Recent content by LadyT

  1. L

    Wiki COSMETIC EXCISION

    My provider wants to do cosmetic excision of keloid but then wants to bill repair to insurance. I do not think this is correct. Any advice would be appreciated!
  2. L

    Wiki Cartilage graft with tympanoplasty, denied

    I need some help. I have billed CPT 21235 with CPT 69633 because the provider made a separate incision but it is being denied because the ICD 10 does not support the procedure. Should these two CPT codes not be billed together? My google research says it is billed with a separate incision. ANY...
  3. L

    Wiki HELP! Eagle Syndrome

    My physician has asked me to research current & correct CPT coding for Eagle Syndrome, transoral excision or resection of styloid process. Upon research I find articles dated from 2010, 2017 & 2018, stating to use unlisted CPT 21499 does anyone know if the information is the current best coding...
  4. L

    Wiki Complex Repairs

    Thank you for your response! I was having a really "off" day... the CPT book definition states complex repair DOES NOT include excision.:eek:
  5. L

    Wiki Complex Repairs

    I am wondering If my Dr can bill for both a complex repair and a excision of a malignant lesion? I see that CPT states you can not. My reason for questing is because we just went from paper charts to EMR and our EMR system picks those codes (complex repair with malignant excision) and in the...
  6. L

    Wiki Modifier q6

    This is my first time using a locum, she is filling in for my audiologist. I am using modifier Q6 attached to CPT 92557 & CPT 92567 and I am getting denial from Medicare reason code 4 - The procedure code is inconsistent with the modifier used or required modifier is missing. Do I need a...
  7. L

    Wiki Denials on benign excision's first scrub through software

    Just recently I am getting rejected claims before I can get them out to insurance, rejected reason states " PER LCD or NCD guidelines procedure codes 11404,11421,11301,11402 has not mett the associated diagnosis code relationship criteria for CMS". This is just started. My doctor is very careful...
  8. L

    Wiki CPT help for excision SCC postauricular and resection of mastoid bone

    That is very helpful and makes sense. Thank you!
  9. L

    Wiki CPT help for excision SCC postauricular and resection of mastoid bone

    Op notes states: A 15 blade was utilized to make a perpendicular incision around the skin cancer in a circular shape. A full thickness excision was preformed. I then extended the excison anteriorly, rescting a bit of the cartilage of the ear in the conchal bowl. The deep plane reached was the...
  10. L

    Wiki Meaningful use question

    Can anyone give me information about reporting PQRS? I have went to the CMS website however I can not seem to find a direct answer, does the physicians office have to report HCPCS codes to Medicare for PQRS or just keep a "log"? This is a issue in the office as in the past they only kept a "log"...
  11. L

    Wiki Sinus surgery

    I would like to settle a debate with my physician: When OP note reads: "Using Image Guidance balloon system, a sphenoidotomy was preformed" Physician wants to code as 31287, as he feels this does not specify what instrument he uses. I believe it should be 31297, because there is a specific...
  12. L

    Wiki E&M while in global

    Thank you!
  13. L

    Wiki E&M while in global

    Patient is in global for CPT 69436 (bilateral ear tubes) presents today with ear drainage in right ear, doctor writes a prescription. Is this included in the global or can I bill a E&M for today?
  14. L

    Wiki Help with ICD 10 code

    Dr seen a patient who came in for "ear infection" but on exam was no infection the only diagnosis Dr gave was "ear fullness"
  15. L

    Wiki Modifier 52 or 53

    Thank you!
See more
Top