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    Wiki Principle Dx

    Hello, These are brief scenarios for inpt admissions. I appreciate your thoughts for the Principle Dx? Patient has had fatigue and fever prior to ED and had positive test for covid 19. Also, complaining of lightheadedness. On admission, pt is being kept on IVF for orthostatic hypotension and is...
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    Wiki Dermatology Modifier -25

    Hello, I'm new at coding Dermatology services. Can you tell me if modifier 25 would be applicable for this example? For instance, if a patient comes office in for full skin check. She has a history of seborrheic dermatitis and Actinic keratoses. The patient receive Liquid nitrogen x2 freeze...
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    Wiki High risk of morbidity from additional diagnostic testing or treatment

    Question: If the patient qualifies for 6 liters of home oxygen at night, would O2 support "High risk of morbidity from additional diagnostic testing or treatment" under MDM?
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    Wiki Modifier 25

    If a provider see a patient in the clinic and removes an actinic keratoses during the visit, then recommend the patient to return in 3 months for a follow up exam. On the follow up visit, the patient has another actinic keratoses that is removed. Does this support a modifier 25 to bill procedure...
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    Wiki New vs. Established Patient

    Question: Should a patient who was seen by anesthesiologist in the clinic be considered new or established if he or she had anesthesia services in the OR (within 3 years)?
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    Wiki Attestation

    I believe that all residents require cosignatures on their documentation. If an attestation is done, does it also need a cosignature? Do we have any documentation about these requirements?
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    Wiki OIG - Medical Device Credits

    The OIG are looking into auditing Medical Device Credits, but does anyone know which specific devices they will be targeting?
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    Wiki Spinal Fusion Outpatient vs. Inpatient

    Does anyone know of a policy (Michigan) or criteria for spinal fusion outpatient vs. inpatient? Thanks!
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    Wiki Orders for Bladder Scans

    Hello, Can anyone tell me if your organization requires written or verbal orders for procedures such as Trial of Void(TOV), Catheter replacements, and Bladder scans? Also, if it's within global period of surgery?
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    Wiki Wound Care

    Hello, Does anyone know if there are any policies/information on whether a provider should bill for all services for wound care, including standard/simple wound dressings? Typically, standard wound care dressings are changed by a nurse, but the provider is usually called into the room due to...
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    Wiki Ophthalmic Technician Exam Question

    Can anyone tell me if their technicians are performing visual acuity, gross visual fields, motility/alignment, pupils, and IOP with the physicians adding an attestation that they “performed and/or personally participated in the key and critical portions of the service”, and “have...
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    Wiki Medical Student Documentation

    Hello, Can anyone tell me if the teaching physician's bill/note must reflect the "personal work of obtaining a history" since the new change regarding the student documentation? "CMS recently made a change in the requirements regarding how a teaching physician can use student documentation for...
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    Wiki LCS for 96900

    I'm searching for the LCD for Michigan CPT code 96900. Can anyone provide? Thanks,
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    Wiki LCD for CPT 96900

    I'm searching for the LCD for Michigan CPT code 96900. Can anyone provide? Thanks,
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    Wiki LCD Sufficient Resource

    Some are using CPT code 96900 bill for newborns with hyperbilirubinemia receiving light therapy. However, some believe this code is on for Dermatology patients that get UV narrow band treatment for various skin disorders. The LCD does not list diagnosis for hyperbilirubinemia. Would you...
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