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Latest activity
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1regarding CPT coding for ultrasound exams on a male with gynecomastia and an infant being evaluated for breast buds. Can you clarify whether these exams should be performed and billed as a chest ultrasound or as a breast ultrasound? Also...
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BBiller2023 posted the thread Claims priced by Data Isight and how to file appeals with State Commissioner of NJ in Billing/Reimbursement.We are an out of network provider and many claims of Aetna are priced by a company called Data Isight. Data Isight processes claims with a lesser allowed amount and when we ask them to reprice the claim, they say that the claim is ineligible for...
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Aagwashburn replied to the thread Outpatient Medical Coding for Military.Is there a government coder group to join on MS Teams for Military Treatment Facilities to collaborate on things?
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SSueLis posted the thread Incident to billing 9/1/26 for BCBS/BCN in Medical Coding General Discussion.We are an ob/gyn practice and our CNM's see pt's under incident to currently. As of 9/1/26 BCBS/BCN are no requiring a modifier SA to be on our incident to billing claims. The SA modifier is for Nurse practitioners' and there is a modifier SB...
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APatient was in the office, capsule pill swallowed successfully with not issues. Three days later patient is stating the capsule pill did not pass. Xray was performed and capsule pill was not seen on the xray. Since the capsule pill was not...
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NCan CPT 76815 be used if transvaginal u/s done, or is this code only for Transbdominal u/s? I have a physician that does TV u/s and only checks the heartbeat and confirms gestational age would 76815 still be appropriate?
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MHello, A patient of our just delivered and she is being managed for Von Willebrand's disease. Would this be considered billable outside the global package? Von Willebrand's, severe (Type 2A vWD) Summary of Humate-P plan: 1. At onset of...
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SSandraKB reacted to jcactusflower3's post in the thread Using Z51.89 for every hospital follow up? with
Like.
The type of follow up would help but perhaps you can try z09 if > Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm -
SSandraKB reacted to LeeJager's post in the thread Using Z51.89 for every hospital follow up? with Like.
Without knowing what type of hospital follow up you're office is doing, it's hard to say. However, in general, I would look at the other Z51 codes, "Z51.11: Encounter for antineoplastic chemotherapy," or "Z51.6: Encounter for desensitization to...
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SSandraKB replied to the thread Past Medical History Coding.PTSD, while not being actively treated, is not a condition that resolves itself. I can understand the perspective of 'if PTSD is in the PMH then code it', and I've worked for a provider that had us do it that way. On the other hand, I'm current...
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SI think you are thinking about the timeframe for MI (myocardial infarcts) on Chapter 9 of the ICD-10-CM, which tells you about how to code an MI that has happened within 4 weeks of another one, or if its older than 4 weeks, etc. There is no...
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Ppvacanti replied to the thread SA modifier for BCBSM.To confirm when the APP is the rendering and the MD/DO is the supervisor than the SA modifier must be on the claim but if the APP is rendering and billing (billing directly under the APP) than the SA modifier is not needed? Also does the SA...
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Ttaylorjr replied to the thread Remote Behavioral Health Medical Coder.Just heard from my manager, Sandi, she has only gotten a couple resumes from HR so if you want to send me your resume I will forward it to Sandi directly. :) Thanks, Jennifer
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TI have a 19 yr old patient that was accidentally given a VFC. Administration has already reported the error to VFC and taken measures to address the issue. The patient has commercial insurance and I don't know how to proceed. Everything is...
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nielynco replied to the thread GLOBAL/POSTOP CARE.I think I agree with you on this as the surgeon took all the money and left no recourse for the other physician. In the ideal world he would have billed the surgery with the surgery preop and intraop modifiers and let the other provider bill the...