podcoder70's latest activity

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    podcoder70 reacted to nuehara808's post in the thread Wiki Abscess draining but no incision - cpt code? with Like Like.
    Thank you!
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    podcoder70 reacted to kle0204's post in the thread Wiki Custom Orthotic Coding Assistance with Like Like.
    You have made my day! lol Thank you so so much!
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    podcoder70 replied to the thread Wiki Non-Asterisk systemic diagnosis Denials.
    Each jurisdiction has different requirements. For example, Novitas requires documented class findings and the q modifier for routine foot care coverage. However, other jurisdictions only require the q mod for vascular systemic conditions. The...
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    podcoder70 replied to the thread Wiki Bonus Structure.
    I haven't added this yet, however, for W2 employees be sure that the structure is in contract form and in a policy manual. In CA, when an employee has a bonus structure there are rules in place as to how that is paid out and the frequency of the...
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    podcoder70 replied to the thread Wiki Coding for casting and supplies.
    Medicare will, in general, pay for the casting supply as well as the application code, this is usually a Q code. Commercial plans, however, often want an A code for cast supplies.
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    podcoder70 replied to the thread Wiki 11055.
    Is the provider also debriding said ulcer?
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    podcoder70 replied to the thread Wiki Abscess draining but no incision - cpt code?.
    If it was punctured, 10160. Otherwise, if the abscess was simply "squeezed", this would be included in the E/M.
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    podcoder70 replied to the thread Wiki Custom Orthotic Coding Assistance.
    That is more than enough documentation to code for 29799 RT and 29799 LT. Not all payers will cover this code. Eventually, you will develop a list of those that do and those that dont. For those that dont, you will adjust the balance denied...
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    podcoder70 replied to the thread Wiki Non-Asterisk systemic diagnosis Denials.
    Novitas is a funny one...for RFC, they, like all the others want the primary treating provider and approximate date last seen for the diagnosis codes with the asterisk. However, they ALSO want a "referring provider" name entered on all of the...
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    podcoder70 replied to the thread Wiki Custom Orthotic Coding Assistance.
    Unfortunately, there is no ICD10 code specific to this situation. Coverage for orthotics depends on the payer. For example, Medicare and Medicare Advantage plans do not cover them, neither does UHC, Aetna has limited coverage for very specific...
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    podcoder70 reacted to Vanessa863's post in the thread Wiki hallux ulceratioin with Like Like.
    You have helped and guided me in the direction to start, huge thank you!
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    podcoder70 replied to the thread Wiki 11055-11057 Dx Issues - HELP!.
    FCSO has a very interesting LCD/Article for routine foot care. I don't believe L84 is the issue with your claim. Most likely it is missing other details. Can you please provide the exact denial code you are getting? Is it the same for all...
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    podcoder70 replied to the thread Wiki hallux ulceratioin.
    Vanessa, the reason you are having difficulty has more to do with the lack of necessary detail in the note to properly code. The diagnosis states the wound is deep to subq tissue, however, the debridement does not state to what depth the wound...
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