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Latest activity
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SSandyChase posted the thread Urgent Care Billing- POS 20, Can you bill an E/M office visit and a Flu Vaccine? in Medical Coding General Discussion.I work for an Urgent Care, we bill POS 20. We are looking into offering Flu Shots. CPT 90661..... Can we bill an E/M with the Flu Vaccine CPT 90661 and admin CPT 90471 if pt comes to our urgent care for an injury and wants a flu shot? Using...
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jalabergeron posted the thread Facility/Hospital Cancellation in pre-op in Medical Coding General Discussion.Facility/Hospital - If a procedure is cancelled prior to anesthesia but before the patient makes it to the OR, how is this coded? Mod 73 requires the patient to make it to the operating room. If a patient is in pre-op and there are other health... -
Mmichii21 posted the thread Billing for EEG w/Video monitoring 95700 & 95716 in Neurology/Neurosurgery.For ambulatory EEG w/Video monitoring are we allowed to bill 95700 and 95716 on the same day as our start date ?
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Hi, I try to keep the explanation as simple as possible because I feel it's confusing for anyone who isn’t a coder or biller (it's confusing enough for me! LOL). I tell patients that maternity billing is changing nationwide in 2027, and right... -
nielynco replied to the thread Sedation for IUD.If they will pay for it, the codes would be 99152/99153 assuming your provider is the one administering it and you have an observer to meet the requirements of the codes.
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nielynco replied to the thread OB conundrum.And who is billing the global service? And you seem to be saying that both family care and the ob/gyn are assisting at the c-sect? If you are billing under 2025 rules with one code for the entire service by one provider, the other physician...
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nielynco replied to the thread new 2027 ob guidelines.Induction of labor was always included as part of the work when performed on the date of delivery. If labor is induced mechanically at least 24 hours prior to delivery you could bill 59200 but if on the date of delivery then it would be included.
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TTinaM2026 posted the thread Billing incident to for a PA while being credentialed in Medicare Regulations.We hired a new PA for our practice who is not credentialed with any insurance yet. Most of our patients have Medicare. Does NC medicare require PA's to be credentialed prior to billing incident to? I cannot find any specific wording stating if it...
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rthomas@impcna.com replied to the thread HCC Diagnoses on Preventive Visits (Z00.00) – Claim Submission and Acceptance Question.1. Yes, you can include an HCC dx with Z00.00, and it counts for risk adjustment reporting. Wellness exams are the best time to capture your HCC codes, especially if it's an AWV. 2. No, HCC codes do not need to be associated with a CPT II code... -
rthomas@impcna.com replied to the thread Sports Physical in Pediatrics.I work in an Int Med & Pediatric practice. If a patient needs a sports physical we see if they are due for a wellness exam. If they are due for a wellness exam we will do a complete exam and fill out the form for them. We bill a wellness visit...
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rthomas@impcna.com replied to the thread Smoking status.If the patient is a smoker, instead of using a CPT II, we report it with a dx code. i.e.: Z72.0: Tobacco use (current use, no dependence or addiction noted) or a code from the F17 category.
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Twith just this informaion Id report 31237 plus mod 78 if your still in the global periord.
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SSandyChase left a message on Pam Warren's profile.Hi Pam- I work for an Urgent Care, POS 20. Can we bill an E/M with the Flu Vaccine CPT 90661 and admin CPT 90471 if pt comes to an ugent care for an injury and wants a flu shot? with the injury Dx and dx Z23 linked to the flu vaccine? Thanks!
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WHello! We are considering changing IPAs as we are having some serious issues with our current IPA for the last few years. I will not mention the name of the company here. This is a long running reputable IPA company for a few decades in Texas...
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Wwhughes9805 replied to the thread No Responses.I did have that happen at the May conference. I asked a question. The instructor told me to message her, and I never received a response.
