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    Wiki Humeral stem in 23472 Shoulder Revision

    Question on 23474 a total shoulder revision. Does the humeral stem need to be replaced also to bill this or if they replace the humeral neck along with the glenoid component would this qualify to bill 23474? Note in op report states that the "patient's previous humeral stem" was kept.
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    Wiki C9781- Can physicians use or only facilities

    Is anyone getting paid from Medicare for this?
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    Wiki Patellar component

    Has anyone answer this question?
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    Wiki PFSH - Reviewed

    Would this also apply to a first time seen patient or just for a follow up?
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    Wiki Orthopaedic Stem Cell Injections

    Stem cell therapy I have a follow up question on this. We provide Stem Cell Therapy as a cash and carry item for our patients. The question has come up if we can do the this during a surgical procedure. So for example, the patient may be having a surgical knee procedure and the doctor would...
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    Wiki Injection for cash & carry items

    I was hoping you could give me any directions or point to any policies to provide for our physicians. We have a physicians that would like to start offering Lipogem injections to patients. Since these are not a covered item for insurances we would be offering this as a cash & carry item. If...
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    Wiki Iovera Coding and Reimbursement Question

    Iovera interest Our physicians are also interested in using Iovera prior to doing total knee arthroplasty. Their reps are also telling us to use 64640 along with 76942 for the ultrasound guidance. But from my understanding if there is a Category III code that covers the complete procedure you...
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    Wiki SPINE help!

    22840 versus 22842 I would say 22842 because you are are still covering L2, L3,L4, & L5 segments.
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    Wiki Surgical prior auth

    Prior auth So, the patient comes to the hospital ER on a Friday night, has surgery on Saturday, then the billing office is back in on Monday and finds out about it. That is more than 24 hours. It has always been my understanding that the hospital needs to get the P.A. Not sure how they got paid...
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    Wiki Surgical prior auth

    I am needing help with a surgery getting denied by their insurance. Patient was admitted thru the er. The hospital staff prior authorized the inpatient stay but did not get one for any surgeries, with the insurance company with a diagnosis of back pain. The patient went on to have spine surgery...
    • Sandy H
    • Thread
    • surgery prior auths
    • Replies: 5
    • Forum: MACRA
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    Wiki Work comp billing

    I have a work comp claim that was was done for a Nebraska Physician and the procedure was done in Nebraska. The insurance company is in Florida. I billed a 95909 (Nerve Conductions) along with a 95886-59 (EMG 2 limbs). They denied claim. They are now saying I need to bill using Florida's work...
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