Recent content by tori.a

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    Wiki Urethrocutaneous Fistula Due to Piercing?

    Oh me too, no worries lol. You're welcome.
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    Wiki Urethrocutaneous Fistula Due to Piercing?

    No answer, but I ended up using 54326 for this procedure. I felt like 54326 was more appropriate for this one since there was a urethroplasty involved. I used 53520 for the initial fistula closure, note below: Findings: Approximately 1 centimeter fistula that was closed in 2 layers Drains: 20...
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    Wiki Coding 76942 and 76872

    If you don't own the ultrasound equipment and use -26 on the 76872, would 76942 be the best code to use instead?
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    Wiki APP Credit for Shared Visits?

    Late follow up question, but is there a certain percentage that should be assigned to the APPs? Or is this practice specific? Some have suggested 85% to APP and 15% to the MD for shared visits paid at 100%. Thoughts?
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    Wiki Shared/Split Visits and Commercial Payers?

    Thank you for your reply! The issue is I haven't been able to find any information on some carrier websites/manuals. Some don't have a split/shared visit policy and don't list modifier FS on their modifier reference policy. I've only been able to find anything for commercial UHC. Since it's a...
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    Wiki Shared/Split Visits and Commercial Payers?

    Which commercial carriers accept shared/split inpatient visits? I've been trying to make a list. I see UHC does. They have it listed as a split/shared visit policy and they list modifier FS on their modifier reference policy. Any other carriers accept this? I see that BCBS of Minnesota accepts...
    • tori.a
    • Thread
    • Replies: 4
    • Forum: E/M
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    Wiki Hospital Shared Visit Language Template

    Does anyone have a language template for their docs to use when documenting MDM for a shared hospital visit? Thanks for the help!
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    Wiki Incident-To

    Does anyone have a list of payers that allow for "incident-to" billing? I'm trying to compile a list of commercial and Medicare advantage plans that accept the billing practice. Thanks!
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    Wiki Urethrocutaneous Fistula Due to Piercing?

    I would code this as 54326 rather than 53520, but I'm wondering your thoughts since the diagnosis is a fistula due to a piercing rather than hypospadias. I still feel the 54326 most accurately represents what was done. Thanks! Indication: history of distal urethral cutaneous fistula secondary...
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    Wiki Dx Clot Retention?

    I've been using R31.0 and R33.8 but I'm wondering if there is a better way to represent this diagnosis? Thanks!
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    Wiki APP Credit for Shared Visits?

    Thank you very much for your detailed answer! Very helpful.
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    Wiki One Channel Urodynamics using EasyPro1.. 51728-52?

    ANSWERED: Single channel CMG = 51725 per device rep!
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    Wiki Antegrade Pyelogram w/ PCNL?

    Now that the descriptions for 50080/50081 include "imaging guidance," does this mean an antegrade pyelogram would not be separately billable? Or does it refer more to fluroscopy, for example? Thanks!
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    Wiki APP Credit for Shared Visits?

    If billing under the physician for a shared hospital visit, how does the APP get credit for performing part of the E/M service? I know it only gets billed once, under the physician in this case and with an FS modifier, but within the practice how would the APP get credit as well?
    • tori.a
    • Thread
    • Replies: 4
    • Forum: E/M
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    Wiki One Channel Urodynamics using EasyPro1.. 51728-52?

    Hi all, one of my urologists used the EasyPro1 device to perform one channel urodynamics for a patient.. he says when he was trained on the device he was told to bill 51728-52. I can't seem to find any info on this. I've read that 51728-52 is billed when using a penile cuff but that is not the...
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