Recent content by sstep

  1. S

    Wiki COPC Prerequisite

    Thank you!
  2. S

    Wiki COPC Prerequisite

    Hi In order to take the exam for the COPC, do you have to be a CPC first? Thank you
  3. S

    Wiki Specialty Coding

    Hi In order to take a specialty exam (Ophth), do you have to first be a CPC? Thank you
  4. S

    Wiki Ophthalmology Coding Classes

    Hi I am looking to take a class in ophthalmology coding. Does anyone know where I can find a class to take? An online class would probably be better. I already have the study guide but wanted to go a little deeper Thank you :)
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    Wiki 51798 Medicaid Denials

    Hi Is anyone else getting denials for 51798 from Medicaid when billing with an office visit? We have billed both with and without the modifier 25 on the office visit and are not able to get this paid Any help would be appreciated! Thank you
  6. S

    Wiki New problem vs established problem

    Hi If our practice has not seen a patient in over 7 years, I know that is considered a new patient. However, if the provider is seeing the patient for the same problem, is this considered a new problem or an established problem? Any help would be appreciated! Thank you, Sue
  7. S

    Wiki New problem vs established problem

    Hi If our practice has not seen a patient in over 7 years, I know the patient is considered new. However, if the provider is seeing the patient for the same problem they saw them for 7 years ago, is this a new problem or established problem? Any help would be appreciated! Thank you, Sue
  8. S

    Wiki New problem vs established problem

    Hi If you have a patient that you have not seen in 10 years, that is considered a new patient. If your provider is seeing the patient for the same problem, would that be considered a new problem or an established problem? I am trying to find some information in the CMS guidelines. Any help...
    • sstep
    • Thread
    • Replies: 1
    • Forum: E/M
  9. S

    Wiki 54060

    We have a patient with an epidermal penile cyst. For the excision, would you code with 54060 or use the codes 11420-11426? Thank you
  10. S

    Wiki 54060

    We have a patient with an epidermal penile cyst. For the excision, would you code with 54060 or use the codes 11420-11426? Thank you :)
  11. S

    Wiki 90670 Prevnar

    Hi, is there an age restriction on 90670 Prevnar? I am getting denials for patient's age but do not have any information Thank you!
  12. S

    Wiki Z23 Vaccination Question

    Regarding Z23 for vaccinations, the guidelines in the ICD-10 book say to code this secondary if inoculation was given as a routine part of preventive health care, such as a well baby visit Under the Z23 code itself in the book, it states to code first any routine childhood examination What if...
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    Wiki Modifier 25 and XXX

    Good Morning I am looking for information and clarification on whether an E/M code needs to be billed with modifier 25 when billing with a procedure code with an XXX global period-specifically 93970 and 93971. Per Medicare's National Correct Coding Initiative Policy Manual it does state that...
    • sstep
    • Thread
    • Replies: 5
    • Forum: E/M
  14. S

    Wiki E/M and Modifier 25

    This helped greatly! Thank you :)
  15. S

    Wiki E/M and Modifier 25

    Hello When coding for a procedure and an E/M code using modifier 25, how extensive does the procedure report have to be? I am researching and trying to find a link but I cannot find out how much information needs to be in the note for the procedure. Any help would be so appreciated. Thank you
    • sstep
    • Thread
    • Replies: 3
    • Forum: E/M
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