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  1. Chelle-Lynn

    Wiki Leveling an E*M for Time for a Resident

    We are trying to locate definite confirmation on whether or not a resident can level an E&M based on the time component. I have received conflicting information, but I believe that the following is accurate: 1. Under the primary care exception rule - if the resident is rendering a service of...
  2. Chelle-Lynn

    Wiki 52601 and 51798 (Urology)

    Would like a second opinion on this issue as I do not specialize in Urology.... Question...If a patient receives a 52601 TURP and then 60 days later (during global) comes in for a 51798, would this be considered as inclusive of the post op timeframe or could it be billed?
  3. Chelle-Lynn

    Wiki High Risk Definition for Pregnancy

    Is there an official guideline for determining when a pregnancy is defined as High Risk? We have found information on the Department of Health and Human Services which indicates specific other issues such as diabetes, hypertension, etc. We are looking for a clear statement that will be...
  4. Chelle-Lynn

    Wiki Pregnancy Dx - Subchorionic Hemtoma

    I am trying to determine the correct dx for a Subchorionic Hemtoma. Our providers are currently selecting = O43.899 Other placentaldisorders Other options suggested are = O36.89.... Maternal carefor other specified...
  5. Chelle-Lynn

    Wiki C-Section Care

    We have two scenarios: 1. The patient is being seen for ante-partum care but has a history of a previous C-section. Which Dx would you use? O34.219 or Z98.891 2. The patient is being seen for wound check for a...
  6. Chelle-Lynn

    Wiki Physician Supervising Physicians

    We are having a discussion at our office regarding the following scenario: We have a new physician who is starting with our practice who is going through the credentialing process with our carriers. In the meantime while the physician is not credentialed he is seeing patients and another...
  7. Chelle-Lynn

    Wiki Question on Modifier TC and 26

    If a patient comes in on Monday and has an xray and then comes back on Thursday to see the physician and the physician does the interpretation of the xray. The physician also owns the equipment and the xray was done in his office. I assume that this would be billed as global, meaning no TC or...
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