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Latest activity

  • S
    shelly1966 replied to the thread radiation coding.
    Thank you so much!!!!
  • J
    Following. I have a similar question I have not found a good answer for when a patient has diverticulosis, k57, with congenital looping of colon, q43.8. k57 has an excludes 1 for q43.8 but it's for congenital diverticulum when that's not the only...
  • B
    Hi guys, I have a provider who loves to bill CPT 99497, but it keeps getting denied by insurance as being "unbundled" with the E/M codes theyre billed with. These are for Careplus and Humana Medicare Advantage. Does anyone know why they would...
  • B
    I want to add what we do. 90791 - for therapists, social workers, non-medical providers when patient is new to us. 90792 - medical providers if there was medication management when patient is new to us or the medical provider. Inpatient we use...
  • E
    Hi everyone, I have a question regarding E29.1 (Testicular hypofunction) and E78.00 (Pure hypercholesterolemia, unspecified). E78.00 has an Excludes1 note for 5-alpha-reductase deficiency (E29.1). My question is: If the provider documents...
  • M
    mmckibbin replied to the thread CPT 76815 clarification.
    In the description of 76815 it says limited (eg, fetal heart beat). If we are doing a bedside ultrasound to confirm pregnancy by seeing the heart beat with the ultrasound why wouldn't 76815 work?
  • N
    nipeschon replied to the thread Outsourcing.
    Good afternoon I'm currently looking for a position. I can send you my resume if your interested let me know. Have a good day:)
  • N
    nipeschon updated their status.
    Good morning/afternoon all. Question does anyone on here know of any company hiring for remote Emergency Department Facility Charge Specialist? I have 25+yrs experience,my cpc. Worked for a local hospital remotely till recently. I'm proficient in...
  • K
    kvogel03 posted the thread Denial for 33274 in Cardiology.
    Hi there, I have been getting denials on 33274. We typically bill 33274 KX with Dx: I49.5 and now getting Modifier denials for Medicare. Are there any new Modifier that would be needed ?
  • K
    kaylene_gregory@yakama.com reacted to Pam Warren's post in the thread Healthcon with Like Like.
    Besides 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...
  • S
    Our hospital gave 4 treatments of radiation and the patient is going to another hospital for the 5th treatment. How would we go about getting reimbursed for the treatments we gave? it is my understanding that it is only billed every 5th...
  • J
    I have searched the archives and there are so many conflicting views I thought I would try again. If a patient comes in for a surveillance colonoscopy, no symptoms since initial colonoscopy, do you bill Z12.11 primary because it is considered...
  • D
    Bump. Anyone? ;)
  • nielynco
    I would think so, but remember to confine the elements directed at only this management when selecting the E/M code level.
  • nielynco
    nielynco replied to the thread CPT 76815 clarification.
    No. 76815 is for a limited transabdominal ultrasound. 76817 would be used for any TV ultrasound and does not have specific documentation requirement with regard to fetal measurements, although it is usually done to measure cervical length or...
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