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Latest activity

  • K
    Korbc posted the thread separate problem e/m in OB/GYN.
    this was addressed during an annual "She is getting her periods once monthly and reports that the heavy flow has become more of a bother. She is changing her protection sometimes every hour. She also reports menstrual cramps that are...
  • K
    Korbc replied to the thread cerclage removal.
    my understanding is that if our providers placed the cerclage then we cannot charge for the removal. but just to be super clear i can charge for it even though we placed it because it extended beyond global or done under anesthesia
  • K
    Korbc replied to the thread global or not? to 56405.
    thanks!
  • nielynco
    nielynco replied to the thread cerclage removal.
    The codes for cerclage removal require that a general anesthetic was used during the removal. If this was the case, you may bill for the removal. The CPT Assistant published the following: Subsequent removal of cerclage sutures at the time of...
  • nielynco
    nielynco replied to the thread global or not? to 56405.
    You can try and bill but there is no code for this. It would be unlisted and now you have to support it with a medically indicated Dx which in this case is patient intolerance, not a medical need to change the dressing due to a complication...
  • B
    IF a pt in a RHC / ACO setting sees Dr for a preop for THA (for OA) and has CKD (3a) and HTN documented, etc (MEAT aspect), what should be the order of dxs listed on the claim form. I would think Z01.818 / M16.11 / I12.9 / N18.31. Our software...
  • K
    I apologize for my confusion. We bill clinic claims on a 1500 claim form. Medicaid claims are totally separate, and I think that is where I got confused. What I mean as far as established after an ER visit is, the patient will see the ER...
  • L
    Good morning! I just went into the forum to ask the very same thing! I have a client whose visit was denied by United Healthcare, and they said "Not covered when deemed unscientific/unproven/outmoded/experimental/excessive/inappropriate" It was...
  • J
    jodielonkoski reacted to rthomas@impcna.com's post in the thread A&P supported in HPI with Like Like.
    I work for an Internal Medicine & Pediatrics Primary Care practice. We have had our malpractice carrier conduct chart audits for us, and their recommendation from a legal standpoint is that if the provider is prescribing meds, ordering tests, etc...
  • J
    jvanek82 posted the thread 27138 with 27187 in Orthopaedics.
    Good day! I am looking for an opinion for this surgery. The physician did a total hip revision and also did a prophylactic fixation of the femur. The codes he wants to bill are 27138 and 27187. According to NCCI edits, 27187 bundles with 27138...
  • rthomas@impcna.com
    rthomas@impcna.com replied to the thread A&P supported in HPI.
    I work for an Internal Medicine & Pediatrics Primary Care practice. We have had our malpractice carrier conduct chart audits for us, and their recommendation from a legal standpoint is that if the provider is prescribing meds, ordering tests, etc...
  • T
    I recently earned my CPC-A with a 94% exam score and am trying to enter healthcare revenue cycle. I understand that many coding roles require experience, so I am also targeting billing assistant, charge entry, payment posting, denials, claims...
  • D
    I need help with Procedure Coding for Peds Congenital Heart. What is the correct CPT code for the closure of the "collaterals". Are these considered aortopulmonary? Is 37242 Correct?
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  • K
    Hi Amy, Thank you so much for your response. I am waiting to hear back from our CFO regarding our contract details. I have been with this facility for just over a year and since I have been here this has been an issue. Previously I was...
  • J
    jodielonkoski replied to the thread 64450.
    Superior Laryngeal nerve block is 64408 as a branch of the vagus nerve
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