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    Wiki ED coding

    Thank you
    • ILHC
    • Post #3
    • Forum: E/M
  2. I

    Wiki ED coding

    Hello, Can a hospital bill 99202 office outpatient when seeing a member in the ED (they used ED as place of service). The members diagnosis S29.012A Strain Muscle & Tendon Back wall thorax init enc S39.012A strain muscle fascia & tendon low back initial Z87.891 personal history of nicotine...
    • ILHC
    • Thread
    • Replies: 2
    • Forum: E/M
  3. I

    Wiki Wound care billing

    wound care Where are all the places that wound care can be provided? Is it only at the PCP office, hospital, and wound care center? Thanks Debbie
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    Wiki Patient Education. Help

    Hello, Any feedback is helpful. Our physicians plan on providing health education to patients in a group setting. Topics range from diabetes education to COPD, obesity, etc. Can someone provide on any suggestions or clarification on the correct CPT code. We have been pointed in the direction...
  5. I

    Wiki Patient Education

    Group Patient Education Our physicians plan on providing health education to patients in a group setting. Topics range from diabetes education to COPD, obesity, etc. Can someone provide on any suggestions or clarification on the correct CPT code. We have been pointed in the direction of...
  6. I

    Wiki 99495 and 99496Transitional Care Management Services

    Question I reviewed the discussion link and it was helpful. I do have another question that I did not see answered on the discussion log. Our clinics are integrated care. We have both medical and behavioral providers. We also have case managers who bill the HCPCS case management codes...
  7. I

    Wiki 99495 and 99496Transitional Care Management Services

    Thank you very much for the direction and information
  8. I

    Wiki 99495 and 99496Transitional Care Management Services

    Hello, I was wondering if anyone can provide any information regarding Primary Care Physicians billing the Transitional Care Management Services 99495 and 99496. What does this type of service look like at the PCP office? What does the documentation look like? How much is reimbursed for...
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    Wiki How to get paid on 99000?

    Lab draws in the office Hello, I have two questions I need some help on. Our providers are billing the 99000 code, which I think is incorrect. 99000 code should only be billed if our providers are handling and transporting the specimen correct? Can our providers bill for 36415 for the blood...
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    Wiki MD and FNP phone calls

    Phone calls That's what I had thought, I just wanted to verify from the experts. Thank you so much
  11. I

    Wiki MD and FNP phone calls

    Hello, Can anyone tell me what code would be used if the FNP or MD calls the patient. They are following up with patient on medical issues, medications, etc. Thank you
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    Wiki Would I add the 99211-25 to the visit? Why or why not?

    99211 and 96372 I was hoping to get clarification on the use of 99211 and 96372. Our FNP had used the codes 99211, 96372 and J1080 to bill for testosterone injections with a diagnosis code of 780.71. The 99211 nurse note only indicates that she is providing a testosterone injection and I feel...
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    Wiki J Code Denials

    Thank you so much, I will call the payor to find out.
  14. I

    Wiki J Code Denials

    Hello, AHCCCS (UHC Community Plan) is denying the J Codes, with an explanation stating "Missing/incomplete/invalid/deactivated/withdrawn National Drug Code" Does this mean that they are not paying for these codes? Thanks
  15. I

    Wiki J Code Denials

    Hello, I was hoping someone could provide some guidance. We have been getting denials on the following J Codes J2250 J1080 J1050 and I wanted to know if we should be billing a modifier with these codes? Please Help Thanks
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    Wiki post partum and depo injection

    J Code Denials Hello, I was hoping someone could provide some guidance. We have been getting denials on the following J Codes J2250 J1080 J1050 and I wanted to know if we should be billing a modifier with these codes? Please Help Thanks
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    Wiki egd for sclerotherapy

    T1003 Hello, I am hoping that someone can clarify this question for me, can an LPN bill the T1003 face to face and/or over the phone when providing nursing services to patients in the medical clinic. Thanks, Still learning Dabborah CPC-A
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    Wiki When is ok to bill a 99211?

    99211 Hello, I am also new to medical coding, I wanted to clarify who can bill the 99211, I am assuming this is independent and licensed nurses. Does this include LPN under the supervision of a FNP? Thanks Dabborah, CPC
    • ILHC
    • Post #7
    • Forum: E/M
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