Recent content by mbellar

  1. M

    Wiki G2211

    PROPOSED JAN 2024 FOR G2211- CAN THIS CODE BE BILLED BY PHYSICIAN AND NPP?
  2. M

    Wiki G2211

    Looking for any input in regards to CPT G2211 purposed to be effect Jan. 2024 for used in Dermatology office?
  3. M

    Wiki In-Office Only Procedures

    Is there a way to get these denied claims overturned?? Have you had any luck with appeals or is there a modifier?
  4. M

    Wiki Skin Tag Removal ( Shave technique)

    I get conflicting info from different Coding sites Skin Tag was removed by Shave method and sent for pathology- Should it be coded as 11200 or 1130X?
  5. M

    Wiki 5FU

    How many units do you bill for 1cc 5FU for injection cancerous lesions?
  6. M

    Wiki 88305 denying claim due to excludes 1 Note

    Receiving several denials on billing 88305x2- DX D18.01 and D22.5 ( D18.01 has excludes 1 note) Appealed claim stating these are unrelated dx and unrelated lesions AND appeals are being upheld Any feedback is helpful
  7. M

    Wiki can we bill dx M54.42 and M51.16 together?

    I have had this denial as well, sent appeal stating these are two separate lesions and unrelated conditions- appeals are still being upheld Billing 88305-2 units- D03.4,D04.72
  8. M

    Wiki ASC Revenue Codes

    New to ASC Facility Billing- Provider does Moh's closure in ASC facility and payer wants claims on UB-04 What Revenue codes are needed : 0490- ASC Facility, Is Rev Code needed along with Closure CPT Code ( Example: 13132)
  9. M

    Wiki 17312 MUE edits

    I thought 17315 is for additional blocks not stages?
  10. M

    Wiki 17312 MUE edits

    Moh's Procedure had 8 stages, billed as follows 17311 17312 x7 units Payer denied due to frequency- MUE is 4 units only Filed appeal which was upheld, documentation supports the addt'l units Any advise on this would be helpful
  11. M

    Wiki Dysplastic Nevi (D48.5 or D22.x)

    COMPOUND DYSPLASTIC NEVUS WITH MODERATE DYSPLASIA I have always been told to code as D22.X dependent upon location but questioning should it be coded D48.5
  12. M

    Wiki DX for Atypical Junctional Spitz Nevus

    would you use D22.X ?
  13. M

    Wiki Georgia providers

    Any Dermatology Georgia providers I can reach out to?
  14. M

    Wiki E&M Denials Blue Cross

    they are saying within 90 days, if the patient had the same dx on the E/M with a procedure
  15. M

    Wiki E&M Denials Blue Cross

    This is what BC/BS of Georgia sent to us- I asked them to show me this policy on there website but they didn't- this is new to me as well Claim denial is M144- appeals are being upheld and we are spending hours on phone with customer service reps are being told about this CMS policy on...
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