Recent content by KoBee

  1. K

    Wiki Diagnostic Mammo

    Even if they are entititle for an annual screening? by coding the mass wouldnt that not be covered by payer?
  2. K

    Wiki Diagnostic Mammo

    Hello everyone - If a patient in 2023 has been just following up every 3-6 months on a mass on her breast by just doing a limited ultrasound to just keep an eye on it and then comes in 2024 for one year surveillance exam, would the diagnosis still be Z12.31?
  3. K

    Wiki Audiologist

    I can't seem to find a definitive answer, we have an audiologist billing for E/M 99202-99215 with audio testing's, can audiologist bill for E/M?
  4. K

    Wiki MOCA Test

    Thank you, After speaking with a provider who does the MOCA, provider mentioned there is no written plan, they usually do the test and then schedule the patient to come back for results and written plan is done on follow up. With saying that, that would not constitute a 99483, correct?
  5. K

    Wiki Chronic Migraine Headaches

    Thank you, i agree.
  6. K

    Wiki Fracture Care Coding

    Hello - Noticed our urgent care provider and orthopedic provider try to bill the same fracture manipulation/non-manipulation code. But we know only one should be able to bill it. If a patient is seen at our urgent care and applies a splint and wants the patient to follow up with orthopedic...
  7. K

    Wiki Chronic Migraine Headaches

    We have a neurologist who says all his new/established patients are usually a level 5. Provider is not using TIME to determine his level of service, its all based on MDM. There has been discussion that his documentation is meeting a level 4 and not a five. Can someone review this example...
  8. K

    Wiki Telehealth Services- Audio only

    Hello everyone. For CMS of allowable telehealth services, can someone help me understand how you interpret this: Cells that contain the answer “yes” under the column heading Can Audio-only Interaction Meet the Requirements? Does that mean you can do audio only if video fails...
  9. K

    Wiki MOCA Test

    Anyone familiar with Montreal Cognitive Assessment (MOCA) test. I been searching for correct CPT and the closes I have found is CPT 96125 or 99483, any help would be greatly appreciated it.
  10. K

    Wiki G0444 with 99202-99215

    Depression screening G0444 is bundled into office visit but able to unbundle with correct modifier, Does anyone know if we should be using modifier XS or XU on G0444 when done during an office visit treating for other conditions?
  11. K

    Wiki Modifier PT/33

    Hello everyone - for screening that turned into therapeutic Is modifier PT or 33 be on all codes when multiple interventions are performed example 45385 - PT 45380 - PT, XS or 45385 - PT 45380 - XS would love to know how everyone is else is capturing it.
  12. K

    Wiki Joint Injection Documentation

    Would you agree they are missing detail elements of a procedure, not really describing the procedure.
  13. K

    Wiki Joint Injection Documentation

    Hello - Sometimes I get confused on what is proper documentation for a minor office procedure (joint injections). I have some providers who don't really enter a proper step by step procedure note, they just put what was done. Is this okay to still code the joint injection? Example:
  14. K

    Wiki T1013 Sign language or oral interpretive services, per 15 minutes

    There is really no specific detail information on this code, is this allowed/reimbursed when family member interprets for patient or clinical staff? Or this to used only when a physician's office has their own interpreter service?
  15. K

    Wiki Modifier 51 - Fundus Photography

    Hello everyone - I noticed many of our providers does eye plugs procedure CPT 68761 and fundus photography CPT 92250 on same day. Is CPT 92250 considered a multiple procedure to append modifier 51? Per NCCI edits you can code/bill together on the same day.
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