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Latest activity
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AProud to share a new milestone — I officially earned my CPC from AAPC as well as my CBCS from NHA this year! 🥳 When I graduated from university, I didn’t have a passion for any specific field. I was searching for something that felt meaningful...
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Mmiriambroyles replied to the thread Post-concussion Syndrome primary Dx.You may need to query the provider. Is there simply sequela from a concussion? or is the diagnosis actually post concussion syndrome? If confirmed to be sequela from a concussion, I would code the sequela first (headache, dizziness, etc.) then...
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Pphillipmanning replied to the thread Anesthesia coding per hour and pay per chart range.90 views, but no replies? Is this the correct forum to post this on? Mark Manning, CPC (706) 315-4660 Mobile mark.manning@hotmail.com markmanning@mybillingguy.com
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JI have a physician that noticed all of our 64772 transections with the 22102/22103 trephine codes were being denied as disallowed for many insurance plans, and she wanted to look into the possibility of billing the 22102/22103 trephine codes with...
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SMy understanding is as follows: Medicare and some commercial payers limit the number of therapeutic facet joint injections or medial branch block sessions allowed within a 12-month period. Because diagnostic and therapeutic procedures share the...
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DWe have some providers now utilizing bioinductive implants (Smith & Nephew Regeneten Bioinductive Implant) to reinforce rotator cuff repairs. I am wondering what the best way would be to report these. I have seen some information stating to use...
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Jjodielonkoski replied to the thread Surveillance Colonoscopy Z12.11 VS Z86..article from AAPC: https://www.aapc.com/codes/coding-newsletters/my-gastroenterology-coding-alert/gastroenterology-coding-can-you-assign-z86-as-a-primary-diagnosis-code-179371-article/rci Question: A patient with a history of adenomatous colon...
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TI have searched the archives and there are so many conflicting views I thought I would try again. If a patient comes in for a surveillance colonoscopy, no symptoms since initial colonoscopy, do you bill Z12.11 primary because it is considered...
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Vvidraj replied to the thread Admit from the Office to Inpt. Hospital.Could you please share the CMS reference for this scenario? I have been looking for a CMS reference, but so far, all I can find are the AMA guidelines with the CPT® manual (page 21), as referenced above. Thanks in advance!
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Rrzipper@soundphysicians.com replied to the thread 99452-Advice.CPT 2026 says on page 41 "If MDM is used to select the level of E/M service, the work of performing the referral service is considered part of the MDM. Do not report 99452 separately on the same day." Similarly, if billing by time, it states...
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Ddeborahcook4040 replied to the thread billing for inguinal hernia and spermatic cord lipoma.I found this article on Codify from 4/12/24. I have not billed it in the past. I'm not sure I see medical necessity, since the spermatic cord lipoma was not described as symptomatic in any way and was only removed because they were already in...
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Jjnbentzel@gmail.com replied to the thread Thoracic Outlet Syndrome.If nerve lysis was performed, which it looks to be the case in your note, then 64713 would be the main procedure. 64713 includes 21615. I agree with your pec tenotomy code. I cannot comment on the grafting or the additional lyses. Hope this helps.
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AHas anyone started billing using the new guidelines in anticipation of the 2027 OBGYN code changes? Some of our payors (in NY) are wanting us to start implementing the changes now, but it's not clear to me how. I had been under the impression...
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NNRaizman replied to the thread Examples of threat of bodily function or severe exacerbation in Ortho.An immediate threat to any limb gets you there. Septic joint, acute infection, compartment syndrome (acute, not exertional), lupus/RA exacerbation, acute open fracture that walks in your door instead of ER, herniated disc with inability to walk...
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EPhysician manipulated a ureteral stone to the bladder and treated the stone with laser once the stone was in the bladder. Cystoscope used, no ureteroscopy done. Op-note post-op Dx code is ureteral stone. Which cpt code will be more appropriate...
