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  1. M

    Wiki In house urine drug test

    If an office is only doing an in house urine drug test does the office need a CLIA waived certificate. It uses a cup with result indicators on the cup. Most offices that have a CLIA certificate perform multiple labs so it seems the UDT would not require the certificate, right. Appreciate...
  2. M

    Wiki Urine Drug Screen Coding

    We are billing for in-office urine drug screening for our pain management patients. It is a cup with 10-12 drugs tested with results displayed on the cup. We are coding the screening with CPT 80305 and diagnosis code of Z13.89. The service is being denied as the diagnosis is inconsistent with...
  3. M

    Wiki Interventional Pain Management Office Questions

    Thank you Amy, this was very helpful. Have a great day!
  4. M

    Wiki Interventional Pain Management Office Questions

    Hello all, I am working with a Pain Management doctor and have questions posed to me by the provider. I have worked in internal medicine, family medicine and ENT but rather new to pain management so I would really appreciate any feedback from forum..... 1. Is is necessary to document all...
  5. M

    Wiki When to stop using sequalae diagnosis code?

    We have a patient who had a spinal cord injury in 2018. The chart is being coded with H/O Spinal Cord Injury, Unspecified, Sequalae - S14.109S. The patient also has Disease of Spinal Cord (Myelopathy) - G95.9 and Spastic Upper/Lower Extremity Hemiparesis due to Spinal Cord Injury - G81.10...
  6. M

    Wiki Conference Fee-Healthcon

    If a student is taking a CPC cource, do they get a discount rate for the fee at the conference?
  7. M

    Wiki Injection at Independent Diagnostic Testing Facility

    An office with a Pain Management Physician goes to the IDT facility to perform an injection prior to the MRA being done on the patient. Insurance company is rejecting the claim? The code is correct and the insurance company states the only credentials approved in the IDTF is Radiology...
  8. M

    Wiki Annual Well Visit and Annual Preventative Visit for Medicare Advantage Plans

    I was posed a question from one of the offices I work with about billing of the Medicare well visit G0438 and G0439 along with code 99387 or 99397. From the guidelines I see you can't bill both the Medicare well visit G0438 or G0439 along with the preventative visit 99387 or 99397? This is for...
  9. M

    Wiki Mini Mental Status Exam in Office

    Mini Mental Status The MMSE is not during an office visit. The patient is scheduled to have the standard MMSE form completed with the patient by the Medical Assistant of the office. According to the staff, they have been using code 96101 and diagnosis code of F02.80 but issues with the claim...
  10. M

    Wiki Mini Mental Status Exam in Office

    An office is performing mini mental status exams in the office when not with an office visit with the provider. What CPT code should be used and what diagnosis would be used for the screening? Thank you for feedback. mmoore
  11. M

    Wiki Observation to Admit Status for Medicare Patient

    Previously if a patient was admitted for an observation status which turned into an admit status, an office would bill the admit charge as it was the highest level. However, there are some changes with Medicare and the guidelines of observation and 2 midnight stays? Can someone tell me what...
  12. M

    Wiki Z79.4 Long Term Insulin Use

    Has the guidelines/description changed for Long Term Insulin Use from ICD-9 to ICD 10 to include use of long term DM medication as long term insulin use too? I have received information from several parties that CMS and plan are now including long term DM medication with the code of long term...
    • mamoore56
    • Thread
    • cms insulin medication plan term
    • Replies: 10
    • Forum: ICD-10
  13. M

    Wiki What DX codes for pap exam with diagnosis charted by provider other than screening

    Dx code for exam or hpv The patient was scheduled to come in for a pap exam; not for HPV. The provider detected HPV from the exam and pap. Are you saying only use HPV & no V code for pap exam?:confused:
  14. M

    Wiki What DX codes for pap exam with diagnosis charted by provider other than screening

    We have a discussion as to what codes to use for a patient who was scheduled for an exam / pap smear and after testing, diagnosed with HPV. We know we don't code the symptoms related to the HPV but do we code the V code for the pap exam second to the HPV diagnosis? I have been told it should...
  15. M

    Wiki Transition to Care

    I was working with an office on a chart review and the manager asked a question about transition to care coding. The office dismissed a patient and planned to bill the transition to care code 30 days from that date. However, the patient passed away during the 30 day period. Can the transition...
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