• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Latest activity

What's new Featured content New posts New profile posts Latest activity
  • L
    lchandler1 reacted to mitchellde's post in the thread Diabetes and Cataracts with Like Like.
    According to ICD-10 CM conventions and guidelines. In the alpha section under the keyword diabetes you see the word "with" the terms indented under the word with are considered to be automatic causal conditions. The provider does not need to...
  • L
    lyork1 posted the thread Coding Prenatal NICU Counseling Visits for Inpatient Mothers When Consultation Codes Are Not Used in Inpatient Facilities.
    I am looking for some guidance on a coding scenario involving our NICU APPs. Our organization does not report consultation codes. We have APPs in the NICU who are asked by Maternal Fetal Medicine (MFM) or OB/GYN providers to see pregnant...
  • S
    sllamas523 reacted to lal4381@yahoo.com's post in the thread Billing Hydration and Chemotherapy with Like Like.
    I need some help determining how to appropriately bill for a hydration infusion with chemotherapy. Patient received hydration from 1050-1325 and chemotherapy from 1120-1305. That means that there was a 29-minute span prior to chemo and a...
  • S
    sharris8888 posted the thread Remote Denials Management position in Job Postings.
    https://careers.spartanburgregional.com/us/en/job/SRHSRHUSP108866EXTERNALENUS/Specialist-Denials-Management-Remote The Denial Management Specialist is responsible for denial and AR management for the department as defined by their...
  • K
    kkidd91 posted the thread CPT 29884 vs 29876? in Orthopaedics.
    I am leaning towards 29884, due to the extensive scar throughout the knee, however the physician states major synovectomy. He mentions the gutters, suprapatellar pouch, and anterior compartment however I am missing inflamed or damaged synovial...
  • T
    TonyaCarlson posted the thread Can 33210 by the anesthesiologist be picked up? in Anesthesia.
    I've recently had an anesthesiologist document placement of temporary pacing wires during a cardiac procedure at the request of the surgeon. This was done through a central line also placed by the anesthesiologist. I'm finding conflicting...
  • A
    angiesams@mail.com posted the thread 20550 Sacrococcygeal Ligament injection in Billing/Reimbursement.
    Has anyone found the proper modifier to bill this midline ligament injection? We have been getting rejections and denials (mainly from UHC) stating anatomical modifier may be required - Smartedits. Procedure Description Sacrococcygeal ligament...
  • J
    jadams@calvertmedicine.com posted the thread Medicare AWV Telehealth guidelines in Medicare Regulations.
    Current Medicare guidelines state that the patient's height, weight, BMI, blood pressure, balance and gait should be included in the exam. Is there a separate policy or guideline specific to AWVs being performed as telehealth (since they...
  • C
    CCANTER posted the thread can i bill cpt code 64595 in Urology.
    I am only needing help with whether i could possibly bill cpt code 64595. the provider removed a sacral lead and placed a new lead. The provider also opened existing implantable pulse generator pock with lead disconnection and reconnection to...
  • O
    Olurola replied to the thread Debridement.
    11004
  • L
    LYNNRAFFERTY posted the thread HUMANA DENYING 87811QW AND 87804 59,QW in Billing/Reimbursement.
    Our clinic routinely bills for covid and flu testing with no issues, but Human has started denying 87811QW and 87804 59,QW stating "Missing/incomplete/invalid HCPCS." Humana DOES pay for 87804QW, which is the part A flu test code, but is not...
  • T
    traciwoodruff123@gmail.com posted the thread Cataract surgery, Second eye in ICD-10.
    I need help with a denial of CO 151. The code and diagnosis are DX Code H25.12 with CPT 66984 79 LT. Why is this denying? DX code H25.12 is a covered DX on the LCD. This is the second eye. Please help.
  • D
    DharaniN2023 replied to the thread Independent interpretation.
    Hi- we will not consider Review as interpretation or for category 2 or we will not bill CPT . We need document as interpret or read by me. Even the provider can review the radiology interpretation .So if document mentioned as review we need to...
  • D
    DharaniN2023 replied to the thread Wound repair coding.
    To bill intermediate repair based on single layer closure we need both contaminated yes and Cleaning extensive. or we need fb removal statment soley based on provider statement we will not bill repair as complex. we need documentation. also here...
  • M
    michellepilcher replied to the thread Cardiology Congenital Heart Defect.
    I found this article https://medlearn.com/icd10monitor/important-coding-info-risk-adjustment-and-congenital-conditions/
Show older items
Top