Search results

  1. B

    Wiki Initial, Subsequent, Sequela

    A = Active Treatment, D = subsequent, S = squela or after effects.
  2. B

    Wiki Do NOT stress over the ICD-10 Proficiency Assessment Examination

    No, just CM.
  3. B

    Wiki ICD-10 Qualifiers for Injury codes

    Unless they get treatment during the healing stage then it would be D.
  4. B

    Wiki ?Use? vs ?see? in CPT code notes: is there a difference?

    That's why I find CPT harder to code.
  5. B

    Wiki Tobacco Use Vs Tobacco Dependence - Can anyone explain

    I'm gonna add to this discussion. What would you code if only use was documented. No mention of abuse or dependence? Thats where the Z code is used.
  6. B

    Wiki Deaf and Hard of Hearing Interpreter

    I agree. The patient should ALWAYS be able to "speak" for them selves if and when they can.
  7. B

    Wiki CPT code for arm sling

    I think, I might be wrong, but it's more of a DME code so that would be more likely in the HCPCS book.
  8. B

    Wiki Using 99499 for siblings

    That's how I figured it would be. Thank you for confirming my suspicions Debra.
  9. B

    Wiki PFSHx N/A OR BLANK

    I write N/A for my family history as I'm Adopted but only if it's a genetic trait.
  10. B

    Wiki Using 99499 for siblings

    I have a question that's somewhat related to this, but how does one code a prophylactic medication requirement if the other siblings aren't sick yet but one is. Example Whooping Cough?
  11. B

    Wiki Patient heart is on the right side.

    I'm not surprised there's a code. But what surprises me is how rarely it's used and that you knew that.
  12. B

    Wiki Physical Therapy Medicaid Plans and 97140 and 97530 Denied

    Can't you use the New X{EPSU} codes?
  13. B

    Wiki Xu verses xs modifiers/ spinal coding

    XU is the more accurate in this case, UNLESS the CPT code has say an "Each additional level" code indented under it.
  14. B

    Wiki Dementia and Parkinson disease - ICD-10 Code for Parkinsons disease

    I'm reading this as the MD DOESN'T need to make the connection when it's IN conditions classified elsewhere?
  15. B

    Wiki Coding Re-Admissions to SNF's

    Has that dr seen the patient before with in 3 years? If yes then it's established.
  16. B

    Wiki Coding Re-Admissions to SNF's

    It's a new encounter but an ESTABLISHED patient.
  17. B

    Wiki Late effects of Radiation and Hx of Radiation

    Usually a History code is used when the patient is no longer being treated for the condition.
  18. B

    Wiki Modifier U5

    I've found old things, but I'm giving up as I've been looking for an hour. This was, is, my best find: http://www.omh.ny.gov/omhweb/clinic_restructuring/changes_to_cpt_codes.pdf Try googling NY state Medicare 90832 modifier u5 and see what you find.
  19. B

    Wiki Screening Colonoscopy - I have an appointment

    I just learned something new. And that the CPT/HCPCS guidelines can be tweaked.
  20. B

    Wiki Modifier xx

    No, unless it's similar to the Medicare one modifier restriction but not for Medicare. Itts possible that that one carrier has designed XX for that purpose. But this is speculation on my part. I am 100% certain XX is an invalid modifier and should never be used.
  21. B

    Wiki CPT code 80050 (General Health Panel)

    Oh that makes so much sense. As the Panel CPT includes all the component parts that would make the FRVU and NFRVU hard to calculate given there are different parts depending on automated differential vs manual. Thank you.
  22. B

    Wiki ICD 10 practice scenarios

    At your own pace was 16ceus
  23. B

    Wiki Heart Failure systolic/diastolic

    That makes sense, if the Sys and Dia are mentioned.
  24. B

    Wiki ICD 10 practice scenarios

    Did you buy the At your own pace version? If yes they provide multiple choice questions for each case and they give you the rational after.
  25. B

    Wiki NP Student seeing patients

    Short answer is No they can't. Long answer is here: http://www.physicianspractice.com/articles/coding-your-top-coding-concerns-solved-1
  26. B

    Wiki Exam under anesthesia?

    Well first was the emergency ending of a procedure so that needs the original procedure code plus a modifier. As for the knee exam we need the documentation minus any HIPPA flags.
  27. B

    Wiki repair of wound dehiscence

    So where was it treated?
  28. B

    Wiki CPT code 80050 (General Health Panel)

    I'm interested as well as my Procedural Coding Expert has a FRVU of 0 and a NFRVU of 0.
  29. B

    Wiki EGD and Colonoscopy same surgical case

    Is one a diagnostic? If that's the case then it's usually included into a more costly version.
  30. B

    Wiki need help b/l 1st order renal angio

    First thing, remove names of patients when you post as that was a MAJOR HIPPA VIOLATION!
  31. B

    Wiki 63042 vs 63030

    Yeah, at that single level it's a bilateral operation. As for old/new I don't know.
  32. B

    Wiki 51 Modifier Question

    Was the patient on Medicare perhaps? http://www.billing-coding.com/pdf/Using%20Modifiers%20Wisely%202009.pdf See page 3/18
  33. B

    Wiki 63042 vs 63030

    Well you have 2 spaces if I recal that L5-S1 is one and L4-5 is the second.
  34. B

    Wiki time based + prolonged service

    If you read prolonged service codes I do believe they give examples on how to use them. If it's less than the minimum for the prolonged service code then it's E&M otherwise ... That's an example.
  35. B

    Wiki Premature with no othe dx

    As I said more information. As it's unclear.
  36. B

    Wiki Transurethral prostate biopsy

    I found 52354 but it doesn't say anything about "washing".
  37. B

    Wiki Premature with no othe dx

    First child, previous C-section, need more.
  38. B

    Wiki Premature with no othe dx

    What's the standard Vaginal or Cesarian delivery CPT?
  39. B

    Wiki 26746? tia

    I agree, CPT needs an upgrade.
  40. B

    Wiki 26746? tia

    Good catch Matthew, I totally missed that. The creators of the CPT should add those codes under the Mallet Finger entry in the index.
  41. B

    Wiki Transitional Care

    Well that makes sense.
  42. B

    Wiki Critical Care - how to bill this

    I agree, it just looks like a very sick patient being checked on in rounds. Nothing more than that.
  43. B

    Wiki Critical Care - how to bill this

    Looks like a "canned" response to me.
  44. B

    Wiki 26746? tia

    Why doesn't 26432 work?
  45. B

    Wiki ADHD Examination

    Well it's an established patient so that reduces the burden. Two it's a recheck to make sure the medication is performing as expected. Three as someone with ADD no H, I don't have any Psych issues just attention issues. So query the provider if the person is Hyperactive or not.
  46. B

    Wiki CPT code for Alexandrite laser for Hidradenitis

    Ok a few questions, what is the patients insurance, two if they are Medicare what's the MAC. And three Aetna doesn't pay for that procedure: http://www.aetna.com/cpb/medical/data/500_599/0577.html
  47. B

    Wiki Critical Care - how to bill this

    Oh, good question, I'm interested as well.
  48. B

    Wiki Invasive Ductal Carcinoma

    http://www.icd9data.com/2014/Volume1/140-239/230-234/233/233.0.htm Check out the Synonyms here.
  49. B

    Wiki Cardiothoracic Book

    Both of which I found on Google!
  50. B

    Wiki Cardiothoracic Book

    I dunno maybe GOOGLE: http://www.google.com/search?q=cardiothoracic+coding+books&ie=UTF-8&oe=UTF-8&hl=en&client=safari#q=cardiothoracic+coding+books&safe=off&hl=en&tbm=shop
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