Search results

  1. T

    Wiki In office nasal surgical procedure billing

    I have a new ENT coming into our rural Wyoming hospital provider group from a private practice in another state. He wants to bill 31295, 31296, 31297 31298 and 30520 in the office. Place of service 11. Has anyone had any issues with reimbursement on these codes and this location. My previous ENT...
  2. T

    Wiki Spine coding issue

    I am working with our facility coder on this one, we have a visiting provider to complete a four-level anterior total disc arthroplasty 22856, 22858x3 due to DDD, patient had reversal of cervical lordosis preoperatively, and because the spine did not passively correct, he found it necessary to...
  3. T

    Wiki Billing an E & M on the same day as a minor procedure.

    Thank you for the information. I am a little clearer now. I followed the link you gave me which helped quite a bit.
  4. T

    Wiki Billing an E & M on the same day as a minor procedure.

    I have a letter that we received for a RAC audit on a couple of claims from one of our general surgeons. The provider saw the patient as an inpatient and it was decided that we needed to perform an EGD on one and an I & D on another. The E & M was appended with a 57 modifier. The letter states...
  5. T

    Wiki Billing for Presumtive read multi class drug test cups

    Hi, We have found some confusion regarding how to bill these tests. Prior to 2016 we were billing G0434 with QW modifier appended for CLIA waiver. Last year we went to the G0477 with a QW modifier. We are now getting claim errors with our clearing house on the G0477 code stating it is no...
  6. T

    Wiki HELP! 2016 in house drug screen g0477

    G0477 HCPCSS vs 80305 CPT I have a new question regarding this issue. The G0477 code according to Medicare and Optum Encoder 360 Tool is discontinued as of 01/01/17. However the current HCPCS book says it is a valid code. Does anyone have any information on this. How do I found out what is...
Top