Recent content by vidraj

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    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 bill office and outpatient (O/O) evaluation and...
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    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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    Wiki TCM coding 99495, 99496 for Cardiologists

    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 this one from AAPC ...
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    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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    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 will be 12 2. CPT codes are New (99341- 99345)...
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    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 long-term basis. Would that be sufficient enough for us to...
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    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 the patient/provider relationship meets the...
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    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 A9555 stating that " CPT A9555 is denied as Separately...
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    Wiki A9500 Noridian denials

    Hello, we did face the same issue and I hope this helps for everyone looking for this info :) All you have to do is enter the cost of A9500 as per your invoice in 1500 claim form - either under box 19 or just above the date of service, where you list the code- as " A9500 - Invoice price - $...
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    Wiki Question regarding Holter Monitors in Primary Care

    Hello Berry, If you are hook up the device at office and your physician reviews - you bill only 93225 and 93227.The third party who does the analysis of the report bills the 93226. In other words, you do not get to bill the global code 93224, if part of the service is done by a different...
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    Wiki VenaSeal CPT 36482 - second kit reimbursement

    Hi everyone, I am looking for details on how to bill for the second kit used for VenaSeal ablation at office. The first catheter was completely clotted inside the lumen of the catheter due to difficult anatomy and our provider had to use a second kit to complete the procedure. We submitted...
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    Wiki MAC Vs Moderate Sedation Vs Conscious sedation

    Thank you, Kyles, for getting back on this. Let me review the anesthesia sheet notes and check if all details are available a. " intraservice time" - Attached AAPC document for future references. Learning quite a bit on sedation documentation here! Appreciate your guidance. Vid
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    Wiki MAC Vs Moderate Sedation Vs Conscious sedation

    Thank you both for your responses. I just reviewed the guidelines, and it does state that MAC doesn't include moderate sedation. So, my final takeaway : Our surgeon has to mention the conscious sedation instead of MAC With a supportive documentation - " Conscious sedation administered under...
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    Wiki MAC Vs Moderate Sedation Vs Conscious sedation

    Hello experts, Hope one of you can help me with my confusion. My surgeon sent the above OP note, performed at an ASC facility, which states Monitored anesthesia care( MAC) but told us that she provided the conscious sedation. Monitored anesthesia care includes Moderate or Conscious...
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    Wiki MDM

    Hello everyone, I have a follow up question. If a patient is seen at Cardiology office, patient being followed up for 4 month follow up for ONE chronic stable illness (say HTN) and pacemaker device check, provider is not making any medication changes, and the documentation states this, Blood...
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