Recent content by Brenda88

  1. Brenda88

    Wiki Billing Office Visit INSTEAD OF Procedure

    I was once told by another coder that if a provider does a procedure that we know is not covered by insurance, we can bill an office visit for that diagnosis instead. I've been unable to confirm whether that's true. When I search online, everything is about billing the office visit in addition...
  2. Brenda88

    Wiki Coding as Malignant Destruction without Biopsy

    I have a provider who was treating lesions that are clinically consistent with basal cell carcinoma and she is confident it is basal cell carcinoma. She proceeded with destruction without conducting a biopsy and used 17270 destruction malignant lesions. (She used liquid nitrogen). Can you call...
  3. Brenda88

    Wiki Alopecia

    I have a provider who performed injections for L65.8 non scarring hair loss and also tried to bill an office visit with a 25 modifier for L66.8 other cicatricial alopecia. I wanted to check with y'all to make sure before correcting it. Is it ok to bill the office visit or are the diagnoses seen...
  4. Brenda88

    Wiki Bill E/M and 96372 injection - More info added.

    Yes, that definitely sounds like something you need to appeal then!
  5. Brenda88

    Wiki Bill E/M and 96372 injection - More info added.

    I would think it would be fine, but I'm having issues getting 96372 paid myself. They told me they won't pay 96372 without the corresponding J code. Wonder if that's the issue with yours?
  6. Brenda88

    Wiki Patient Refunds

    They had asked me to look into it, but I'm having no luck. :( I've found some information for other states like Texas and California, but have been unable to confirm North Dakota. Although, everything else I'm seeing says we have to refund any amount no matter how small. We were just thinking if...
  7. Brenda88

    Wiki Patient Refunds

    Does anyone know where I can find information on the laws regarding patient refunds? Our practice is located in North Dakota. Specifically we are wondering if there is a certain threshold, underneath which we are not required to refund if not requested by the patient. (i.e. not required to...
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