Search results

  1. L

    Wiki Transesophageal Echocardiography

    We have always only billed 93312-26 but we have a new girl in the office who billed 93312-26, 93320-26 and 93325-26 at her previous employment. Should we have been billing the 2 add on codes or are they bundled with the 93312?
  2. L

    Wiki CPT Code 93312

    We have always only billed 93312-26 but we have a new girl in the office who billed 93312-26, 93320-26 and 93325-26 at her previous employment. Should we have been billing the 2 add on codes or are they bundled with the 93312?
  3. L

    Wiki Surgery Admit same day Discharge

    I apologize ahead of time if this is a strange question but here it goes... What place of service is used if the patient's place of service is surgery admit for a Watchman Procedure but discharged the same day? I am thinking POS 22 but second guessing myself because I know Watchman Procedures...
  4. L

    Wiki Transcatheter aortic valve replacement. Via alternative access with Carotid cutdown

    I am stumped on how to code this and was hoping to get some help. I know how to code the regular TAVR with the femoral approach but this was done with a Carotid Cut down approach . Any help is greatly appreciated. TAVR EDWARDS Sapien 3 Operative Note Date of Operation: 10/7/2022...
  5. L

    Wiki Emergency Claim Indicator

    Is using this on all observation stays recommended? The girl working our denials in the office is requesting us to use this indicator on all observation claims.... We have never had to in the past, just not sure that is advisable.. Can someone please clarify.. Thank you
  6. L

    Wiki Need Help

    Would this be coded as 36573 or 36556? One of girls feels it should be the first code but I am thinking that it should be the second... Thanks for your help Procedures Performed CENTRAL VENOUS CATHETER INSERTION Indications Acquired insufficiency of aortic valve [I35.1 (ICD-10-CM)]...
  7. L

    Wiki Help Please W/EP Studies

    Hi... Our group just recently hired an EP Doctor and my Administrator asked me to post a few questions so that we can have a better understanding of how to schedule these studies plus the hospital requires the CPT Codes when scheduling... Any help with these questions would greatly be...
  8. L

    Wiki Medicare denying Micra

    Is anyone else having a problem with Medicare denying because they say the clinical trial number should be 2 letters and 8 numbers? We first were putting the clinical trial number NCT03039712 and then were told that only the number portion of that needed to be on the claim. They have been paying...
  9. L

    Wiki Referring in same group

    Can my doctor ,who is a Cardiologist, refer a patient to an Electrophysiologist within the same group and the Electrophysiologist bill for consult/new patient visit?
  10. L

    Wiki Within Same Group

    Can my doctor who is a Cardiologist refer to an Interventionalist within the same group?
  11. L

    Wiki CPT 78803 Cardiac Amyloidosis

    We are going to begin doing these studies and were trying to find payable ICD 10 codes.. Can someone please point me in the right direction to locate these. It would greatly be appreciated... Thank you
  12. L

    Wiki Telehealth/EKG/IV Lasix

    Hi everyone.. Hope that you are all staying safe... Our doctor did a Telehealth visit but had to have the patient come into the office for an EKG and IV Lasix... Can the Telehealth visit be billed with the EKG and IV Lasix or do they need to be billed seperately?
  13. L

    Wiki New Patient help

    If a New Self Referred Patient comes in to see our doctor the doctor doesn't want his name listed as the referring physician... Our practice has billed it that way in the past but since he has brought this up our IT created a self referred category but has had to put all 9's in for the NPI # so...
    • lcouto
    • Thread
    • Replies: 4
    • Forum: E/M
  14. L

    Wiki Evacuation of Hematoma

    Can anyone help with coding for an evacuation of a hematoma in a pacemaker pocket? The patient had a pacemaker implant and on the same day was found to have a hematoma in the pocket. The pocket was opened up and the hematoma evacuated. Would this be included in the global of the pacemaker...
  15. L

    Wiki INR Management Codes

    It is our understanding that Medicare just recently changed their reimbursement for INR Management as it pertains to review and interpretation of data (CPT codes/G codes). We currently use the HCPCS codes G0249 and G0250 but were just notified we may be able to use the CPT codes 93792 and...
  16. L

    Wiki INR Management Codes

    It is our understanding that Medicare just recently changed their reimbursement for INR Management as it pertains to review and interpretation of data (CPT codes/G codes). We currently use the HCPCS codes G0249 and G0250 but were just notified we may be able to use the CPT codes 93792 and...
  17. L

    Wiki Pacemaker with Venogram

    Hello... I am hoping that someone can help with this.... My doctor is dictating and submitting this for billing and I am not quite sure on how to code this. Thank you in advance for any help: Pre-operative Diagnosis: ( ) Tachycardia- Bradycardia Syndrome- medical control of tachycardia is...
  18. L

    Wiki Pacer Help

    Hi... Could someone help me code this report... I am not sure about the Venogram and capping... If anyone could help I would be truly grateful... Pre-procedure Diagnoses: 1. Tachy-brady syndrome (*) [I49.5] Post-procedure Diagnoses: 1. Tachy-brady syndrome (*) [I49.5] Procedures: 1...
  19. L

    Wiki Chronic Care Management

    We have begun with billing chronic care management and are getting some denials on the Cpt Code 99490 because the date that the monthly charge is billed, the patient was in the hospital... Has anyone run into this problem? Is there a modifier that should be used? Any help is greatly appreciated....
  20. L

    Wiki Need Help with Coding Please

    I think that I may have figured this out but not feeling positive about it... I think that this would be billed as a 33207 and 33233... Can I please have some input.... Pre-procedure Diagnoses 1. Pacemaker lead failure, initial encounter 2. Subclavian vein obstruction, left Procedures...
  21. L

    Wiki Please help

    Hello.... When billing a Pacer Insert and if there is a cath done the next day should a 79 modifier be placed on the cath because it is in the 90 day global period? Thank you for your help...
  22. L

    Wiki Pacer Insert with Cath

    Hello.... When billing a Pacer Insert and if there is a cath done the next day should a 79 modifier be placed on the cath because it is in the 90 day global period? Thank you for your help...
  23. L

    Wiki Really need help! New at billing these

    Not sure how to bill this... Would it be 33210 and 33215? Pre-procedure Diagnoses 1. Pacemaker lead malfunction, initial encounter Post-procedure Diagnoses 1. Pacemaker lead malfunction, initial encounter Procedures 1. LEAD REVISION 2. TEMPORARY PACEMAKER INSERTION BRIEF...
    • lcouto
    • Thread
    • encounter lead pacemaker skin ventricular
    • Replies: 2
    • Forum: Cardiology
  24. L

    Wiki Please Help Temp Pacer/Lead Vision

    Not sure how to bill this... Would it be 33210 and 33215? Pre-procedure Diagnoses 1. Pacemaker lead malfunction, initial encounter Post-procedure Diagnoses 1. Pacemaker lead malfunction, initial encounter Procedures 1. LEAD REVISION 2. TEMPORARY PACEMAKER INSERTION BRIEF...
  25. L

    Wiki Pacer Wire Cap 7 Generator Change Out

    I was thinking that this should be billed with CPT Code 33227 but not sure if I should bill for the wire cap... I am learning this as I go so any help would be appreciated... Thank you Pre-procedure Diagnoses 1. Pacemaker lead failure, initial encounter Post-procedure Diagnoses 1...
  26. L

    Wiki ER Consult vs Inpatient Consult

    Scenario: If a patient goes to ER and the Emergency room physician requests a consult from a specialist, meanwhile another physician admitted patient and they are waiting in the ER for a room to be ready,the specialist arrives to do consult and it is done in the ER. Would the specialist bill an...
  27. L

    Wiki Please Help - Pacemaker lead malfunction

    Pre-procedure Diagnoses 1. Pacemaker lead malfunction 2. Pacemaker end of life Post-procedure Diagnoses 1. Pacemaker lead malfunction 2. Pacemaker end of life 3. Subclavian vein occlusion, left Procedures 1. HC PACEMAKER VVIR SINGLE SYSTEM 2. THORACIC...
  28. L

    Wiki Consult Question Help Please

    Can you bill for a consult at the hospital without actually seeing the patient(no face to face) because the patient was off the floor for a procedure?
  29. L

    Wiki Defib Gen Changed to PPM Gen

    I have never billed this before and I am not sure of what codes to bill... Can anyone help please? Pre-procedure Diagnoses 1. AICD (automatic implantable cardioverter defibrillator) at end of life, initial encounter Post-procedure Diagnoses 1. AICD (automatic implantable...
  30. L

    Wiki Little Rusty....Need Help

    Hoping to get some help on this.. Haven't billed one in quite a while and I'm a little rusty.. I'm thinking that it might be CPT Code 33229 but not quite sure: Pre-procedure Diagnoses 1. Pacemaker lead failure, initial encounter 2. Pacemaker generator end of life Procedures 1...
  31. L

    Wiki Removal w/reimplantation of pacer

    Can anyone help with this please....:confused: I'd appreciate any help... Thank you Pre-procedure Diagnoses 1. SSS (sick sinus syndrome) Post-procedure Diagnoses 1. SSS (sick sinus syndrome) Procedures 1. HC PACEMAKER DDDR DUAL SYSTEM BRIEF OPERATIVE NOTE Pre-operative...
  32. L

    Wiki lead revision help please

    If anyone could help please... I was thinking that this would be a 33216 but not sure.. Pre-procedure Diagnoses 1. Atrial pacemaker lead displacement Post-procedure Diagnoses 1. Atrial pacemaker lead displacement Procedures 1. LEAD REVISION BRIEF OPERATIVE NOTE...
  33. L

    Wiki Repeated Consult

    If a patient is admitted in April and our Dr consulted then and is called back in now on same admission can a new consult be billed for same reason? Our doctor last saw patient in hosp in June. What are the guidelines?
    • lcouto
    • Thread
    • Replies: 2
    • Forum: E/M
  34. L

    Wiki Clarification on face to face Please!!!

    Pt is in the ER being admitted. Our Dr is called in for a consult. He sees them in the ER because patient has not been transported to room yet. Is consult billed as inpatient code or ER code? Our Dr is not the admitting Dr.
    • lcouto
    • Thread
    • Replies: 3
    • Forum: E/M
  35. L

    Wiki Clarification on Face to Face

    Pt is in the ER being admitted. Our Dr is called in for a consult. He sees them in the ER because patient has not been transported to room yet. Is consult billed as inpatient code or ER code? Our Dr is not the admitting Dr.
  36. L

    Wiki clarification for face to face

    Pt is in the ER being admitted. Our Dr is called in for a consult. He sees them in the ER because patient has not been transported to room yet. Is consult billed as inpatient code or ER code? Our Dr is not the admitting Dr.
  37. L

    Wiki lead revision and dual gen change out

    Hi... I am not sure how to bill this.. I am thinking 33215 for lead revision and 33228 for generator change out. I have attached the report. Can someone advise if this is correct? Thanks Pre-procedure Diagnoses 1. Pacemaker lead failure 2. Pacemaker generator end of life...
  38. L

    Wiki Hosp Admit in ER location

    My Doctor saw the patient in the ER and admiited him. My question is, would I bill the admission code 99922 with the place of service Emergency Room or is it billed with an inpatient place of service location???
  39. L

    Wiki Help Please!!

    I am stumped and not sure on how to code this. Can anyone help please...?:confused: Pre-operative Diagnosis: Syncope Post-operative Diagnosis: Same as above Procedure Performed : Placement of temporary transvenous pacemaker Ventricular lead removal Implantation of new LV lead Pulse...
  40. L

    Wiki Loop recorder removal/pacer insert

    Hi. Patient had a loop recorder implanted in March.. 3 weeks later my doctor removed the loop recorder and inserted a Dual Chamber Pacemaker.. When we billed this we billed a 33284 for the removal of the loop recorder and a 33208 for the pacer insert. Medicare is denying stating Payment is...
  41. L

    Wiki Help Please - billing a loop recorder

    When billing a loop recorder removal 33284 with a pacemaker implant 33208... Would you place a 59 modifier on the pacer insert? Thanks....
  42. L

    Wiki Pacer Lead Revision

    My doctor did a dual pacer insertion on 2/25 and then the patient had to go back in 3/7 for a Ventricular lead revision for Pacemaker lead malfunction, not sure how to code the lead revision....help please...:confused: Thanks, Lisa Here is a copy of the report Pre-procedure Diagnoses 1...
  43. L

    Wiki Perm Pacer/Venogram/PCI

    New to coding need some assistance please..... Would this be just a 33207(Surgeon did removal of pulse generator and leads) Pre-procedure Diagnoses 1. Pacemaker lead failure 2. Pacemaker end of life Post-procedure Diagnoses 1. Subclavian vein obstruction with collaterals 2...
Top