Recent content by missyah20

  1. M

    Wiki Vitamin D Injection

    Good Afternoon, Does anyone have any experience with Vitamin D injections? What is the HCPCS J code for this and are they payable. We have a clinic looking into providing these and I haven't been able to find much information. Thanks!
  2. M

    Wiki Saphenous Nerve Block

    Hey all - Our providers are performing Popliteal and Saphenous nerve blocks for acute postop pain management for patients having ankle/foot surgery. I am just looking for some confirmation that codes 64445 and 64450 (Saphenous appears to be the distal thigh area) are the correct codes for the...
  3. M

    Wiki Management of PT/INR

    This clinic does have their CLIA certificate, but from my understanding this specific lab isn't run at the clinic itself and is sent out. I will, however, verify that with the provider. So if they aren't running the lab test at the clinic would it just be the 36415? It is my understanding...
  4. M

    Wiki Management of PT/INR

    We have a clinic we bill for and they will see patients at the clinic for a lab draw to manage PT/INR. The lab draws are initiated by cardiology but because of the patient's proximity to the clinic they perform the labs, with results faxed back to our providers) to manage the...
  5. M

    Wiki ASC Facility with post op pain block

    I would agree with Lisa. If the anesthesia provider is performing the block it will bundle into the anesthesia code billed and if the same provider is on the 0xxxx charge and the block charge the XP wouldn't apply. We generally stick with the 59 modifier for our postop pain blocks.
  6. M

    Wiki Anesthesia for Colonoscopy done in POS 11

    Hello All, I am just trying to verify if anesthesia done for Endoscopic GI procedures (00731, 00811, 00812, 00813) would be payable in a POS 11. I have a CRNA group who is looking at a possible new location. The group is located in Virginia. Thanks in advance!
  7. M

    Wiki Lap Prostatectomy with dx Laparoscopy Question

    Good Morning, I have a general surgeon who was asked to help gain access and check for scar tissue due to previous abdominal surgery. My general surgeon worked with the Urology surgeon to perform a diagnostic laparoscopy before the general surgeon scrubbed out and Urology (with the help of an...
  8. M

    Wiki Inpatient Swing Bed Consultation

    Hello There - If a patient has been transferred from Inpatient Status to Swing Bed within the hospital and a general surgeon provides a consultation would we bill with a Nursing visit E/M? From what I could find from CMS we would follow what the facility is billing. Is that correct? CMS IOM...
  9. M

    Wiki ARNP with a PMHNP-BC Cerficiation

    Good Afternoon, I work for a billing company and one of our clients who until now just provided regular office visit/procedures to patients had a provider who recently got the Psychiatric-Mental health Nurse Practitioner (PMHNP-BC) certification. Does anyone work with NPs who have this...
  10. M

    Wiki Pessary Question

    Thanks. I was going to suggest to her to keep them on hand for another patient.
  11. M

    Wiki Pessary Question

    Hey All - One of my providers is having issues with patient's being seen for a pessary fitting. The pessary is then ordered, but before the patient returns to be fitted they subsequently decide to go the surgery route which leaves my provider with the cost of the pessary and she is unable to...
  12. M

    Wiki Off Campus Outpatient POS

    Good Morning, One of the CRNAs that we bill for has an opportunity to work at an outpatient center that is considered off campus, billed with a place of service 19. Does anyone have any experience with this? Is it something that needs to be specifically stated in the providers contracts with...
  13. M

    Wiki Colonoscopy

    Are they being seen again due to poor prep, etc with the previous colonoscopy? Was the previous colonoscopy a screening? If that is the case you would append the 53 modifier to the colonoscopy that was incomplete (i.e., the first one). Below is what Medicare states regarding...
  14. M

    Wiki Anesthesia for Screening Colonoscopy after a Positive FOB

    I did submit a question to one of the CMS local contractors and received a call back. She stated the KX modifier is not needed on anesthesia claims.
  15. M

    Wiki Anesthesia for Screening Colonoscopy after a Positive FOB

    Hey All - I see that CMS has posted guidance stating that a KX modifier should be appended to the screening colonoscopy code to indicate such service was performed as a followup to a positive stool based test. It doesn't specifically state it should be applied to the anesthesia code as...
See more
Top