Cheezum51's latest activity

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    Cheezum51 replied to the thread Wiki G2211.
    Do you think it may be diagnosis related? I haven't seen any list of diagnosis codes and CMS has not restricted the types of specialties that can use the code, to my knowledge. My client is not getting the G2211 paid for any claims right now...
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    Cheezum51 replied to the thread Wiki 99204, 92250, 92133, 92020.
    You don't need the 25 on the E/M code nor the XU on the 92020 because it isn't bundled with any of the tests. As stated previously, you can't bill photos and OCT on the same date of service. Tom Cheezum, OD, CPC, COPC
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    Cheezum51 replied to the thread Wiki G2211.
    One of my clients contacted me yesterday and said that Palmetto Medicare was denying payment for the G2211 but paying the E/M code fees. Strange since the code is listed when you use the CPT look up tool. I'm guessing that the insurer claims...
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    Cheezum51 replied to the thread Wiki Time vs. MDM-Clarification Please.
    Fairly recently, CMS stated that its auditors would evaluate the documentation in records where time was used to determine the CPT code level. Also, you have to understand that the auditors will have a general idea of how long a visit should take...
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    Cheezum51 replied to the thread Wiki NGS Prolonged Services Times for 99205 & 99215.
    I would think they would have to comply with the NCD Medicare guidelines for this.
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    Cheezum51 replied to the thread Wiki Dual Surgeon Case Billing for 66991?.
    Just a question. Why would this require two surgeons? Was the second surgeon actually teaching the first surgeon how to do the MIGS part? If that was the case, then I wouldn't think the second surgeon is eligible for reimbursement. I believe your...
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    Cheezum51 replied to the thread Wiki Medicare 92083 denials.
    That really isn't an appropriate test for that problem since those patients do not typically have a visual field problem. A more appropriate test would be a sensorimotor exam 92060 to document the deviation in various positions of gaze and...
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    Cheezum51 replied to the thread Wiki Comprehensive eye examination.
    92004 requires 12 exam elements. 92014 requires 8 exam elements. If you can't do an element due to a patient's physical problems, document that you attempted to do the element but were unable to do so due to the condition. Foe example: Attempted...
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