Recent content by dmccullers

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    Wiki Carotid US CPT code 93880

    I am having a hard time finding the LCD for Palmetto Medicare for the covered dx codes for carotid ultrasound 93880. I know at one time bruit was not covered and I need to know if that has changed and what dx codes are covered now. Can someone point me in the right direction.
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    Wiki Audio Only Visits

    Does anyone have an easy to follow cheat sheet for billing audio only regular office visits for 2022? I am looking at all the different payer websites and I can't figure out what's old and what's new. HELP
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    Wiki Billing for Port Flushes

    What is only the physician extender is in the office. I just want to make sure I cover all of my bases.
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    Wiki Billing for Port Flushes

    1. We do monthly port flushed in our office. If the provider isn't physically in the building 1. can we still bill for the 96523? 2. who gets assigned for that charged? Currently the physician that the patient is assigned to gets the claim billed under their name. 2. If the patient belong to...
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    Wiki Nurse Practitioner & Physician seeing patient?

    Not how how our NP needs to document... One of our physicians is seeing new patients today. He is having our NP go in first and do the physical exam and history. Then he is going in and seeing the patient as well. The NP is doing the chart. 1. Is this allowed and how should the NP document that...
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    Wiki CPT code 37799

    One of my providers did phlebectomies today. The issue is he only did 7. In the research that I did, it says to use CPT code 37799. How do we bill for this code as there isn't any RVU attached to it or a fee amount. Any help would be great!
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    Wiki 37799 unlisted procedure code

    One of my providers did phlebectomies today. The issue is he only did 7. In the research that I did, it says to use CPT code 37799. How do we bill for this code as there isn't any RVU attached to it or a fee amount. Any help would be great!
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    Wiki Manual Aspiration SVT

    We will be doing a manual aspiration SVT today in the office. Every CPT code I look up is for a thrombectomy that would be done in the hospital. Any suggestions?
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    Wiki E/M Denials

    I have been seeing a lot of denials lately from Humana and BCBS stating "missing/incomplete/invalid other diagnosis". The codes that we are using are I83.813 Varicose veins of bilateral lower extremities with pain, I83.893 Varicose Veins of bl low extrm w other complications, R60.0 Localized...
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    Wiki Nurse Visit Billing

    Our nurses see a lot of our patients for various things. If a patient comes in for a life port check to make sure it is healing correctly is the nurse (RN, LPN, MA) able to charge an office visit? If so how is that billed if they do not have an NPI number. Sometimes there is a physician in the...
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    Wiki GA Medicaid Home Health Issues

    We are seeing an issues with Home Health codes G0179 and G0180 and GA Medicaid. All other payers will pay with these codes. Do we need to use a different code for Medicaid??? Everyone we have tried to bill has denied.
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    Wiki Specialty Practices & MIPS

    I would love to hear from other Specialty Practices on how they are meeting all of their Quality Measures and other MIPS requirements. We are a very small practice on only 2 physicians and 2 PAs. We are asking questions that are very time consuming just so we can meet the Quality Measures not to...
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    Wiki Soft Tissue vs Vascular Ultrasound CPT code

    We had a patient today that came in due to swelling from the removal of her Life Port. We did an ultrasound, but aren't exactly sure how to code it. Our technologist scanned her jugular and subclavian veins as well as her soft tissue on the right side of the neck. Does anyone know what CPT code...
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    Wiki IP stay consult

    Pt was IP my provider was following patient for problem 1. A few days later my provider was asked to do a consult for problem #2. Would problem #2 be billed with a IP consult code or an IP follow-up code?
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    Wiki Billing SNf for Medicare Part B claims

    That is correct. My question is how will we know a patient falls under consolidated billing when the patient is in our office? How do we bill the SNF? On a 1500 claim form or a statement?
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