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Latest activity

  • R
    That specific example the patient didn't have one on one with the provider, but for the ones who do meet individually with the provider, the provider thinks eat a better diet and exercise more warrant a higher risk MDM level than straightforward...
  • R
    Correct, they meet in a group they discuss different foods and how they affect patient health. They do meet with patient's individually as well and create an individualized plan as well. The provider thinks the recommendations in regards to...
  • K
    we have a program set up where we can bill G0023 for an illness navigator in our Cancer Center. The question is - the definition says 60 minutes. Does that mean we have to have 60 minutes to bill it, or can it be up to 60 minutes?
  • R
    sorry, i am not an expert. i would say Low MDM unless that pt has a significant reaction to a specific food, maybe i would upgrade the level to moderate. What comes to my mind, pt was told not to eat 'specific food' because it increases his...
  • F
    Hi All, Anyone has any information regarding billing A9595 and report wastage w/ JW modifier? **PER RECORD [IV administration of 9.4 mCi of 18F-piflufolastat (Pylarify)], qty of *10* submitted on claim. Editing for JW modifier. Appreciate your...
  • A
    arkolab replied to the thread Denials for 20550 + 20610/20611.
    We've had luck billing these two together at our facility using the 59(commercial)/XS(medicare) modifier on CPT 20550.
  • J
    jcactusflower3 replied to the thread Z72.1.
    I also did some digging and read that it is a valid International WHO code but Not a U.S ICD10 code
  • J
    I don't do behavioral health but if it was an adverse effect of a vaccine ,t50.z95a
  • J
    jcactusflower3 replied to the thread Z72.1.
    Your site is better.
  • M
    marcyluv reacted to abill_423's post in the thread 87491,87591,87661 with Like Like.
    UHC considers this a syndromic panel (See their Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing Policy, Professional and Facility) and they want this billed with one code and not separately reported if this is...
  • J
    jcactusflower3 replied to the thread Pregnancy and Obesity.
    I would code e66.9 , z68.43 and z3a.00, and a code for the pelvic pain (preferably they can specify left or right or bilateral) , if no mention of morbid obesity complicating pregnancy .
  • J
    jcactusflower3 replied to the thread OBGYN ICD 10 CODES.
    FOR SINGLE BIRTHS , THAT LAST (7TH) CHARACTER SHOULD BE 1 FOR SINGLE BIRTHS , IT SHOULDN'T END IN 0
  • J
    jodielonkoski replied to the thread AI.
    Ai consistently answers my coding questions completely wrong. It can only, at the time, handle basic and very spelled out reports.
  • J
    There isn't a discrepancy in the document you uploaded. Maybe this will help: Codes for signs and symptoms that are not routinely associated with other definite diagnoses should be reported. Meaning: "You should code signs and symptoms...
  • J
    jcactusflower3 reacted to sls314's post in the thread Z72.1 with Like Like.
    It is not a code in the United States ICD-10-CM. I even double checked the CDC National Center for Health Statistics lookup tool by year going back to 2019, which is as far back as the CDC's tool goes. You can check the lookup tool here if...
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