vidraj's latest activity

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    vidraj reacted to rachaelwilleford's post in the thread Wiki G2211 with PHQ2 and TCM with Like Like.
    Has to be an O/O E/M visit and 25 modifier cannot be appended. It's in the MLN article and the 2024 Physician Fee Schedule Final Rule.
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    vidraj replied to the thread Wiki G2211 with PHQ2 and TCM.
    Thank you for clarifying Rachael. I just realized that it is specific for the Office/Outpatient E/M. It is all over the article. Guess it's one of those days for me!lol. Adding here for everyone's reference :"All medical professionals who can...
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    vidraj replied to the thread Wiki G2211 with PHQ2 and TCM.
    Hi Kimoy, "Can we bill G2211 along with TCM" - Were you able to find additional details on this?
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    vidraj posted the thread Wiki TCM coding 99495, 99496 for Cardiologists in Cardiology.
    Hello everyone, Checking to see if anyone has been submitting the TCM service CPT codes 99495, 99496 for Cardiology specialists? On my research it says Specialists can provide these services. But I am unable to find further details except for...
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    vidraj reacted to bmil's post in the thread Wiki Claim denial modifier assistance with Like Like.
    We are having a similar problem with one regional payer. BSW created a new McrAdv plan for 2024 (we didn't have this problem with the old one) and they are denying the A9555 with CO16 (need info); claim remark code M119 (NDC incorrect). But...
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    vidraj replied to the thread Wiki Assisted Living Facilities.
    Hello everyone, I just posted a question in this group on coding for the Palliative care. I am looking for the Codes and the POS for palliative care services provided at the assisted living facility. Appreciate any inputs...
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    vidraj replied to the thread Wiki Prolonged Modifiers.
    Hello, I am new to coding Palliative care services and urgently looking for the details for 2024.Our provider is looking to provide these services in an assisted living facility. Can one of you confirm if the below information is correct? 1. POS...
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    vidraj reacted to csperoni's post in the thread Wiki G2211 with Like Like.
    I would agree that a cardiologist treating and managing long term chronic conditions would meet the "medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition" portion of G2211. I...
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    vidraj replied to the thread Wiki G2211.
    Hi, I am just curious to know on why you are not considering it. We have patients coming into our Cardiologist office with issues of HTN, CHF and other Venous insufficiency and much more for which they have been followed up on a regular...
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    vidraj replied to the thread Wiki G2211- HELP!.
    Anyone billing this for Specialists? (I am looking for Cardiology, Nephrology in specific) Can you elaborate a little more on this? - "Documentation for each visit must meet the requirements for the code, The documentation must clearly show that...
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    vidraj replied to the thread Wiki Claim denial modifier assistance.
    Hello, did you get this resolved? We are currently having issues with both A9555 and A9502.The tests are performed at office and being billed with the codes below. But having problem with one Payer (Banner Medicare) who is denying just the...
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