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Latest activity

  • J
    jcactusflower3 replied to the thread Ulcer Treatment.
    Have you tired XU or 59?
  • C
    Castc001 replied to the thread G0444 denial.
    My understanding is that you CAN'T bill a G2211 with an AWV, initial or subsequent. You can't bill a G0444 with a G0438. You CAN bill it with a G0439. You DON'T need a modifier on G0444 unless you are billing a separate screening like G0442; then...
  • A
    Does this code still get applied if there is no provider interaction and after the initial 15 minutes of insertion the patient just lies there on their own for another 15-30 minutes? Isn't the code supposed to be for some sort of interaction...
  • K
    Hello - Can you share the appropriate way to bill both a toe amputation and an ulcer debridement on the same foot but different areas? We billed 28820, T5 and 11042 RT, XS. The 11042 has been denied as incidental to primary procedure. Thank you!
  • M
    Since Bilateral Leg Weakness due to CVA is not found under Sequela of CVA would you code this to I69.365 (other paralytic syndrome following cva bilateral)?
  • A
    I had thought the add on codes 97814 and 97811 were for extra time in general, but now I'm finding information that says they can NOT be used for patient time spent lying on a table with no provider interaction. Which makes sense. But I keep...
  • C
    Cmama12 replied to the thread CPT 76815 clarification.
    If it was transvaginal, then you wouldn't use 76815 regardless of what elements were checked. As stated above, 76817 does not have any documentation requirements in terms of limited, complete, etc. so if only the heartbeat was being checked and...
  • J
    jifnif replied to the thread 21337 and 21320.
    It is my understanding that the CPT follows the fracture treated and not the instrument. For example, if you have a septal fracture and nasal bone fracture. Maybe the forceps straighten the septum (21337) while the Boise elevator reduce nasal...
  • A
    Under HPI the provider says -" Patient presents with a bitten or stung by nonvenomous insect and other nonvenomous arthropod, initial encounter. History of insect sting/bite appears to be consistent with a spider bite. these bites or stings seem...
  • B
    Looking for an experienced, detail-oriented coder for long-term remote contract with a large children's hospital. The work covers coding for pediatric intensive care (PICU), neonatal intensive care (NICU), cardiovascular intensive care (CVICU)...
  • Q
    QueensCoder replied to the thread Same day E/M and Infusion..
    We are going thru the same issue. Physician sees the patient before the infusion ( chemo) and reviews the cancer treatment, how the patient is feeling if there is new issues, not only to check if they are ok for the infusion. They spent...
  • M
    We are doing MBB on T11-T12 and T12-L1. UMR is denying the second level as PI-B10 (Allowed amount has been reduced because a component of the basic procedure/test was paid.), and only paying 64490 for second level. We are billing this for an ASC...
  • M
    michellepilcher reacted to amyjph's post in the thread SOB? with Like Like.
    Depends on the documentation. However, you would have to follow ICD-10 guidelines. It wouldn't be correct to use Z00.00. That's not why they were there and it is not explaining the visit. Why wouldn't it be more like Z03.89 + Z87.09 area? It is...
  • S
    shelly1966 replied to the thread radiation coding.
    4 treatments were done at my hospital and 1 will be done at a different facility not in our network by a different physician. Thank you for all your help.
  • M
    Since Bilateral Leg Weakness due to CVA is not found under Sequela of CVA would you code this to I69.365 (other paralytic syndrome following cva bilateral)?
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