Recent content by ellzeycoding

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    Wiki correct date of service for pathologists

    They attempted to standardize it nationally with CMS in September 2017 as date of interpretation, but rescinded it. It is now up to the individual Medicare Contractors. Some have clearly published policies, others like Noridian do not. Some allow date the specimen was obtained Others require...
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    Wiki Measurements for Lesion Excision

    Excisions are coded based on the widest dimension including margins.
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    Wiki Post op - wound check post mohs and xenograft repair. Previously diagosed ssc in-situ

    No, not really. ICD-10 guideline state.. "Aftercare Aftercare visit codes cover situations when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease. The aftercare Z...
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    Wiki Pathology Consultation of outside slides 88321

    The Medically Unlikely Edit (MUE) for 88321 is 1 88321 is billed once, regardless of the number of specimens submitted to the consulting pathologist. The National Correct Coding Initiative policy files CHAPX-CPTcodes90000-89999.PDF (Pathology and Laboratory Services) page X-15 we see the...
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    Wiki Self Pay Candida and treatment

    Disagree. According the the HIPAA/HITEZCH Omnibus rules, the patient has the right to restrict their protected health information (PHI) from being released to their own insurance company. The patient can request that you not file insurance, and pay cash, if they request it in righting. They...
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    Wiki Medicare code for "squeezing" a Medicare patient into an already busy schedule

    LOL. Wishful thinking on his/her part. It's part of doing business There is a code for providing services outside of normal business hours, but doesn't pay anything as it's bundled into other services 99050 - Services provided in the office at times other than regularly scheduled office...
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    Wiki eyelid lesion / "seed pimple"

    Use 10040 10040 Acne Surgery (e.g., marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)
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    Wiki Can light box be performed by a medical assistant when there is no provider on site?

    I wouldn't do it, or bill for it. If your malpractice insurer found out, they'd drop you. As others have stated, this may even fall out the scope of licensure for MAs in your state. Definitely ONLY do this with a provider on site. What if something goes wrong? Who is there to intervene that...
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    Wiki CPT 10060 with no incision

    I would say no.
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    Wiki Modifier 90 on Path codes when the treating physician is also the pathologist

    I work with hundreds of dermatology practices across the country that do their own path for services they provide at their own office and satellite offices. None of them need modifier 90. Your claim scrubber is providing you with a false alert.
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    Wiki New patient or established

    Also, remember this is based on primary specialty associated with the physician's NPI number. This is different than Taxonomy Codes. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MedicareFeeforSvcPartsAB/downloads/SpecialtyCodes2207.pdf
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    Wiki D22.xx VS Q82.5

    Use D22 series Look at synonyms here https://www.icd10data.com/ICD10CM/Codes/C00-D49/D10-D36/D22-/D22.9
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    Wiki Billing for a locum tenen for a physician who has left our practice

    Yes. A locum tenens can fill in for a physician that has left for up to 60 days if its a group practice. https://med.noridianmedicare.com/web/jeb/specialties/locum-tenens-and-reciprocal-billing
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    Wiki Dermatofibroma Pathology Code 88304 vs 88305

    I'd use 88305. It's a benign tumor of the skin. Also called fibrous histiocytoma http://laboratory-manager.advanceweb.com/cpt-coding-for-soft-tissue-tumors/
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    Wiki Insurance coverage for laser treatment of scar

    Unless it's from a burn, or impairs function or mobility, most carriers will consider it cosmetic.
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