Recent content by D.R.

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    Wiki baclofen test injection CPT

    I would appreciate anyone's help. My provider has submitted 62323 for baclofen test injection w/ dx R25.2 (cramp & spasm) . I am filling in for this dept and I am unfamiliar with this px. We have recv'd a denial from Medicare stating dx does not support medical necessity. What CPT code is...
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    Wiki Telehealth -HPHC audio only

    What CPT does HPHC require for audio only visits for 2024? There is plenty of info for behavioral health claims but that is not what I looking for. I have tried 9921x and also 9944x, pos as 10 w/ mod 93. Both CPT's are denying. I have tried checking their policy only and I either get an...
    • D.R.
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    • Replies: 0
    • Forum: E/M
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    Wiki 11970 & 19370 on same breast

    Please help!! For 2024, can 11970 & 19370 both be reported for same breast. I read all the guidelines & articles but honest, the way some of them are worded I get confused. 😓
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    Wiki Amputation finger w/ deep nerve embedment

    thank you!
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    Wiki Amputation finger w/ deep nerve embedment

    My provider wants to use +64787 for the transection of the digital nerve with deep tissue embedment along w/ amputation of distal phalanx. As you know 64787 is an add on code for excision of neuroma(s)codes 64774-64786. The were no neuromas excised. Would the digital nerve transection w/ deep...
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    Wiki 15733 or 15734

    My provider wants to submit 15733 for the named muscle flaps listed in the statement below. I know the semispinalis & splenius capitis are in the neck area but I am leaning more towards 15734 only because the description of 15733 states neck but list only the anterior muscles (buccinators...
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    Wiki 64787

    Please help..... my provider wants to submit 64708 & +64787. Add on code, 64787 can only be billed w/ 64774-64786. The note clearly states that the neuroma was not excised. I agree with 64708 but I would appreciate any help . The proximal end of the prior incision along the lateral leg...
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    Wiki Titanium Mesh used for bilateral breast sx

    Thank you!
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    Wiki Nasal Flap debulking

    Would appreciate anyone's help. Provider has submitted 14060 / 15839 / 30420. I am not sure of 15839 for debulking and I do not think there is a code for a cadaver rib graft. Thanks in advance for your help!! Post-Op Diagnosis Codes: * Cancer of lateral nasal wall (CMS/HCC) [C11.2] *...
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    Wiki Titanium Mesh used for bilateral breast sx

    I am trying to determine the appropriate code for titanium mesh used in bilateral breast surgery. I have not come across the use of titanium use before. The common px for us is 15777 for ADM. I would appreciate anyone's help! TIA The sizer was removed. The implant pocket was irrigated...
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    Wiki dx code for removal of implant to reduce risk of ALCL

    What is everyone using for a dx code for removal of breast implant surgery to reduce risk of ALCL? Pt show no signs or symptoms as of yet. Strictly preventive, she is worried about ALCL in the future.
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    Wiki E/M ordering of each unique test - 2023

    Thank you!
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    Wiki E/M ordering of each unique test - 2023

    If my provider orders an xray (done in office) on the day of the encounter, he is billing for both PC & TC as the practice owns the equipment, can this be counted at as ordering unique test for this encounter only?
    • D.R.
    • Thread
    • Replies: 2
    • Forum: E/M
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    Wiki Kenalog Units

    Thank you!!!!
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    Wiki Kenalog Units

    Is this enough info to determine units of J3301 to bill? I get so confused!!! My docs always document in cc's "injected steroid / local to each site, both arms (bilateral pronator, bilateral radial tunnel). 1.5 cc of 1:1 mix of Kenalog 40 & Lidocaine, Injected to each of 4 sites" Thanks
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