Recent content by KGETGEN

  1. K

    Wiki Pediatric diagnosis for history of premature birth

    You could use: P07.36 - Preterm newborn, gestational age 33 weeks, 0 days through 33 weeks, 6 days
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    Wiki Billing a newborn's first outpatient visit

    We bill our newborns first visit (3day-5day old) as a new patient office visit. Our providers check weight and jaundice at these visits. We bill this way because we see the neonate at either a 1wk and/or 2wk visit which is billed as preventive. The insurances that our office participates with...
  3. K

    Wiki Application of Silver Diamine Fluoride

    Just curious if anyone has experience with the application of silver diamine fluoride in an office setting. Pros, Cons, etc.
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    Wiki Moderna Bivalent COVID Vaccine 6 months and up

    Yes, I have this bookmarked on my browser. Just wasn't sure if any one had other information. Our office just received these vaccines and will be using them soon. Thank you for your time!
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    Wiki Moderna Bivalent COVID Vaccine 6 months and up

    Has any one received guidance as to coding the administration fee for the new Moderna vaccine? I have been told CPT 91314 for the serum. This new vaccine can be drawn up for the 0.25 dose, 0.50 dose and even the 0.05 dose. The only admin fee code I am seeing is 0144A (Booster) but this is for...
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    Wiki Compliance with hiring an in-house LCSW

    The pediatric office that I work for is entertaining the idea of hiring an in-house LCSW for our patients. The LCSW would be billing under our group TIN/NPI. Do we need to worry about self-referrals? Is it okay if our LCSW only sees our patients? Is there any other information we may need to...
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    Wiki Insurances combining 90716 and 90707 to pay 90710

    I just had my 1st experience this week, my carrier is Anthem. I submitted an online clinical dispute with documentation from the CDC stating that it is recommended to give Varicella and MMR separately. Anthem upheld their decision and now I am filing a grievance.
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    Wiki Tricare not paying the admin for state supplied vaccines?

    Is there a reason why Tricare patients are being given state supplied vaccines? In NY the state supplied vaccines (VFC program) can only be given to patients who are uninsured or are underinsured. Which would make sense as to why Tricare is not reimbursing for the admin fee. If your Tricare...
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    Wiki Charging Patients for using an Answering Service

    The answering service that our office uses is increasing their rates by $3 per call. Can our office charge the patients for using this service or does anyone have any experience with this type of situation?
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    Wiki Ear lavage 69210

    CPTs 69209 and 69210 are Surgical Codes. Per the CPT Surgical Package Definition: By their very nature, the services to any patient are variable. The CPT codes that represent a readily identifiable surgical procedure thereby include, on a procedure-by-procedure basis, a variety of services. In...
  11. K

    Wiki well checks the first year

    The number of visits may depend on payer policy; however, I have noticed a lot of insurances (in NY) do follow 6 well visits (99391) within the 1st year of life (<12mo old). The office I work for does a jaundice/weight check for the 1st visit (3-5days old) and then preventive visits at 2weeks...
  12. K

    Wiki V70.0 - Our physicians evaluate

    Our physicians do the exam and then order the vaccine. I just wasn't sure if there was a better dx code to use.
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    Wiki V70.0 - Our physicians evaluate

    Our physicians evaluate our pediatric patients prior to giving them a vaccine. Most of the time we do this to catch up a patient on vaccines whom has already had a preventative visit; administering Gardasil vaccines; TdaP vaccines at age 11; or parents prefer to only give 1 vaccine at a time...
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