Recent content by CaroleF01

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    Wiki Nurse Practitioner in a specialty office

    Interesting, so there is no recognition of specialty when NP's and PA's are involved?
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    Wiki Nurse Practitioner in a specialty office

    I have a claim for an NP at a neurology office submitted with a new patient E/M code. It is bumping up against another claim for an NP at a primary care office and denying stating it should be an established patient E/M. Both offices bill under the same tax ID but one is a neurology office and...
    • CaroleF01
    • Thread
    • nurse practitioner tax id
    • Replies: 6
    • Forum: E/M
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    Wiki hernia repair hierarchy?

    Is there some type of hierarchy for how to code hernia repairs? For instance, if the surgeon states he did a epigastric incisional hernia repair, is this coded as an epigastric hernia repair or as an incisional hernia repair?
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    Wiki Incision and drainage w/ debridement

    Thank you all! I am going to go with my initial choice of 10061. I do love this forum!!!
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    Wiki Incision and drainage w/ debridement

    spontaneously
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    Wiki Assistant at Surgery

    I have a hernia repair op report that includes this statement at the end -- Dr. xx "was first assistant providing exposure and help during the entire operation". Can I use modifier 80 for Dr. xx's role in the surgery? The procedure code allows an assist to be billed, just wondering if that...
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    Wiki Incision and drainage w/ debridement

    So would you query the surgeon on what the sqcm would be that he actually debrided or is it safe to assume it falls under the first 20 sq cm?
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    Wiki Incision and drainage w/ debridement

    Would this be considered simple (10060) or complex (10061)? Or is there another code that fits better? And would I be able to code the debridement if he mentioned surface area? It seems inherent but I've been known to be stingy with my codes. lol I'm also pretty confident I cannot bill for...
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    Wiki Transitional Care Management requirements

    For the requirements of documentation for TCM -- does the date of discharge need to be documented in the provider's face-to-face or is it acceptable for it to only be written in the non-face-to-face contact (the phone call done within 2 business days of discharge)?
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    Wiki Billing/coding for covid vaccine third dose and flu vaccine at same encounter

    Do you have any knowledge on what the difference is between 0003A and 0004A other than their descriptors? Isn't the 3rd vaccine also the booster? How do you decide which admin code to use?
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    Wiki polyp removed with scissors?

    Alas, it came back as a fibroepithelial polyp. :-(
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    Wiki polyp removed with scissors?

    How do I code this? It is a polyp removed during a colonoscopy. "Once I reached the distal rectum a retroflex maneuver was done and showed slightly enlarge hemorrhoid, intact staple line and 1.5 cm polyp just distal to the staple line, hemorrhoid vs polyp. I tried a hot snare for resection...
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    Wiki Nurse Practitioner billing

    If our NP is billing under her own NPI, does there need to be a statement in the encounter that she reviewed the case with the physician on site?
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    Wiki COVID-19 Rapid Test Done in Office

    I found out it is for the Lucira all in one kit for home use but it is being used as a point of care test in the office. We have come up with 87635,QW. Fingers crossed we are on the right track. Lab coding is a foreign language for me!
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    Wiki COVID-19 Rapid Test Done in Office

    Help please! I have an office that will be doing COVID-19 rapid tests in office. The test is only for COVID-19, it does not include Influenza A & B. What CPT code do we use?
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