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Latest activity

  • J
    edit failure questions. This column 2 has been billed with the same date of service as column 1 Cpt therefore considered to be unbundling. An ncci modifier may be used. This is happening for Cpt 01482 and 6445. 73720 and 73718. 01482 and 64445...
  • Y
    When bipolar and schizoaffective disorder are both listed under an assessment can I combine them for F25.0. I don't see any guidelines for combining the codes.
  • J
    jodielonkoski replied to the thread Endocrinology Coders?.
    Hi! Not an endo coder but I worked front desk at an endo office while I was in school. We had some patients who would come to the office, we would provide them the Dexcom/freestyle and place it on them, they would wear it for the 2 weeks (or...
  • J
    The ICD10 guidelines do not address this issue directly, but in multiple examples they have provided via their Q&A they indicate that as long as the primary/first listed Dx is from Chapter 15, the other diagnoses used would follow whatever rule...
  • D
    Dilipyadav reacted to coderguy1939's post in the thread Line item denial for 64484 with Like Like.
    CCI edits indicate that these codes are not bundled so they should be paid without the use of mod 59. If a modifier is not necessary then the answer lies elsewhere. I don't know why this was denied or if Medicare was contacted to find out how...
  • D
    Dilipyadav reacted to mitchellde's post in the thread Line item denial for 64484 with Like Like.
    No you are right they are not bundled that was not the purpose of the modifier. Anytime you list the same code twice on a claim you need a modifier to indicate separate site or separate time of day, there is nothing on the Medicare learning...
  • D
    Dilipyadav reacted to mitchellde's post in the thread Line item denial for 64484 with Like Like.
    Where did you get the information that this is inappropriate usage of the 59? It is not. The LT and RT modifiers are for anatomic specificity, the 59 is the modifier that identifies distinct and separate. When the code states each additional...
  • kdifelice
    kdifelice replied to the thread 95250 and 95251.
    Hi, I code for Endo and am still learning, however, I do know a couple of codes that could help: No specific CPT codes for insulin pump training; however, DSMT (Diabetes Self-Management Training) and MNT (Medical Nutrition Therapy) Private...
  • kdifelice
    Looking for Endo coders: New to Endo coding and I would love to pick your brain. CPT 95251, 95250, etc
  • T
    TThivierge replied to the thread Depression Screening W/AWV.
    Kobee Ahh the first dx if only checking depression should use F32 or F33 dx block which apply to patient s situation. I d not use Z13.31 as first dx.Yes can bill this despite it being negative the provider is checking or assessing for this...
  • J
    update CPT Assistant 2025 Question: A surgeon performs a laminectomy/facetectomy and foraminotomy on a patient whohas spinal stenosis of the lumbar spine at the L3-L4 level to decompress it. In addition, the patient also has a synovial cyst that...
  • rthomas@impcna.com
    Since the revenue cycle starts with the registration process, I would recommend applying for a receptionist/registration position. I started working in a hospital as a registration/admissions clerk and then moved to a patient account position...
  • rthomas@impcna.com
    rthomas@impcna.com reacted to amyjph's post in the thread A&P supported in HPI with Like Like.
    I think sometimes though, people come in and give the HPI and other things might crop up that need to be addressed/managed which appear in the exam, plan, and other parts of the note. This might not necessarily be what they presented with. Should...
  • C
    Hello, Has anyone encountered a denial from Medicare on an RFA (64633-64636) and been told that a KX modifier needs to be added to their RFA code? Our denial indicates non covered charge - local coverage determination but going back through...
  • K
    Korbc replied to the thread separate problem e/m.
    and since this seems a little bit of a grey area to me just seeing what other opinions are by all means not asking for anyone to code for me or tell me how to code or anything like that if it comes off that way and upsets someone
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