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Latest activity
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Ddroque replied to the thread Plan B / Emergency Contraceptive.We use S4993
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NNRaizman replied to the thread Traction during surgery.There is little support for this being separately reportable. If traction is used to obtain reduction, that is a standard part of the "open reduction" of any fracture case. Temporary pins are merely a reduction tool, whereas applying a separate...
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HHello, has anyone had any experience with outsourced A/R follow-up? We hare finding it difficult to hire and retain competent employees for these roles. We are covered for the coding and billing, etc., and only need help in the A/R follow-up...
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Jjsclward@hotmail.com posted the thread Change in Physical coding? in Medical Coding General Discussion.I am seeing the below message in Athena. Does anyone know anything about this?! Has something changed that I am not aware of or is this just an error and I should override? Thanks! Rule ID: GLOBAL-6893 [Insurance Default] Procedure code 99385 is...
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HHeather.Knutson@Stellishealth.com reacted to AlanPechacek's post in the thread Baker's Cyst injection/aspiration with
Like.
A Popliteal/Baker's Cyst is neither a Ganglion Cyst nor a Skin and Subcutaneous Tissue abnormality, so neither 20612 nor 10160 would be correct. It is a deep, subfascial structure/lesion. In adults, a Popliteal Cyst is an extension of the Knee... -
Ssiyagaikwad2023@gmail.com replied to the thread Tympanoplasty with temporalis fascia graft.As per CPT assisatnat The August 2008 CPT Assistant discusse is harvested from either the temporalis fascia or other locations (ie, vein, periosteum, or conchal cartilage perichondrium). Occasionally, a graft is used from material other than...
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LZ12.11 is primary for screening colonoscopies, following by findings and/or high risk reason/history codes. Many insurances require Z12.11 primary to trigger screening payment and its well established guidance to code Z12.11 primary for a...
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Nnatashalage replied to the thread Inpatient Admission Psychiatric Coding.Hello, I am not an expert but here is my thought: same provider cannot bill both 99222 and 90791/2. IF psych provider does Psych Evaluation as her Initial visit (documentation must match 90791/2 description), then i would use psych codes instead...
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LHello, I am reaching out for coding advice on Cigna's reimbursement policy for definitive drug testing. We are a Florida-based pain management office. I understand the update indicating that G0480 is the only reimbursable HCPCS code. However, my...
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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...