Recent content by laurabee

  1. L

    Wiki 90849 multiple family group billing rules

    I'm having a hard time finding specific billing rules on 90849, specifically regarding the minimum and maximum amount of patients in a group. Can anyone point me to some guidelines? Thank you in advance!
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    Wiki Mental Health Assessment in 2 parts??

    Patient came in for MHA and plan from QMHP (H0031 & H0032) on two different days because the provider had to do the assessment and plan in 2 parts due to time constraints of provider's schedule. Provider is wanting to bill H0031 & H0032 twice, once for each day patient was seen (documentation is...
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    Wiki Psychotherapy twice on same day?

    I'm coding for a residential mental health facility. A patient was seen in the morning for a 45 minute psychotherapy session by an LPC, and because of his level of distress (not qualifying for crisis intervention coding), the LPC met with him again in the evening for 30 minutes to follow up. I'm...
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    Wiki Cognitive Impairment due to head injury

    I'm trying to find a code for cognitive impairment due to head injury, but G31.84 "Mild cognitive impairment, so stated" excludes "cognitive impairment due to intracranial or head injury (S06.-)". S06.xxxx only describes the actual brain injury, but that leaves me stuck on how to code the mild...
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    Wiki ICD-9 coding rate for contract?

    I was just offered a contract position for a billing company coding ICD-9's for diagnostic radiology. I have no idea what the pay rate is for ICD-9 only, as I've only ever done CPT or CPT *and* ICD-9 coding, so I'm lost on what to ask for in terms of reimbursement. Does anyone know what's fair?
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    Wiki Order of Modifiers PI/PS and TC/26

    When billing PET to Medicare we use the PI or PS modifier as required by Medicare as well as either a TC or 26 modifier depending on whether the service was technical or professional. Recently we've started getting rejections for "inappropriate/invalid modifier", and were wondering if the order...
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    Wiki Lung Screening CPT?

    My radiology practice is offering lung screenings to patients for a discounted fee, but we're not sure which CPT is appropriate. It would technically be a "limited CT of the chest", so would it be 71250, 76380 or 76497? We will not be sending these out to insurance, they will strictly be self pay.
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    Wiki re-displacement of fracture?

    if a patient fractures a bone and the doctor gets it reduced well, and then a month later it displaces again, would it be technically considered a malunion or non-union?
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    Wiki Advancement of Deltoid Ligament/Ankle Fracture

    I've been doing orthopedics for a few years but I am a little stumped on this one. I also didn't code anything for a while so maybe I'm a little rusty. But if someone could help me with this one I would be in their debt. I'm confused on the CPT for surgical procedure #3 below, the excision of...
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    Wiki Laparoscopic drainage of paraesophageal abscess

    Does anyone know what the CPT code would be for this? I'm about to pull my hair out over this one. None of the lap codes seem to fit and even the unlisted lap codes don't seem to fit. The scope was introduced through an abdominal incision. I can't even find a code for drainage of a...
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    Wiki Removal of silastic band through EGD approach

    Does anyone know what the CPT code would be for this? I have never heard of it. The doctor hasn't done the procedure yet but wants to know what the CPT code would be for authorization reasons. He is removing the gastric restrictive band through esophagogastroduodenoscopy approach.
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    Wiki dorsal capsulotomy and release of collateral ligament, thumb

    After some lengthy research it looks like the release of the collateral ligament may be included in the capsulotomy? Anyone agree/disagree?
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    Wiki dorsal capsulotomy and release of collateral ligament, thumb

    The release of collateral ligament part is what I'm having difficulty with. Op note as follows: ************************************************* PREOPERATIVE DIAGNOSES: 1. Late effect of tendon injury of left thumb. 2. Stiff interphalangeal joint, left thumb. POSTOPERATIVE DIAGNOSES: 1. Late...
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    Wiki challenging hernia repair... help please!!

    Patient had 4 hernias fixed within the same operative session, same incision. Would the CPT 49561 just be billed once since one incision? I am aware that I can use a -22 modifier but the doctor does not state in the op note how much more time he spent on the sx than if there were just one hernia...
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    Wiki incision & drainage of cervical cyst?

    The doctor didn't specify the type of cyst either, just that it appeared to be infected. OPERATIVE FINDINGS: A 3.5-cm cyst in the anterior lip of the cervix, which appeared to be infected and on cystoscopy, there were multiple petechial hemorrhages in all quadrants of the bladder after...
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