Recent content by eccm7862

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    Wiki Modifier XE

    Thank you for the help!
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    Wiki Modifier XE

    Would it be appropriate to add modifier XE to CPT 88321 when another provider at a different facility reported the same CPT on the same DOS? Insurance is denying as a duplicate. Thank you.
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    Wiki 52204/52234

    Would it be most appropriate to bill with 52204 or 52234? I am leaning towards 52204 based on the biopsies being done by cold cup biopsy forceps and not completely done using fulguration. The 22-French scope was inserted in the bladder. The urethra and prostatic urethra appeared normal...
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    Wiki CPT 27059

    Would it be appropriate to bill this code for a surgeon if both the surgeon and radiologist reviewed during the procedure?
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    Wiki CPT 27059

    Humana is stating that CPT 27059 needs an anatomical modifier added. The tumor was centrally located in the abdomen. Would it be appropriate to bill this with modifier 50 since the OP note does not state specifically RT or LT?
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    Wiki Co-Surgeons

    Would it applicable to bill an 80 modifier if two co-surgeons have the same specialty since they both will not be paid with the 62 modifier?
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    Wiki Modifier 62

    Do the providers need to be of a different specialty to bill modifier -62 and receive payment?
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    Wiki Colonoscopy

    What code would you choose if the impression on the OP report is "One 13 mm polyp in the sigmoid colon, removed with a hot snare. Resected and retrieved. Injected.". I am not sure whether it would be 45390 or 45385 and 45381. Thank you for your help!
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    Wiki CPT 43254

    Our provider did 12 mucosal resection during the procedure. Does this code include all of the mucosal resections done during the procedure or should the code be billed 12 times with 51 modifier since the MUE is 1? Or is there an additional code or modifier that should be added for multiple...
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    Wiki 99214 with 99233

    Patient was seen at urgent care and was admitted as inpatient. The urgent care provider billed 99214 and the inpatient provider billed 99233. Can these both be billed on the same day if it was done by two different providers but the same organization?
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    Wiki CPT description

    If a CPT does not have an approach/description listed such as open or laparoscopic, can it be used for either? For example, 49329 (Unlisted laparoscopy, abdomen, peritoneum and omentum) is being billed for omental flap that was done laparoscopic but feel that 49904-49906 could probably be used...
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    Wiki 49203-49205

    How is the measurement determined for 49203-49205?
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    Wiki 99408/99409

    Can 99408/99409 (Alcohol and/or substance (other than tobacco) abuse structured screening and brief intervention) be billed more than one time or only for the initial assessment? Thank you for your help.
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