 arm, we should only bill 64644, correct? It would not be appropriate to bill 64644 and 64642 since all muscles are in the same extremity. But if the provider injects 5 muscles in the RIGHT arm and 3 muscles...
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NNRaizman replied to the thread CPT code 22845 with 22853.You probably need to send a full operative report. Can't tell based on one sentence.
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NNRaizman replied to the thread Elbow surgery codes.I think you may be confused. 29838 IS the arthroscopic code, not open. all 298xx codes are for arthroscopy. N.
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LCan anyone offer any assistance in billing out Oral Cancer Drugs? (ie) Capcetibine and Cyclophosphomide. I keep getting rejections/denials for the CPT code. Not sure if its the NDC or HCPC. Jurisdiction A.
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LLoriReed posted the thread Blue Cross Medicare plans- bundle issue in Medical Coding General Discussion.Has anyone been getting denials for Blue Cross medicare plans for e/m codes when x-rays are done? We have just started getting denials for the e/m code (paid for the x-ray) stating it is bundled. Do these need a modifer?
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SI know to bill these codes together the plate and cage need to be separate. One of my surgeons sent me the below message and wanted to see if others feel his description of why he is billing 22845 is warranted. The screw and washer I use are not...
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Kkelly.kirkman@icloud.com replied to the thread Established visit vs. Establishing Care visit.Thank you so much for your response. I am still relatively new to the billing world and currently enrolled in the certification course through AAPC. Would you mind telling me where in our contract I might find this information? I want to make...
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OAnyone else having issues with CPT A9502 denying for "Please resubmit with a valid National Drug Code (NDC) number. The number submitted is not valid." This is only with Healthspring. The NDC is valid. Myoview 1715602630.
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Jjrosas@osiortho.com replied to the thread Elbow surgery codes.I have been told by numerus professionals NEVER use an open procedure code for surgery done arthroscopically. No exceptions! You can use an unlisted code 29999 and note what it's comparable to the open procedure 29838.
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LLisaAlonso23 replied to the thread Inappropriate Modifier?.Page 513 has a note that states uncertain behavior codes should be used when histological confirmation of benign or malignant of a neoplasm cannot be determined. Uncertain histological behavior can only be determined by a pathologist...