Can Z98.89 be primary dx and when?
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The physician is applying Afrin and gentle nose pressure to control the nose bleed. Would this be enough to code for CPT code 30901
Hello,
I am trying to find clarification for telehealth. Looks like pos 02 or 10 have to be placed on the claim. Our Patients reside in assisted living and memory care facilities which is not a nursing home. But it is where they reside. So is POS 02 or 10 the correct one to use. Any guidance is greatly appreciated.
I am trying to find clarification for telehealth. Looks like pos 02 or 10 have to be placed on the claim. Our Patients reside in assisted living and memory care facilities which is not a nursing home. But it is where they reside. So is POS 02 or 10 the correct one to use. Any guidance is greatly appreciated.
Medicare institutional complex billing specialist here specialized in claims investigator audit, research, improper payment validation, return-to-provider, payment validation, CWF and centralized database proficient looking for CMS Medicare specific roles.
G2211 Question
As of January 2025 we can add G2211 to a G0439 - how do I get this covered by Medicare and any Medicare advantage plan? I have tried with mod 25 on G0439 and without a modifier. I know G0439 isn't an E/M so wasn't sure how to correctly bill. Thank you in advance
As of January 2025 we can add G2211 to a G0439 - how do I get this covered by Medicare and any Medicare advantage plan? I have tried with mod 25 on G0439 and without a modifier. I know G0439 isn't an E/M so wasn't sure how to correctly bill. Thank you in advance
Good Afternoon, question on PCS coding for a CTA abdomen,pelvis,chest.
Good morning, we are going to start having a Respiratory Therapist doing the breathing treatments for our patients and I was wondering if anyone knew how we would go about coding and billing when a RT does it vs a Nurse doing it? Thank you!
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fastonthegas.lp@gmail.com wrote on jwebs000@gmail.com's profile.
Hi, I may be in the wrong place. I am taking the Certified Billing course self-study I am finding it to be more challenging than I thought it would be. I am looking for tutoring or guidance on this class. Can you please offer advice on where I can go for help and if there are any tutors willing to help with my billing course
Finish Practicode !!! last week, waiting for my A to be removed. It was part of my package deal through my class, do I need to call or will it get done automatically? it says 4 to 6 weeks anyone know if that's true?
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barnali.gogoi@aapc.com wrote on PSpraveen2022's profile.
Hello, I have 2 questions.
Q1- Where do I find the updates/changes CPT 2025 Mental Health codes? Such as the E/M codes and therapy.
Q2 - Is Adult Day treatment cpt H2012. What are the requirements that must be met to bill that service? Current practice is billing 3 units per day if requirements are met. (1 unit =60mins). Recently I heard, the 3 units must be met within a 7 day period, not sure how true that is.
Q1- Where do I find the updates/changes CPT 2025 Mental Health codes? Such as the E/M codes and therapy.
Q2 - Is Adult Day treatment cpt H2012. What are the requirements that must be met to bill that service? Current practice is billing 3 units per day if requirements are met. (1 unit =60mins). Recently I heard, the 3 units must be met within a 7 day period, not sure how true that is.
I am presently seeking some advice from fellow cardiology coders regarding EKG documentation.
Sample: the EKG is performed prior to MD seeing the patient by office nurse, does the MD confirm, sign and date the EKG prior to adding to the patient's electronic chart?
Also, is the EKG findings documented in the patient's progress note. Thank You!
Sample: the EKG is performed prior to MD seeing the patient by office nurse, does the MD confirm, sign and date the EKG prior to adding to the patient's electronic chart?
Also, is the EKG findings documented in the patient's progress note. Thank You!
Hello members
I am trying to code for 22802:-Arthrodesis posterior for spinal deformity with or without cast 7 to 12 vertebral segments. The Medicare is kicking this code back for LCD/diagnosis reason. Does anyone know an appropriate diagnosis code to use for Medicare payment or which goes with LCD. Also there is no LCD article for the 22802 code. Thank You
I am trying to code for 22802:-Arthrodesis posterior for spinal deformity with or without cast 7 to 12 vertebral segments. The Medicare is kicking this code back for LCD/diagnosis reason. Does anyone know an appropriate diagnosis code to use for Medicare payment or which goes with LCD. Also there is no LCD article for the 22802 code. Thank You
clarification: a covid shot was given the same day as a flu shot. the covid administration is 90480. Will the flu shot administration be coded with a 90471 or a 90472 (because it is the 2nd shot given today)?
Looking for clarification. I coded 1-M47.26, 2-M48.061, 3- M99.73. Is this correct? If not why? History- Disc degeneration of the lumbar spine. Impression- 1- lumbar spondylosis, including advanced lumber facet arthrosis. 2- L3-L4 mod to severe central canal stenosis. Mild/mod bilat foraminal stenosis. 3- L4-L5 Mod central canal stenosis. Mild/mod rt foraminal stenosis.
We recently starting doing Peripheral Nerve Stimulation trials, CPT 64555 billed twice, and now they are wanting to do the permanent placement. This would be CPT 645902, 64555 & 64555 but it is within 365 days of the trial and I am unsure if they will pay the 64555 code more than twice in that 365 day period. Does anyone have any experience with this?
How would you code history of tobacco use, currently on nicotine patch? I have had this question come up on an exam, but not sure if I answered correctly. Thank you in advance.
I am a CPC in Texas, if there is no provider in the office, can the office open?
I'm a new coder. 99441-99443 cannot be billed by same provider within 7 days of E/M service. Would if make a difference if there is completely different dx codes?
Hello, I am having a hard time trying to figure out which code is the most appropriate one for this case. Patient had radiation irritation through out the bladder neck, which extended into the prostate. Dr. carefully and superficially resected this area and treated any areas of radiation changes. Chips were sent for pathology. I am going between 52500 and 52601 any help is very much appreciated. TIA
Hello i work on a FQHC and I am having issues billing Cervical cancer screening for Medicare , is it G0466 ? Does G0466 covers G0091? Please help me!
Thank you
Thank you
IndepCoder/COC, CASCC, CPMA, E/M, COC-I (pending exam)
- Can we bill Graft along with other procedure, say for example CPT 17250 or should we send a separate claim for Graft and a separate claim for other procedures.
- Can we bill nail debridement CPT 11042 / 11043 along with Graft, if the service is done on wounds/diagnoses unrelated to the wound that received the graft.
- Can we use modifier 59 for CPT 11042 / 11043
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?