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  1. K

    Wiki Q4010

    I work for orthopedic hand specialists and we have been billing Q4010 for our cast supplies for as long as I can remember and have never had any issues. All of a sudden (seems like around the first of the year) it is denying by multiple payers saying it's part of the surgical package or bundled...
  2. K

    Wiki Anatomical Modifiers for supplies?

    I have an insurance company (Priority Health) that has started denying my "Q" codes (Q4010, Q4006...) for missing anatomical modifier. Is anyone else having this issue? If I apply one, my clearing house denies the claim because of the invalid modifier combination and wont send the claim out but...
  3. K

    Wiki Active Labor

    We are a SMALL outpatient hospital with no OB. I've been here for three years and this has never happened... Pt came into ER and the physician documented active labor. The pt was transferred to another hospital before delivery. I'm having a hard time finding a dx code for active labor, how would...
  4. K

    Wiki Emergancy Intubation

    A child was in our ER with respiratory failure and the Dr. attempted to intubate twice with no success. They called in a second Dr. that attempted twice as well but still no tube placement. Can I charge for intubation? Do I code all attempts for both doctors? What modifiers do I need if so, 77...
  5. K

    Wiki Nasal reduction

    One of my ER providers documented that he reduced a nasal bone fracture, he did not use forceps or anything. Can I use 21315 with modifier 52??
  6. K

    Wiki polypharmacy abuse

    Is there a way to code polypharmacy abuse without knowing the exact drugs used? It is a secondary code to suicidal ideation.
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