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Latest activity
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AAppleSpice replied to the thread O-Codes as Primary Diagnosis When Pregnant Less than 10 Weeks.you wouldn't use z33.1.
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GGayathri2021 reacted to donnajrichmond's post in the thread Tube Thoracostomy vs. Pleural Drainage with
Like.
In 2013, 32551 is an open procedure (cut-down for example), 32554 (no guidance) and 32555 (imaging guidance) are for use for a percutaneous needle or catheter to aspirate whatever out of the pleural space, but then remove the catheter/needle... -
IBesides Location, they are quite similar. Generally, HealthCon National draws a larger audience, and there is usually a bigger agenda and more after-conference events. AAPC started offering regionals when it became clear that some individuals...
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Ttammy.kirkpatrick replied to the thread Radiation CPT 77387.Thanks, it's just weird because we've been billing w/o the modifier for the past 6 months and they were paying and now all of sudden they're denying the claims. It's so frustrating because some insurance companies want the modifier and some don't.
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Bbiebautista15@yahoo.com replied to the thread 87150 & 87798 denials.hi, we also getting denied for our PCR UTI panel to bill as 87801 for multiplex test - does anyone encounter this denial? I have look and found that Novitas has recently implemented aggressive automated utilization edits that cap CPT 87798 at 2...
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Iinaz.s.mohammed@gmail.com reacted to barnali.gogoi@aapc.com's post in the thread FORUM GUIDELINES: Please read before posting! with Like.
Do not cross-post in multiple areas of the forum. Stay on topic with each thread. Limit your posts to one per topic. Moderators may move your thread to a more suitable category. Commercial content is not allowed (no spamming, advertising, or job...
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Eedezarik replied to the thread Billing a PE and E&M (based on time).Ok, Thank you for replying. I knew the PE did not have a time associated with it. The Dr will document for example: 25 minutes were spent on the annual physical, including age-appropriate screening review, immunizations, and preventive...
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ESince CPT does not assign a time for a PE, you cannot bill a PE based on time alone. You can bill the E&M based on time, but there needs to be a statement that validates that none of the time spent on the E&M was performing any work on the well...
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Pam Warren replied to the thread Abnormal TSH levels.TSH levels alone wouldn't constitute a function test, since several levels represent the function test. (T3, T4, Thyroid antibodies). Unless the provider states hyperthyroidism (for the low TSH), code the abnormal blood chemistry if only TSH... -
Pam Warren replied to the thread Billing a PE and E&M (based on time).Since CPT does not assign a time for a PE, you cannot bill a PE based on time alone. You can bill the E&M based on time, but there needs to be a statement that validates that none of the time spent on the E&M was performing any work on the well...
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SIf you enjoy learning new things, now is an AMAZING time to start learning OB. 🤓 I agree with Pam to focus more on what isn't changing. Remain flexible on the antepartum/delivery/postpartum services until the new guidelines start 01/01/2027...
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SThe changes are due to be implemented in January of 2027. I'd take the opportunity and learn as much as you can from a gyne surgery perspective. The unbundling of the OB package is just one piece of what's done in OBGYN coding. There will be...
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EI work for Primary Care Physicians. We have a physician that sees a patient for their PE visit and then when they are also billing an E&M for acute or chronic conditions where they have changed a medication, have new problem, added a new...
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KI have a question on this op report. Since only a laminectomy is completed with the fusion and not facetectomy and foraminotomy would you bill 63015 or would you still bill 63045, 63048 with the fusion codes 22600, 22614? I attached an operative...
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Llavernacrowe posted the thread Code the Valve replacement with mod 74 or just the TEE? in Cardiology.This patient came in for an aortic valve replacement, after anesthesia they did the tee, found a mass and cancelled the procedure, would you code the valve replacement with a mod -74 or just the intraoperative tee? It is Medicare. Pre-operative...