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Latest activity
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Ccsperoni replied to the thread Wiki G2211 Defined - Anyone Have Examples?.1) I have not seen any denials with patient responsible. I have seen bundling denials. Also, for patients with deductible/co-insurance, they may owe for G2211. 2) RVUs are available several places. Any online encoder, some CPT books, and CMS...
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Ccsperoni replied to the thread Wiki Personal History of Cancer-- Invalid principal diagnosis?.I agree with @sls314 that Z08 would be appropriate for that situation (assuming no sign/symptoms issues). When I was thinking of "procedure" I was thinking of something more involved. To me, a cystoscopy (or colposcopy) is really more of an...
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XPresuming you are using a 40 mg vial, which would leave no drug waste...yes, you would bill 8 units (5 mg/billing unit x 8 units).
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EElund replied to the thread Wiki CPC employment.I am having a similar problem. I finished Practicode to go from CPC-A to CPC, submitted 18 CEUs, and started listening to the AAPC podcast. (I even added these to the education section of my resume.) I've been seeking jobs since the beginning of...
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Kktashiro posted the thread Wiki billing of C Arm with Surgical Assistant operating it. in Billing/Reimbursement.Hello all; we have a clinic and a ASC and of my doctors asked me if we can bill C-Arm procedure with the Surgical Assistant operating it. Does anyone know? any help would be greatly appreciated. Thank you
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JJim Pawloski replied to the thread Wiki Sclerotherapy code 93971 UHC denial.Ultrasound is bundled into sclerotherapy injections. 93970 and 93971 are mapping procedures and not billable during interventional procedures. HTH, Jim
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Vvijay.gomey replied to the thread Wiki G0180 equivalent for commercial insurances.@rthomas@impcna.com Thanks for your prompt. With this being said, you mean 99374-99375 for home healthcare agency supervision, 99377-99378 for Hospice Supervision, and 99379-99380 for Nursing Home patient supervision.
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Sshanamarie replied to the thread Wiki J1010 replacing J1030, J1040 Depomedrol.What NDC are you looking for? So I can review on the crosswalk?
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AHi everyone, Recently I have been getting denials for cpt code 93971 under sclerotherapy saying that information provided does not support the description/cpt code 93971. Initially the sclero claim gets denied for medical records then they pay...
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TTGETTYS replied to the thread Wiki J1010 replacing J1030, J1040 Depomedrol.According to a crosswalk I located, there are literally like 20 NDC codes listed. I also compared the new vials to the old ones and the NDC codes are definitely different. Both codes are now converting to the one J1010 but J1030 and J1040 had...
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AIs this a payable code? Provider has a handful of patient who he already did this services but this is the first time he is trying to bill this code. Is this done by units? I also cant find a fee schedule for this on CMS (NY NJ and CT state)
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JHello! Needing some advice from some IPG pros... Backstory: Pt had Inspire implanted in 2022, no complications. In November 2023, he underwent an emergency surgery for aortic dissection. Since then, he's had significant pain at the site of the...
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Rrhinomdsbs replied to the thread Wiki 99406 denial for medicare.I work for an infectious diseases and wound care office, and providers frequently report 99406 in annual wellness visits, even when the patients are nonsmokers. Insurance refused claims many times; any assistance would be greatly appreciated.
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Ddstruve replied to the thread Wiki Ortho questions.I got the study guide. It was very helpful. I also did a spine webinar as that is my weak spot. I then wrote notes in my cpt book on those areas for things I needed to watch for.
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CWhat codes do you use to bill an ortho consult by phone with the ED.
