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We give IV chemotherapy infusions and shots in our office. Occasionally a patient will react to this, and we put put our AED paddles on them just in case, occasionally have to start CPR. How do we bill for this? The AED paddles cost approximately $250 a pair. Usually EMT gets there with in 15 minutes and takes over care and takes them to the hospital within another 15 min. Thoughts?
My OT want to charge cpt 96156 from what I am reading that only healthcare professionals who may report E/M services or preventive medicine services can report this. Am I on the right track?
the denial code & reason:
97​
:​
The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.​
Now that many Anthem plans require prior authorization for 11750, or 11730, how are you handling the appointments in the office? Are the nurses calling or using Availity to approve prior to the procedure? Or are you rescheduling the patient to come back? JJ
What diagnosis code is being used, if any, for a non smoking patient? Let me rephrase my question - if a provider wants to indicate that a patient is a non smoker on their insurance claim what is the correct diagnosis code to use?
Does anyone know if HCPCS code G0127 - Trimming of dystrophic nails is considered a preventative service? Or where I may be able to find that information?
Happy New Year ! I recently acquired my CPC - A . I looking for entry level Job .
C
coding78
If a patient in the ER has RSV but we have no definitive bacterial diagnoses to go along with the RSV do we code the symptoms and then use the B code? Or does the Doc need to be queried. My thinking is the RSV patient may only be in early stages of virus and it has not led to bacteria virus yet so how do we approach this?
C
coding78
Are we suppose to be using the screening code for covid in the Emergency room z1152? And does the DOC have to say in writing "contact or suspected" to code the z20822? We are a bit confused on the guideline.
Question: I've just started billing for a breast surgeon. She works out of the hospital outpatient center. The hospital provides support personnel including NP's and PA's. They are not her employees. She is asking me if she can bill for visits done by midlevels while she is in surgery. My first thought is "no" but wanted to hear from someone else.
Question, what code would you code prior to coding cpt codes 64633-64636 for diagnosing the nerve root. This is done before the RF procedures. Thank you
Paige
i was just looking at your exam results. I'm scheduled to write end of year, and the E/ M baffles me.
is there any helpful tips you can throw my way to help me understand it?
thanks in advance
chris
Thanks ALUru. I just jumped aboard KODE Health myself. We'll see what happens.
A
ALUru
Oh wow - nice! Let me know how it goes. When I applied, it gave me the "waitlist".
I apologize. I was not aware. Can you please help me understand? If I have a question about billing, I cannot post in coding forum as well? Or vice verse?
Hi @Brandy0618 .... We noticed multiple postings from you... This is just to inform you that crossposting is strictly not allowed in this forum.... Have a good day...
Brandy0618
Brandy0618
I apologize. I did not know that I was not allowed to post on multiple forums. Just so I understand, no matter if the subject applies to coding and billing I am only allowed to post in one or the other, not both?
Hi, Am Santhiya Parthiban. Am looking for Medical coding job in USA. If you come across any vacancy could you please let me now? I have overall 8 yrs of experience with exposure to Radiology, Multispecialty denial management, Claim Rejection, PQRS, E&M OP, SDS, IVR
if having pain both knees , they did xray with Bilateral standing 73565 also with 73560-rt and 73560-lt. Do any other modifiers need to go on these. How would this be coded correctly. thank you
Hi Rebecca. I have question regarding a statement you made about billing a new patient visit for each new injury for worker comp patients. You stated that was possible in NC. Where can I find supporting documentation? Thanks for any help.
Can CPT code 33286 Removal of Subcutaneous Cardiac Rhythm Monitor be performed & paid in an office-based lab setting?
QUESTION I bill Company X 12345 Company Address Group NPI and Tax ID on Box 33.
Amerigroup does not have this company nor my provider INN. BUT has him individually INN under his individual NPI and Tax ID.
W9 reflects ABCDEFG H IJK, MD PA then of course doing business as Company X 12345 Company Address.
Can I bill the HCFA Box 33 with his ABCDEFG H IJK, MD PA name on it with his individual NPI and Tax ID#?
Hello,

We have some issues with our VA billing? Would you be available to assist us, we really need help! 09.18.2023 California
When does Modifier -26 apply to CPT 93623 in a hospital setting?
Hello everyone!
We work at a hospital where we've been receiving denials from insurance carriers that modifier -26 needs to be appended to CPT 93623 and associated codes due to programmed stimulation after iv drug infusion procedure performed in hospital setting for POS 21, 22, and 23 when performing electrophysiology ablation procedures.
Does anyone know about billing and the foreign exchange student? I have a claim they the patients address just says Australia but no city or postal code. Can I send the billing to the host family?
Question, Has anyone billed J0174 lecanemab-irmb, infusion for Alzheimer's disease Yet, and receive payment? The clinical documentation requirements seem a bit tedious.
I have just recently started to code for Sleep Studies. I am trying to confirm the date I use when I am entering the charge. Do I use the date of the Sleep Study or the date the physician interprets it? I am not having any luck finding anything. When I bill my PFT's I use the date of interpretation not the day of the test.
Hey Brittany, could you please help me? Select coder states that CPT codes 52330 and 52332 can be billed together, but our insurance carriers are not paying. Are you guys billing these codes together?
What is the current rule about keeping a deceased patient's records? Do we have to keep them if we haven't seen the patient in over seven years? Thank you
What is the best set of cpt codes for RUDAS, MoCA, Mini-Cog assessments by LPC/LCSW/LMFT licensure types mental health providers? Thank you!
CO-119 denials - We are an OBGYN office and are getting more and more of these denials. The PCPs in our area seem to not want to perform pelvic exams or pap smears and send patients to us. The problem is the annual exam/preventative code has already been billed elsewhere (PCP or another provider) and we are not getting reimbursement. We don't know how to avoid this situation......any suggestions??
My surgeon has been using 2 strips of bio-mesh for the hiatal hernia crural closure. Would this be CPT 43281 vs. 43282. This isn't' considered implantation of mesh, right?
hi, can anyone please help me with how to code for the laser hair removal sessions? and how does it affect the code selection when is it classified according to the area of the body treated or the no. of pulses or even the time consumed for the session?
thanks in advance
hi!! i am needing a little confirmation... prov stated that they were told to not add e/m code to a dermatology visit if it is only procedure codes, for instance 17004, 11310 & 11301.. is there something that i missed or is this bogus? pt in for follow up for a previous 17004, but also in doing the 11310 & 11301 that should have a e/m correct? just wanting to have my ducks in a row before i do anything
Good Morning - can someone confirm the correct way of billing the following codes for a 78 year old patient? 90732 (Pneumococcal) with G0009 administration code for 90732 and 90715 (Tdap) - do we bill a 90471 or a 90472? I am getting mixed answers. I have been told that G0009 is not considered a "first administration" code so we should bill 90471 for 90715 but when we do G0009 and 90471 bundle.
N
ny2scgirl
In this scenario I bill 90471 with 90715 and G0009 with 90732
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