Recent content by tmorgan808

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    Wiki 96127 with 90833

    They can be billed together if documented correctly. Time can't be used for determining the level of E/M service, it has to be based on MDM. The time spent on the E/M service can't be included in the time for they psychotherapy service. Refer to CPT book it explains everything.
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    Wiki Auditing Psych Providers

    When auditing psych providers e/m visits do you give credit for the PHQ-9, GAD-7, and WHODAS under 'review of results'? Provider is also billing 96127 and 90833.
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    Wiki E/M Coding Question

    When a provider completes the PHQ-9, GAD-7. and WHODAS, do you give credit under 'review of the result for each unique test'? The provider is billing with 90833 so the e/m code has to be based on MDM. The provider bills for the forms, they don't always get paid. It seems like if credit is given...
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    Wiki Acute illness with systemic symptoms

    This is from the AMA Acute illness with systemic symptoms: An illness that causes systemic symptoms and has a high risk of morbidity without treatment. For systemic general symptoms, such as fever, body aches, or fatigue in a minor illness that may be treated to alleviate symptoms, shorten the...
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    Wiki What services are included with ER visits?

    I did the Practicode for ER and the answers are inconsistent. I questioned several of the coding scenarios. I also did the ortho and am currently doing the inpatient one. It is very frustrating that the answers vary depending on who coded it. Once you hit submit on a case and then get the...
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    Wiki ? Level of risk

    I am having a disagreement with a co-worker. I see the following statement as the patient was referred to the hand surgeon to decide whether or not to get surgery. There was no actual decision made on the surgery itself so I don't see it has Moderate. Please help. 14:17. d/w radiologist. we...
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    Wiki Depression Screening G0444

    Are they billing and E/M visit with it? If they are, the time for the e/m can't include the time spent going over the depression screening since it is a separately billable service. I would be careful of templated time statements. If the time is the exact same for every patient that can send red...
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    Wiki Procedure documentation

    If I was auditing it, I would not allow credit. See the article below. https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleID=52998#:~:text=Procedure%20code%2011730%20(Avulsion%20of,or%20the%20entire%20nail%20plate.
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    Wiki DRG BILLING QUESTIONS FOR NON DRG BILLER/CODER

    Is your practice billing for the interpretations or are you performing the technical portion also?
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    Wiki I need coding help for a surgical procedure

    Are you asking for the facility code (ICD-10-PCS) or the code pro-fee code? The diagnosis code seems odd to go with that dx code. Definitely need more information on procedure performed and reason it was performed.
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    Wiki Infusion Coding Question: non-facility

    If the Midazolam, Diphenhydramine, Zofran, and Phenergan were given IV, but not stop time, would it be appropriate to allow IV push 96375?
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    Wiki Infusion Coding Question: non-facility

    Thank you Thomas. It is through one IV line. I am not able to talk to the nursing staff. I am coding from the insurers prospective on whether the documentation supports the billing. We do not a separate policy in this case, we go off CPT.
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    Wiki Infusion Coding Question: non-facility

    I have a question about infusion coding. The MAR has the following (I made the chart to make it easy to read): I am confused on how to code it. The initial would be the Ketamine 96365 x 1, 96366 x 3 There is not enough information in the chart note to indicate if the lido and mag were in a...
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    Wiki 2ND POST!! Comprehensive exams and Treatment Question. Please help!!

    The 2022 CPT book defines the intermediate and comprehensive examinations and what is required for each of them. The comprehensive says 'it always includes initiation of a diagnostic and treatment program'. The diagnostic and treatment program includes the prescription of medication, and...
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    Wiki Physical therapy aide

    Normally PTA's services are billed under the physical therapist. Are you talking about the time they spent performing one-on-one services with patient? Feel free to list an example and I can help you or message me directly. I would suggest checking the APTA for supporting documentation.
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