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RaeToll's latest activity
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RFor facility billing 9 units for CPT 85660 are billed on the UB04 and 9 units of 86902 and 10 units of 86922. Seven units of CPT 85660 are always denied for missing/incomplete/invalid days or units. I'm aware the MUE for CPT 85660 is 2 units...
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RI have a facility claim denial for CPT code 76775-XU due to invalid modifier. I'm aware procedure code 76776 is considered to be a component of the comprehensive code 76700. However, I'm questioning if CPT 76775 should in fact be billed...
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RRaeToll posted the thread Wiki Please help me understand the requirements for billing TOB 0141 in Medical Coding General Discussion.I have received multiple claim denials from different payors for labs billed on a UB04 under bill type 0141 (Hospital - Laboratory Services Provided to Nonpatients). The claim does not include lab draw charges (36415). For example, one claim has...
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RRaeToll replied to the thread Wiki Speech Therapy Cpt code 92507.Every policy is different. You should be able to call the insurance company to confirm the patient has benefits. Most insurance companies require prior authorization for therapy services. Then, once authorized, they limit the number of...
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RI have a facility claim denial for CPT code 76775-XU due to invalid modifier. I'm aware procedure code 76776 is considered to be a component of the comprehensive code 76700. However, I'm questioning if CPT 76775 should in fact be billed...
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RRaeToll replied to the thread Wiki Nuclear Medicine Functional Reporting.Absolutely! Thank you for responding... EXAM: NM GASTRIC EMPTYING STUDY TECHNIQUE: Solid: Following the oral administration of 1 mCi of Technetium-99m Sulfur colloid in a solid egg and toast meal, immediate, 1h, 2h and 4h delayed images of the...
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RThank you for posting the answer. It was very helpful!
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RI have a claim for gastric emptying study (78264) billed with modifiers MG and PO and G1004 (Clinical Decision Support Mechanism). There is also a charge for lab 82962 and contrast agent (A9541). UHC Medicare denied the claim stating CPT code...
