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  1. J

    Wiki CPT 77290,77318,77370

    Hello, The CPT 77290,77318,77370 getting denied as it is approved for 1 Unit and got paid already a week before for the same service CPT's. so we submitted Appeal with MR. But Received appeal denial letter from Cigna as appeal upheld as more units billed than were allowed . Please advice the...
  2. J

    Wiki CPT G6015 and 77014

    Hello, Can anyone help me out whether we can bill CPT G6015 & 77014 together on same day.
  3. J

    Wiki CPT 77412 and CPT G6002

    Okay Thank you Susan..This information helps me a lot.
  4. J

    Wiki CPT 77412 and CPT G6002

    Thank you for clarifying Susan:)..We are billing for the physician under POS 22.
  5. J

    Wiki CPT 77412 and CPT G6002

    Hello, Can any one help me the denied CPT G6002 procedure code is inconsistent, need to submit with valid modifier and 77412 procedure code denied for included in visit. Please advice me to take further action.
  6. J

    Wiki CPT 50200 Renal Biopsy - Valid DX

    Hello.. Can anyone help me with valid coverable Dx list for CPT 50200 ( Renal Biopsy) to bill medicare insurence as I am getting a denial as "DIAGNOSIS CODE: INVALID; DIAGNOSIS CODE MUST BE MOST SPECIFIC". we submitted previously with DX: N00.0 & N18.6 & N28.89 & N18.9 & R90.8.
  7. J

    Wiki Anesthesia - CPT 01924 Modifier Rejection

    Thank you for the assistance ..:)
  8. J

    Wiki Anesthesia - CPT 01924 Modifier Rejection

    The CPT 01924 - Q6, QS, AA, P3 was billed under POS 11 to a substitute physician for a Medicare insurance. We are getting a rejection from clearing house due to invalid modifier. Kindly advise whether all the modifiers are valid and suggest me the possible way to post the charges from the...
  9. J

    Wiki CPT 77336 AND 77370 (POS)

    The CPT 77336 and 77370 getting denied in POS 22 and need to bill only the professional service but the service is applicable for only TC. Kindly advice how to bill these CPT in which POS this service is billable.
  10. J

    Wiki Intraperitoneal Port evaluation -CPT code

    Can anyone help me for the exact CPT code of intraperitoneal port evaluation. The patient skin overlying port was prepped and draped in a sterile fashion. The port was accessed using a huber needle. Contrast was injected through the port under fluoroscopic evaluation. The port and catheter...
  11. J

    Wiki Watchman Proedure-CPT33340

    Medicare also denying the same................
  12. J

    Wiki Watchman Proedure-CPT33340

    yes coded with NCT codes and Z codes with Dx-I48.0, including Q0 modifier to CPT -33340, POS-21, still got denied?
  13. J

    Wiki Watchman Proedure-CPT33340

    Can anyone help me for watchmann procedure-Left atrial appendage CPT 33340 getting denied by Aetna insurance with unproven. so please suggest an alternate replacement CPT for get reimbursement.
  14. J

    Wiki Cpt 93656 inclusive with 33208

    Thanks for your guidance and we billed by trying with 78 modifier to get payment.
  15. J

    Wiki Cpt 93656 inclusive with 33208

    Can anyone help ! For the denails we are receiving from medicare for the CPT 93656 which is done one month after the surgery performed of CPT 33208 ( 90 day global package). Is that CPT 93656 is inclusive CPT 33208 (global surgical package)?
  16. J

    Wiki Gw modifier

    The GW modifier is used when a physician is providing a service that is not related to the diagnosis for which a patient has been enrolled into hospice. This physician is not associated with the hospice and is providing services as the attending physician.
  17. J

    Wiki echo

    yes we can bill all three CPT's 93306,26 93320,26 and 93325,26 but already have an complete echo with CPT 93306 performed so we cannot code CPT 93320 instead that code CPT 93321-26.Correct billing must be 93306-26, 93321-26 and 93325-26
  18. J

    Wiki Percutaneous transluminal angioplasty with stent

    Can anyone help.... Physician A performs PTCA with stent on 1st day with the major coronary artery of MRC and again on the immediate next day the Physican B performs ther percutaneos transluminal angioplasty with stent in the same major coronary artery of RC. Can I code with below mentioned...
  19. J

    Wiki Impella/PCI Assistance

    36247-lt,xu 93458-26,xu 92933-lc 33990 75630-26,xu 76937-26,xu
  20. J

    Wiki Prior Auth for Echo

    Generally authorization will not be getting on specific dates, it will be for an duration period they will get an authorization, the provider rendered the service with in the authorization duration period then there wont be any denail if auth date expires then need to get an reterouth for the...
  21. J

    Wiki Temporary pacemaker during an emergent procedure

    Do not code temporary pacemaker as it is removed and also it cannot be coded together with CPT 33210 and 92941. As per CCI Edit Code 33210 is a column 2 code for 92941, These codes cannot be billed together in any circumstances.
  22. J

    Wiki Coder needed

    ok thanks for your reply. Looking forward to do a job. Kindly send some sample files to my mail ID. ID-jayalakshmi.akshat@gmail.com waiting for your response
  23. J

    Wiki Pacemaker Temporary & Permanent

    Thank you so much for your response
  24. J

    Wiki peripheral angiography help needed

    yes u r correct its 36247 only...
  25. J

    Wiki peripheral angiography help needed

    The CPT would be 36246-LT,75625-26, 75716-26
  26. J

    Wiki CARDIAC CATH REPORT... help!!

    The above mentioned catherterization procedure CPT would be 93455.
  27. J

    Wiki Pacemaker Temporary & Permanent

    Can anyone advice whether we can code temporary pacemaker and permanent pacemaker on same day? The NCCI edit shows with 59 modifier is applicable. can anyone help me to code this MR? Preoperative Diagnosis: Syncope; Symptomatic Bradycardia; 3rd degree AV block; Conduction system disease with...
  28. J

    Wiki Pacemaker Temporary & Permanent

    [B]Can anyone advice whether we can code temporary pacemaker and permanent pacemaker on same day? The NCCI edit shows with 59 modifier is applicable. can anyone help me to code this MR? Preoperative Diagnosis: Syncope; Symptomatic Bradycardia; 3rd degree AV block; Conduction system disease...
  29. J

    Wiki Coder needed

    Hi, I am a CPC coder having nearly 10 yrs experience (Cardiology & IVR in 4 yrs also known Multi speciality). Looking for job by doing at house. Willing to give Job at home. I will post my resume.Thanks in Advance.
  30. J

    Wiki Inpatient consultation

    Thank you
  31. J

    Wiki Inpatient consultation

  32. J

    Wiki Inpatient consultation

    Can anyone Advice the inpatient consultation can be billed for same provider on immediate consecutive days for the same condition ? (first day with CPT 99255 and second day with CPT 99255)
  33. J

    Wiki global surgical pacakage

    We have been reimbursing for X Rays done during the post op visits in office during global period. My understanding is that " Diagnostic procedures such as x-rays, ultrasound or other imaging services, laboratory, or durable medical equipment." are not included in the Global Surgery package. We...
  34. J

    Wiki global surgical pacakage

    We have been reimbursing for X Rays done during the post op visits in office during global period. My understanding is that " Diagnostic procedures such as x-rays, ultrasound or other imaging services, laboratory, or durable medical equipment." are not included in the Global Surgery package. We...
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