-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Latest activity
-
SSDargaj replied to the thread SA modifier for BCBSM.They are allowing incident-to billing through to 03/01/27 (phase 2 start date), but you have to append the "SA" mod to these claims from 09/01/26 - 03/01/26. As of 03/01/27, any provider type eligible for direct billing must do so
-
NNRaizman replied to the thread tendon lengthening-second opinion.It's the same procedure performed on all three fingers. You could always ask the surgeon to provide a clarifying addendum, but that is definitely 26170x3 N.
-
Mmistygirl replied to the thread Attempted IUD placement- Bill for IUD device?.The uterus was unable to be sounded due to the anteflexed uterus. The provider made two attempts and stopped the procedure. The IUD was never introduced. Do i bill cpt 58300 with modifier 53 or an office visit?
-
Jjodielonkoski replied to the thread Coding hematemesis with documented esophagitis.I would code this as with bleeding. In the index if you go to esophagitis - with bleeding > k20.91
-
Jjodielonkoski replied to the thread OB Coding – Normal Prenatal Visit vs. Pregnancy Complication Codes.Appreciate the responses! I did find their code selection odd, and have seen wrong/misleading info on articles before. My main question is for the scenarios where obesity could be reported without the related o code. As an example, in anesthesia...
-
Ssmouchaty@gmail.com posted the thread CPC-A Biologist seeking entry level employment in coding or public health surveillance in Resume Postings.I'm searching for a remote or in-person, non-public facing position in medical coding or public health surveillance. I have a background in science and I taught A&P for pre-nursing students for a number of years. I'm on Linked-In and have just...
-
Mmichellepilcher reacted to nielynco's post in the thread OB Coding – Normal Prenatal Visit vs. Pregnancy Complication Codes with
Like.
You care quite correct. The answer is NOT correct and I looked to see who responded to it and he is not apparently a coder with OB experience. Specifically: "Chapter 15 codes have sequencing priority over codes from other chapters.... It is the... -
I would say this is included in the hysterectomy. The sidewall was lacerated during the procedure and they didn't notice until they got to the recovery room. -
nielynco replied to the thread OB Coding – Normal Prenatal Visit vs. Pregnancy Complication Codes.You care quite correct. The answer is NOT correct and I looked to see who responded to it and he is not apparently a coder with OB experience. Specifically: "Chapter 15 codes have sequencing priority over codes from other chapters.... It is the...
-
rthomas@impcna.com replied to the thread Level 1 APCM diagnosis coding.We have been billing APCM since 2025, when the codes were released. We do not enroll anyone unless they have at least 1 chronic condition. A chronic condition is expected to last more than 12 months or until death. Why was the patient enrolled... -
nielynco replied to the thread Bladder irrigation for Interstitial cystitis.The CPT code covers the administration procedure itself; the instilled substances must be billed separately. Each unit billed must correspond to the dosage administered and so you use J codes for the substance that matches the dosage documented...
-
Bbestrada10 replied to the thread Gastrocutaneous Fistula Closure.Hi Nichole! I know this is an old thread but do you (or anyone reading) happen to know how this changes in regards to closure of a gastrocutaneous fistula instead of gastrocolic fistula? It's my understanding these are different with...
-
SI'm hoping to find someone who has some experience with billing APCM codes. More specifically how they bill a level 1 APCM (G0556). A scenario - If there is no clear dx, is it possible to use a Z code from Z00-Z13 for the visit?
-
TThis position is based in Lubbock; however, weekly travel to and from Amarillo will be required for training. Plan and perform proactive compliance activities, including risk-based audits, pre-bill or concurrent reviews, data monitoring...
-
Iilenecostello@gmail.com replied to the thread 49203 vs 22900.I'm stuck on this one as well! The incision and tumor sizes are not specified. How can they justify any answer other than they just "KNOW?" :mad: