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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

    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.
  4. 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.
  5. 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...
  6. 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.
  7. 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...
  8. 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.
  9. 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)?
  10. 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...
  11. 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...
  12. 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...
  13. 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)
  14. 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...
  15. 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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