Recent content by delphinus777

  1. delphinus777

    Wiki ASC implant billing

    This all depends on your individual insurance contracts. (It would state if they require an invoice during billing, what the percentage increase is for the implant(s) used, as well as if they reimburse for the type of implant used). Just FYI-*all Medicare plans include implant cost in...
  2. delphinus777

    Wiki Cpc study guide

    Just a little bit of my approach. You have to look at the approach of the surgery and understand the way each section of the CPT book is laid out. Aspiration, Biopsy, Incision, Excision, removal, Laparoscopy, Hysteroscopy, Arthroscopic...etc...., also site/location. For example...the...
  3. delphinus777

    Wiki HELP! Pain Mgmt LCD's for Medicare

    I hate the website now. I found a link to look for LCDs on CMS.gov. You do the advanced search and click the small bullet to search "Local Coverage Documents". Then select your state. Click the box to search by CPT code. Enter the code and then click SEARCH BY TYPE. Hope this helps...
  4. delphinus777

    Wiki cataract procedure

    From what you explained I would code the intended surgery with the modifier discontinued after anes. 66984-74. The patient had a complication. Additional diagnosis...v64.1 and the complication diagnosis code. thats my two cents
  5. delphinus777

    Wiki ASC facility Code

    Was a procedure performed? If so, please read: ASC Services Included in the Facility Payment. Facility payments for ASCs include the following services which are not paid separately: ? Nursing services, services of technical personnel, and other related services; ? Use by the patient of ASC...
  6. delphinus777

    Wiki 10060 and 11730 on the same toe

    CPT code 11730 would require a modifier to show it was separate from the I/D...different area...separate incision...etc.......HOWEVER- if the Surgeon removed the nail plate and did an I/D of the abscess located beneath then it can not be billed separately. Thats my two cents. :-)
  7. delphinus777

    Wiki ASC Facility in Texas HELP

    Be sure to perform procedures only on the ASC list. Look for your local area fee schedules pertaining to Medicare. Years ago there was a program that would help with setting billable fees for your area but it was associated with an insurance company. Long story short, it was a conflict of...
  8. delphinus777

    Wiki Ileal Looposcopy -CPT code?

    I am looking for a code for ileal looposcopy. CPT 50688? its not really a Cystoscopy....52000...So confused. :confused: OP Note: Procedure: Ileal looposcopy. Surgeon: XX, M.D. Anesthesia: None. Indication: This is a 65-year-old woman with a history of bladder cancer underwent radical...
  9. delphinus777

    Wiki G0168 will it reimburse for asc's

    I think it all depends on the carrier you are billing it to. Here is a "Tip" from Supercoder for G0168: Medicare Stipulates G0168 for Tissue Adhesive If the physician only uses liquid skin adhesive (Dermabond) to close a wound, you should report G0168 If the physician uses sutures or...
  10. delphinus777

    Wiki Eyelid abscess drainage by needle aspiration

    Check out CPT codes 10021 or 10160.
  11. delphinus777

    Wiki metatastic squamous cell carcinoma

    If the pathology came back as metastatic SCC then i would code the 198.XX series. In the Coding guidelines [2013 ICD-9-CM book] under the official ICD-9-CM guidlines for coding and reporting, page 8 Chapter 2 Neoplasms; [b] Treatment of secondary site; it states ......."When a patient is...
  12. delphinus777

    Wiki carcinoma question

    I would code it as either Basal or other. Not squamous or IN-SITU. Here is an informative site for you. http://www.epathologies.com/pcoll/derm/p_ref/ca_baso_wee.htm
  13. delphinus777

    Wiki Quality Reporting G Codes for an ASC

    Quality Measure Reporting in 2012 (Webinar Recorded on 06/05/2012) You can not register for that website until January 2013. Then you can report between July 1 and August 15. This webinar was very informative! They say for the coding aspect of the QR there is a minimum of 2 G codes and a...
  14. delphinus777

    Wiki Quality Reporting G Codes for an ASC

    _UPDATE 6-15-2012_______________________________________ Medicare Quality Reporting Alert: Change in G-code Reporting ASCA has learned from the Centers for Medicare & Medicaid Services (CMS) that ASCs should not use the quality data G-codes on claims where Medicare is the secondary payer...
  15. delphinus777

    Wiki Quality Reporting G Codes for an ASC

    I am using the diagnosis pointers for the surgical procedure. So far my testing of these codes are good. I figure if I get myself into the habit of using them now before the start date I won't having anything to worry about.
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