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    Wiki Observation Question

    The observation order was placed on day 1, but it was late in the day and the provider did not see the Medicare patient. On day 2 the provider saw the patient, is this an initial observation or subsequent observation? Does Medicare have something in writing? For the same day admit/discharge...
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    Wiki Resident Billing in a Primary Care Exception

    We have a residency program in a primary care exception. There are a list of CPT codes (99201,99202,99203,99211,99212,99213, G0402, G0438, G0439) which can be billed without the teaching physician’s presence. Several procedures documented in Chapter 12 100 states that the teaching physician must...
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    Wiki Counting Unique Order When Pt Forgot Labs

    I'm looking for supporting documentation for: The patient was seen today. They did not get the labs done that the provider ordered at the previous visit. The provider re-evaluated the need for the labs and wants them completed. He educated the patient on the need for these labs. Can I count...
    • bdennis
    • Thread
    • Replies: 3
    • Forum: E/M
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    Wiki G0101 with modifier 25?

    We have documentation from a year ago indicating when billing for G0101 and Q0091, use modifier 25 on G0101 for Medicare claims. We are questioning if anyone knows if Medicare changed this to a modifier 59? Our search for information on the CMS site did not indicate that any modifier is...
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    Wiki Unna boot on arm

    I just ran across where we put a unna boot on an arm. Anyone know if I still report 29580 or is there a code for unna boot on arm? THANKS!
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    Wiki Office Visits with Admin of Inj

    I'm interested to see if offices are billing office visits with administration of an injection charge. Can they be billed together and are insurances covering both? We currently are not billing the administration of an injection.
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    Wiki Reading PFT Performed at Facility

    A facility sends our allergy specialist PFT results for him to read. These results are sent to his office. When I bill for the reading, do I use the outpatient hospital place of service or the office place of service. I know this has went back and forth. Anyone have the latest? Thanks!
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