Recent content by DFUGET

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    Wiki Colonoscopy after a positive stool test.

    Are we supposed to use the KX modifier for facility as well? we do single path billing and i cannot seem to find if this is also a facility modifier.
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    Wiki SCREENING COLON WITH BX WITH NEGATIVE RESULTS

    The screening code should be your primary diagonsis not the A63.0 since this is a screening turned diagnostic.
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    Wiki Follow up after colonoscopy and hemorrhoid banding.

    I would not code these as a 99214. I would bill this as a level 2. The provider is not ordering any additional testing and only reviewed one lab. I don't see the medical necessity to have the patient return for a follow up office visit either. This information can be given to the patient by the...
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    Wiki Z-POEM Coding

    I have a new provider who will be doing Z- POEM procedures. I cannot locate a procedure code for these. I have suggested that the provider use 43499 for the Z-POEM and use the comparable code of 43279. Is anyone else doing these procedures? Do you agree with this coding or are you coding it...
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    Wiki denial for modifier 62 for PEG

    43246 does allow for a mod 62. aetna might require the surgeons to be of different specialties, gastro and gen surgery for example.
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    Wiki Fecal Transplant Coding

    A provider has asked me to code a fecal transplant via colonoscopy with 44799. I have always coded these as 45378 and only used 44799 for naso tube or enema. Has something changed?
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    Wiki Stereo EEG

    Hi, Does anyone know if an interp of a stereo eeg is able to be reported separately? I cannot find a cpt code for this and I am thinking if done on the same day it would be included in the neurosurgery charge.
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    Wiki Trimix Coding

    Hello, What is the HCPCS code that should be used for the Trimix injection? We are currently using CPT 54235, 93980. Any help is greatly appreciated. Thanks!
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    Wiki Tilt EEG

    Thank you! :D
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    Wiki Tilt EEG

    Hi, I have a new provider that wants to know the cpt code for a tilt EEG. Does anyone know what this procedure is and how to bill it? The only tilt table procedure that I found is an ECG. Thanks!
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    Wiki CPT 45385 and 45380 billed together

    Blue Cross has their own CCI edits. They do not allow 45385 and 45380 to be billed together. You can find the list on Blue Cross' provider website under fragmented coding edits. Enter in the cpt code and the list looks like the screen shot below. If it says no in the BCBS column it is not...
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    Wiki Which code for this EGD?

    There is not enough documentation for the exam of the jejunum. I would bill this as 43239.
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    Wiki New EEG Coding

    hello, I have a provider that wants to bill 95718 for several days in one document. Guidelines state not to report this code for long term EEG's. To bill 95718, he would need separate documentation for each day, correct? If several days are on one report with one provider signature the code to...
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    Wiki New EEG guidelines

    hello, I have a provider that wants to bill 95718 for several days in one document. Guidelines state not to report this code for long term EEG's. To bill 95718, he would need separate documentation for each day, correct? If several days are on one report with one provider signature the code to...
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    Wiki Diag code for screenings turned medical colonocsopy

    depending on the payor, the first listed diagnosis code would be Z12.11. Also, you need to append modifiers 33 or PT to the claim.
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