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TThivierge's latest activity
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TTThivierge replied to the thread Wiki Modifier needed for inpatient.Hi Debellis59,:) I suggest trying these modifiers to define the different clinical providers. Check it in the HCPCS manual Appendix 2. The modifiers you may seeking could be ... AE Register dietician,, AF Specialty Physician , AG Principal...
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TTThivierge replied to the thread Wiki Help! NCCI edits.Stacia 70, Standard treatment programs in acute rehabilitation include occupational, physical, and speech therapies (OT, PT, and ST, respectively). You need to ensure document minutes, have consult plan of treatment, and body area give...
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TTThivierge replied to the thread Wiki Rookie Questions about getting labs covered in ambulatory setting.Hi Krauttermedica I use notations for doc's order to guide me but at times the name of the lab is what the physician is looking for. Also if person has complex illness like type of cancer and it is current most labs will coordinate with such...
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TTThivierge replied to the thread Wiki 2 visits on one day--what modifiers should be used in ED?.Hi Nikki I would try using modifier 27 on 2nd visit to ED on same date. I hope this data helps you Lady T
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TTThivierge replied to the thread Wiki dietitian billing: Hi i need help with some dietitian billing. any experts? what are the proper cpt codes for billing a dietitian visit?.Hi Dravekar You can bill CPT 99211 not CPT 99212 for this staff person .Add referring physician or provider on claim. Some payers want modifier AE for dieticians. If do phone call can use CPT 96886 series add minutes in documentation and...
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TTThivierge replied to the thread Wiki G2211 FQHC Medicare.Hi Heather Well I got this data from the journal listed. However are the Dx code billed as unspecified diagnosis? Payers not covering unspecific dx as much. Or it could be when billed Z codes as primary dx. Most Z dx codes are not primary dx...
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TTThivierge reacted to Santhoshkumar's post in the thread Wiki Artificial Intelligence good or bad? with
Like.
It may be reduce the human effort but not completely. As per my Exp most of the cases AI may not take proper decisions or apply the all payor or local guidelines. here again need the human intervention and need additional efforts to correct the... -
TTThivierge replied to the thread Wiki G2211 FQHC Medicare.Hi There HGILHAM The HCPCS code G2211 add on code is not to be billed with outpatient and clinic but for a long term care problem and must be complex. Public feedback has not been good on this HCCS code so made modify conditions on it and budget...
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TTThivierge replied to the thread Wiki Personal History of Cancer-- Invalid principal diagnosis?.Hello Toria Some of the Z codes listed above should NOT be first listed or principle Dx. code on claims per the ICD 10 manual These are not first listed dx codes such as: Z34, Z76, Z99, Z40,andZ42.You can use these as secondary or last dx on...
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TTThivierge reacted to csperoni's post in the thread Wiki Personal History of Cancer-- Invalid principal diagnosis? with Like.
I suppose I would first question why you are doing a procedure if the treatment of the malignancy is completed. I've only used for surveillance visits. The description states "follow-up examination". Z08 Encounter for follow-up examination...
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TI would not use Z40.01 for the consultation to discuss a prophylactic mastectomy. I would use it on the actual surgery. For the visit, consider Z71.89 along with Z15.-- and/or family history codes. Z15.-- cannot be primary diagnoses per the...
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THi! I have a question, is this a valid diagnosis for 2024 H52.03? thank you
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TTThivierge reacted to sumathip78@yahoo.com's post in the thread Wiki New to ophthalmology!!!! with Like.
Yes, H52.03 - Hypermetropia, bilateral H52.01 - Hypermetropia, Right eye H52.02 - Hypermetropia, Left eye
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TTThivierge replied to the thread Wiki CCM.Hi VNorman Yes if want to bill have them do the CYB (cover your behind) in completing proper documentation. Lady T
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TTThivierge replied to the thread Wiki Need some advice on these three codes...., 90833, 90836, & 90838 Thank you!.Hi Brad Yes can bill these CPT codes add modifier 95 if video or telehealth. Add modifier 93 if phone call. Ensure put amount of minutes on medical documentation for that day of treatment, describe problem, care, meds using and current dx codes...