Recent content by shofner14

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    Wiki When to bill codes 92340/92341?

    92340
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    Wiki HEALTHCON

    Excited
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    Wiki When to bill codes 92340/92341?

    What is the appropriate time to bill codes 92340/92341 (fitting of spectacles)...at time of exam/initial fitting or final fitting when product is dispensed?
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    Wiki RE: Hemovac Drain Replacement

    RE: Hemovac Drain Replacement A provider implants a Hemovac drain (catheter) after performing removal of anterior hardware related to a previous fusion. Three days later (now in a 90 day postop period from the hardware removal procedure), he replaces the Hemovac drain going through the...
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    Wiki RE: Stereotactic Radiosurgery

    RE: Stereotactic Radiosurgery My provider (neurosurgeon) is billing for 2 simple cranial lesions. Each lesion is treated on a different day. Is it correct to bill 61796 and 61797 or would I bill 61796 for the first date of service and then 61796 w/modifier 79 for the second date of service...
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    Wiki RE: Removal of spinal neurostimulator plate/paddle/percutaneous leads

    RE: Removal of spinal neurostimulator plate/paddle/percutaneous leads My provider removed a spinal neurostimulator plate/paddle previously implanted via laminotomy/laminectomy in addition to the leads that were placed percutaneously. Is the removal of the percutaneous leads included in the...
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    Wiki RE: CPT code for crosslink used in neurosurgery

    RE: CPT code for crosslink used in neurosurgery I am coding for a posterolateral fusion w/instrumentation implanted from T10-L2. The surgeon states that he inserts the rods into the screw heads, secured w/set screws, and final tightening followed by placement of a crosslink. Is there a...
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    Wiki RE: Instrumentation Removal

    RE: Instrumentation Removal I am coding a surgery for posterior fusion where our neurosurgeon is working on L3-L4 and L4-L5 interspaces. He is removing existing hardware that was previously placed by another surgeon at L4-L5 and placing new hardware at L3-L4 and replacing the previous hardware...
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    Wiki RE: Use of Modifier 50 with CPT code 95930

    RE: Use of Modifier 50 with CPT code 95930 Can modifier 50 be used w/CPT code 95930 for the visual evoked response test? I do not understand the CMS payment indicators 1 and 2 for use of modifier 50 and my provider performed the eye test bilaterally.
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    Wiki Use of modifier tc/26 on cpt codes 95940/95941

    Can modifiers TC and 26 be appended to codes 95940/95941 when billing for intraoperative monitoring? My practice only performs the professional component of the procedure. I think modifier 26 should not be used because the codes are time based and that the modifier should be used on codes...
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    Wiki Use of modifiers TC/26 on codes 95940/95941

    Can modifiers TC and 26 be appended to codes 95940/95941 when billing for intraoperative monitoring? My practice only performs the professional component of the procedure. I think modifier 26 should not be used because the codes are time based and that the modifier should be used on codes...
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    Wiki Intermediate foot joints

    I am charging injections for my practice's foot provider. CPT defines the ankle as an intermediate joint. Are the following joints considered billable under 20605 as intermediate joints: Subtalar/Talonavicular
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    Wiki documentation after claim submittal

    I just read an article in the march 2016 edition of healthcare business monthly called Fight for Insurance Carrier Payment. It states that changes should not be made to documentation after the original claim is filed. Why? Is it to reduce the risk of being accused of fraudulent billing? My...
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    Wiki Code 77002

    Should a laterality modifier be used w/CPT code 77002 (ex. LT/RT) when it is listed as secondary w/code 20610 for an unilateral arthrocentesis?
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    Wiki E/M Coding

    An example would be "neurovascular status is intact" within the HPI and then a description of what the patient told the doctor about location of pain or injury, duration, modifying factors etc. Then the physician will state "there are no effusions" which is also listed in theHPI.
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