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Latest activity

  • Z
    ZsuzsannaP reacted to nielynco's post in the thread new 2027 ob guidelines with Like Like.
    I'm sure that ACOG will weigh in on this as we approach 2027 and of course billing pregnancy care for Medicaid programs might not change at all. I would not anticipate problems ahead of time and give both ACOG and payers a chance to digest the...
  • S
    Hi, friend, I am in the same boat, unfortunately. I have been certified (CPC-A) since december 2025 and still am having no luck. I'm wishing you the best
  • D
    debralove1955 posted the thread Z72.1 in ICD-10.
    Can someone explain why this does not show as an active code in the book but when searching other sites it shows as an active code? Our Behavioarla health providers want to use this for related to alcohol use. Thank you.
  • C
    pt has an RV lead only pacemaker he comes in, gets an RA lead, A CS lead, a new BIV/Pacemaker device, old pacemaker device removed. would you code this as: 33206, 33233, 33225 OR 33214 and 33225 thanks in advance
  • G
    geavalos6987 reacted to scooter1's post in the thread Autograft/Allograft 29888 with Like Like.
    Mary LeGrand, RN, MA-CCS-P, CPC, a consultant with KarenZupko & Associates in Chicago, discusses the following three orthopedic coding challenges. ________________________________________ 1. Coding for arthroscopic reconstruction of anterior...
  • V
    To my knowledge, LCSW/therapists are required to code O codes when mental illness complicates pregnancy. We are having a dispute with some new LCSW providers who are working in an OB department and their supervisor who don't think they are...
  • B
    bbrandi replied to the thread ncci edits column 1 and 2.
    My claims are being denied. we have billed with 22867 59 63047 63048 they are paying the 22867 and denying the 63047 adn 63408
  • B
    Hello, Pdlloyd I am also interested to learn Radiology coding .
  • B
    Hello, Kimberly I am new to AAPC and hold a Bachelor of Science in Health & Society, as well as my certification. I have over 12 years of experience in Radiology, having worked at Zwanger Pesiri Radiology. I would appreciate the opportunity to...
  • B
    bhadreag@gmail.com reacted to mieka.schambach's post in the thread Component Separation with Like Like.
    We coded the below as 15734 but the insurance is stating it's not supported by the op note. What else should we try? Operative Report Start date: 11/13/24 Start time: 0830 Pre-procedure diagnosis: 1. Incisional...
  • M
    We are having the same exact issue. I have appealed multiple times and Aetna still denies. We had no problem getting paid last year. Did anyone have a solution?
  • N
    NRaizman replied to the thread Denials for 20550 + 20610/20611.
    You'd need very good documentation, and the appropriate modifiers. There's no reason they theoretically couldn't be coded together. HOWEVER, a subacromial bursal injection ("supraspinatus tendon") is coded as a large joint injection. You never...
  • P
    Hello, Kimberly I am new to AAPC and hold a Bachelor of Science in Health & Society, as well as my certification. I have over 12 years of experience in Radiology, having worked at Zwanger Pesiri Radiology. I would appreciate the opportunity to...
  • B
    bbrandi replied to the thread ncci edits column 1 and 2.
    Why is codify showing 22867 in column 2 and 63047 in column 1 and placing the modifier on 22867? The claim should be 22867, 63047 modifier XS 63048 - decompression L3-L4 L4-L5 L5S1 my biller is adding the 59 to 22867 and I am trying explain to...
  • C
    Can anyone share how their facility handles MUE’s with adjudication indicator 3? If you have supporting documentation for the excess units and submit a request for reconsideration, will Medicare at least pay the allowed units if they don’t feel...
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