Recent content by mentsa

  1. M

    Wiki Tetracaine

    We are looking to bill patients for the use of tetracaine due to the increase of pricing at the compounding pharmacy and this having to be ordered for each patient individually. Has anyone been successful in doing this? If so, what code(s) are you using?
  2. M

    Wiki KTP Laser ablation

    One of our physicians is going to do an MDL Biopsy & KRP Ablation on a patient's bilateral vocal fold polyps. Also, a left TVF medialization w/Prolaryn on the same patient's paralyzed vocal cord. These will be done during the same surgery. The codes that we have are 31574, 31536 & 31572. When...
  3. M

    Wiki Bundle code and Pre-Cert

    We will try that and see if it works for us. Thanks for your help.
  4. M

    Wiki Bundle code and Pre-Cert

    We are having a problem with pre-certs for bundle codes. An example is: Pre-cert request was put in for cpt codes 31267-maxillary sinus, 31255-ethmoidectomy, 31287-sphenoidotomy, 30140-resection inferior turbinate, 61782-guidance. When the physician got into the surgical procedure, he found that...
  5. M

    Wiki Bilateral and Unilateral

    One of our providers is doing a unilateral sphenoidotomy (31288) and a bilateral ethmoidectomy (31255). Normally we would bill these out in the bundle code (31259) if both were bilateral. With one the (31288) being unilateral and the (31255) being bilateral, would we still use the bundle code...
  6. M

    Wiki 61782 and 31259

    The way I finally got the codes to pass through the front edits was to add a 59 modifier to the 61782 which made no sense to me as it is an add on code and then a 51 modifier to the 31259. The claim went through and we have not heard back as to whether they are going to pay or not. Thanks for...
  7. M

    Wiki 61782 and 31259

    We are billing a claim that has 61782 and 31259 cpt codes with J32.0, J32.3 and J32.2 diagnosis codes. They will not go through the front edits of our software stating "missing or invalid information." We have tried everything we can think of to get the claim to go through to the payer but it...
  8. M

    Wiki Prolaryn Gel Units

    Our providers are using Prolaryn Gel to inject a patient's vocal cords. We are having trouble with the way it is converted to be billed out. We are currently using the cpt codes 31574 and the HCPCS code L8607. These codes are being paid without any problems. However, the problem we are running...
  9. M

    Wiki Laryngeal Botox Injection

    We will take a look at the 96372 and correct that. Thank you for your help.
  10. M

    Wiki Laryngeal Botox Injection

    One of our physicians is using Botox in the Laryngeal Injections he is doing in the clinic. We are using the J0585 cpt code for the Botox itself along with the office visit code, an administration code of 96372 and a 31570 Laryngoscopy code. At this point we are not being paid by any insurance...
  11. M

    Wiki 30520

    The ICD10 codes we're using are J32.0, J34.2 and J34.3. I'll go back and look at what procedure code is pointing to what ICD10 code. Thank you for your help.
  12. M

    Wiki 30520

    Thank you. I'll take a look at everything else on the claim.
  13. M

    Wiki 30520

    We are billing for a 31256 50 51, 61782, 30140 50 51 and a 30520. The 30520 is kicking out on the front end edits stating "missing or invalid information." We tried sending it through with a 51 modifier and it kicked out again for the same reason. Is anyone else having this problem and if so how...
  14. M

    Wiki E/M codes

    When charging for an E/M code, can you use temperature as one of the vitals required?
  15. M

    Wiki Services vs Equipment

    Sorry about the confusion but thank you for your input. It does help very much.
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