Recent content by holbjm@hotmail.com

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    Wiki Medicare Advantage Plans and billable ICDs

    Thank you. I wasn't even looking at that code, I was focused on the primary. I believe that is the issue. Thanks again.
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    Wiki Medicare Advantage Plans and billable ICDs

    Yes, I10, E66.01 and Z68.54
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    Wiki Medicare Advantage Plans and billable ICDs

    I have a patient under 65 disabled with a Medicare Advantage Plan. She was referred to our Cardiology practice for cardiac OR clearance. Patient has hypertension and obesity. The Managed Care plan is denying the claim due to ICD not age appropriate. When I questioned the denial I was told a...
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    Wiki 78452, stress test

    We billed in office nuclear testing with 78452 and 93015 with a 51 modifier. Has anyone else done this? We have not had any issue getting paid for both.
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    Wiki Assistance -78452

    Have you tried adding a 59 modifier? I know Molina Medicaid requires prior auth on isotopes maybe CareSource is following ?
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    Wiki 93015 Medicare denying with 78452

    we bill 93015 with a 59 modifier along with 78452 and A9500, J2785. A few years back we put a 51 modifier on the 93015. How do others bill for a nuclear stress test in an office setting?
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    Wiki Modifier 51

    Do you use modifier 51 on CPT 93015 when performed with 78452, A9500, J2785?
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    Wiki Bell

    Do you use modifier 51 on CPT 93015 when performed with 78452, A9500, J2785?
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