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Latest activity
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rthomas@impcna.com replied to the thread FLORIDA MEDICAID BILLING.Is this happening with a single provider or multiple providers? If it is a single provider, make sure that provider is enrolled in the VFC program. -
LI've come across two organizations that use the EPIC visit diagnosis on the detailed report as the main driver of the reported codes that are entered by the provider. However the documentation in the note does not support either specificity...
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DHoping this will be a rather straightforward question. For reference, I am in NC at a specialist office (place of service is always 11, billed professional services) How often do we need to get a consent for treatment signed? We do it at the...
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Vvenus st claire replied to the thread Cpt 92558 and medicaid.Also, with AZ Medicaid, I am having problems with them not paying for labs, strep, flu A & B, and COVID testing. I work for a Pediatric office
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Vvenus st claire replied to the thread Cpt 92558 and medicaid.I am also having the same problem as Lacey
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MIt isn't clear that you are doing anything wrong. Even when coding one of the conditions listed in the Excludes1 note to G54 codes, ICD-10-CM guidelines state, "An exception to the Excludes1 definition is the circumstance when the two conditions...
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CCynthia Hughes replied to the thread Phantom Limb Pain.It isn't clear that you are doing anything wrong. Even when coding one of the conditions listed in the Excludes1 note to G54 codes, ICD-10-CM guidelines state, "An exception to the Excludes1 definition is the circumstance when the two conditions...
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OOnelM2023 replied to the thread FLORIDA MEDICAID BILLING.I appreciate you all. Based on the information above, can someone help me understand what I might be doing wrong? I’ve submitted the claim with 90460 by itself and also with 90460 x 3, but it still isn’t getting paid. I’m completely lost at this...
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ETo bill the G code you are supposed to be buying the medication, that's why the reimbursement is so much higher, the medication is crazy expensive if not buying in bulk. We were billing for spravato using the G codes, but have now changed to E/M...
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Vvenkatakrishnan.sivan@medkpo.com reacted to yashaswee.kotia@gmail.com's post in the thread 33285/33286 with
Like.
Hi , I reviewed one reference and cardiovascular coding guidelines which states : If the original subcutaneous rhythm monitor is removed and a new device placed through the same incision, code for the insertion of the new device only (33285). I... -
Mmariaerorie@gmail.com replied to the thread methylprednisolone acetate, 1 mg J1010 Denial.Yes! I came looking for the answer here. I also work with Pain & Spine. The beginning of this month they started coming back. Anyone know what changed?
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MMDiaz77 replied to the thread CPT code 68320 VS cpt code 68110 VS cpt code 68135.We were having the same issue in our office. During some research I do agree with your Auditor. 68325 will be more adequate
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Ttaradawn_i@yahoo.com commented on debbyallen's profile post.92928 is a single lesion. 92930 would be for two lesions, either 2 separate lesions in a main artery, 1 lesion in a main artery (ex LD) and one in a side branch (1st diagonal), or if you have a bifurcation lesion.
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LI work at a pain management facility, and our physicians have been putting in diagnosis for phantom limb pain. However, all insurances deny both G54.6 and G54.7. At first I thought it because of coding with like radiculopathy, but then we had a...
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TGood morning, The Orthopedic practice I work for uses a second (vascular) co-surgeon, for surgeries which use 22857 and 22860. Per my understanding, I need to use the 62 modifier for the main code (22857) and for any add on codes, which 22860...