AAPC - Back to school
Results 1 to 6 of 6

Thread: Billable services

  1. #1
    Join Date
    Apr 2007

    Cool Billable services

    AAPC: Back to School
    Hello all,
    I have been coding for 3.5 years now - I've had the opportunity to code several specialties (I was working for a billing company) and have spent this past year with a Family Practice group of 9 providers. There are quite a few facets to this specialty, and I keep running into billable services that this clinic hadn't used or considered before. For example, I've asked the docs to dicatate on the issue of smoking cessation when it is applicable (not always paid on ) - and I recently started a project for reviewing and billing CPO services over the past 1.5 years (which is actually starting to yield results ).
    I'm just wondering if there might be some coders out there that know of, or have stumbled over, other services like these that might've "slipped" through the cracks? Anything to watch out for other than your typical E/M or minor Sx?
    Thank you
    Last edited by coder911; 07-10-2007 at 09:24 AM.

  2. #2

    Default Family Practice

    Hi, do not forget about the home health reimbursements G1080 and G1079, these are payable by Medicare. And I agree smoking cessation codes are a very lucrative and viable source of revenue.

    Anne Leo, CPC

  3. #3
    Join Date
    Apr 2007

    Thumbs up Thx

    Great, thank you!
    Sometimes we find big things, sometimes they're small - but everything definitely helps. I'll check those codes out
    Jason Steeprow, CPC

  4. #4
    Join Date
    Apr 2007
    San Diego


    Hi, When I did auditing of charges for a billing company I found errors that led to incorrect reimbursement, for example: not billing the appropriate units of medication (J codes), not billing for "each" immunization admin or not billing it at all in some cases, billing of 17003 w/out 17000, not billing for
    G0101 & Q0091 to Mcare, charges going out with $0.00 in the fee column (!), billing services with incompatable dx's (refer to LCD's/LMRP's), not using the QB modifier when appropriate. By taking a look at certain codes and making sure they were being billed correctly, we were able to increase revenue while also making sure things were coded properly. Hope this helps!
    Sylvia Thompson, CPC
    Billing Supervisor
    San Diego, CA

  5. #5


    how do you know when to bill for CPT G1079 or G1080?

  6. #6
    Join Date
    Apr 2007
    Roanoke, Virginia


    Hi coder,

    I was in family practice coding and billing for 10+ years. I found codes 99000 and 36415 not being recorded properly at one location. Reviewing laceration repair notes also helped a little as the code selected rarely ever matched the size and complexity of laceration that was documented in the notes. Lastly, check out the Medicare 2015 covered preventative worksheet CMS has out. There's an entire list of 100% covered services.


Similar Threads

  1. Are these services billable
    By raidaste in forum OB/GYN
    Replies: 0
    Last Post: 09-24-2014, 07:11 AM
  2. Replies: 1
    Last Post: 12-05-2011, 07:10 AM
  3. Routine Services and Separately Billable
    By cheriefieri in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-25-2009, 09:14 AM
  4. LCSW Services Billable??
    By aalynch in forum Internal Medicine
    Replies: 0
    Last Post: 10-15-2009, 05:58 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.