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    Wiki J&J Covid vaccine first then given Moderna or Pfizer as boster

    never mind-found all the new codes on the AMA website
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    Wiki J&J Covid vaccine first then given Moderna or Pfizer as boster

    patient given J&J Covid -19 vaccine as first vaccine then follows up with booster of Moderna or Pfizer. how would you code the admin of the booster? 1st admin CPT for either Moderna/Pfizer since that's what it technically is? thanks all
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    Wiki Coding remotely from another country

    crazy idea I have fixed in my head. thinking about retirement in a few years and my husband and I are thinking of moving from CA to Belize. I was thinking I could code remotely for a US company from Belize. I would have a US post office box as well as a US bank. Anybody already doing this or...
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    Wiki list of valid 3-digit ICD 10 codes

    thank you both!! thanks-you helped me out a great deal!
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    Wiki list of valid 3-digit ICD 10 codes

    hi any suggestions on where I can get a list of valid 3 digit ICD-10 codes? my ICD-9 book from Optum had a list for 9 codes but can't find ICD-10? thanks
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    Wiki 2 H&Ps by different speciality for SNF

    patient discharged from hospital to SNF by PCP. SNF medical doctor does H&P on patient's medical conditions (DM, HTN CHF) physiatrist does H&P based on SNF admitting diagnoses-fractured hip etc. Are these both billable/payable? thanks
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    Wiki Manipulation done with fluoro

    sorry- I got more info from the doc-what she is doing is taking an xray while she stresses the knee joint. She is wondering if she can bill the PC for the xray-however, our radiologist will bill global for this service. I'm thinking she can usethe actually viewing of the xray as a data point in...
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    Wiki Manipulation done with fluoro

    Hi all- If my ortho doc takes a patient down to the radiology dept to use fluoro guidance during a closed manipulation-can she bill for that guidance?:confused:
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    Wiki Refurbishing of custom orthotics

    Patient had custom orthotics made and was using them. She came in a few months later and the note reads "Pt FFO taken and sent to ProLab to have dm top cover with metatarsal pad placed" what code can i bill for this update to the orthotics? or even can I? as always thanks for the help
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    Wiki billing EM level based on addendum

    thanks-this helps!
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    Wiki billing EM level based on addendum

    My medical director is checking specialists billing/documentation and is insisiting that the physician can bill a higher code based on an addendum written a few weeks later (not days). this addendum will be lab/radiology results. In one case, the addendum was a call from patient asking for a...
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    Wiki NCCI edits vs Mutually exclusive edits

    Our Medicare carrier-Palmetto- has two files listed- one as CCI edits (column 1 vs column 2 edits) as well as a file listed as Mutually Exclusive edits. The codes seem to be the same, but in different order-is there any difference between these edit lists? Thanks
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    Wiki 36216 & 36217

    When I check my Encoder on the above codes, it states "multiple procedure reductions guidelines apply". Does this mean that my payment for 36216 will be reduced if I bill with 36217? Does modifier 51 apply here? Thanks!!
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    Wiki PCP & Lab billing same Codes

    Thanks, Debra- what you said makes total sense!! Appreciate your feedback and also yours, Lucinda!! Clare
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    Wiki PCP & Lab billing same Codes

    thank you!!!
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    Wiki PCP & Lab billing same Codes

    no he's not-he's just excising it and sending to lab for the diagnosis of the specimen-he is billing for the excision, but he says he can also bill for the same code the Lab will use for the dx of the specimen. I tell him that's incorrect, but his answer is "show me where I can't do this" AAAGH!!
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    Hi Debra-hope you can help me!! I was doing research about a surgeon billing for code 88305 and...

    Hi Debra-hope you can help me!! I was doing research about a surgeon billing for code 88305 and the lab also billing for it. I KNOW I came across several threads about this and you were very knowledgeable about this issue, but for love or $$ I cannot find those threads again!! I know if the...
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    Wiki PCP & Lab billing same Codes

    Hi all- We have a provider who did some surgery on a patient and wants to bill 88305, However the outside lab we send the specimen to says we can't do that because we do not have an aggreement with the lab in whcich we would bill globally and pay the Lab their protion. I have tried to explain...
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    Wiki MOHS & adjacent tissue transfer

    Hi everyone-hope someone can help! If our docotor does the MOHS surgery and also does the tissue transfer-14000- should the insurance company be applying modifier 51 to that transfer code and be paying us at a reduced rate because it is a multiple procedure? I think we should be getting 100%...
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    Wiki Radiopharmaceuticals

    Hi Everybody- We are looking into billing 78805 and would also use A9570 as the radiopharmaceutical-which is very expensive. We are finding few payors will pay for the A9570 or reimburse at half of what we paid for it. Are we billing this correctly-or have we missed something.:confused: Any...
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    Wiki Physician supervison of NP for palliative care

    Can any one help me with this? One of our specialists (pulmonary doc) was told that he can supervise Nurse Practioners (NOT our employees) when they do palliative care- I am assuming at the hospital. Has any one heard of a CPT code for this? As always-thanks Clare-
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    Wiki Lap closure of enterostomy

    THANKS!! this does help! Clare
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    Wiki Lap closure of enterostomy

    Help-looking for a code for Lap closure of enterostomy with NO resection or anastomsis done so can't use 44227. Does 44227-52 work better than an unlisted code? thanks
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    Wiki Finger ligature?

    One of our ped docs did an in-office ligature on a newborn's 6th finger. CPT code? This one has me stumped Thanks
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    Wiki Yellow fever HCPC code

    oops-sorry I see it is a CPT code, not a HCPCs code
  26. U

    Wiki Yellow fever HCPC code

    Hi everybody- any idea what I would use for a yellow fever vaccination code? As always thanks
  27. U

    Wiki ESA billing-J0881

    For the lab requirement of HGB/HCT levels, are we able to use ANY lab results (as long as it is within 30 days of J0881 administration) or are we required to use the most RECENT lab results.
  28. U

    Wiki MRI supervision and interpretation

    What code (s) what I use for an MRI of the lumbar area with and without contrast with supervsion and interpretation? I know I'd use 72158 but is there also a separate S&I code?? or is that included in 72158? thanks!!
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    Wiki Time line for patient rights & responsibilities, consent forms and Advance Directives

    Time line for patient rights & responsibilities, consent forms and Advance Directives Hi all!! Hope someone can help. We had one of our RNs attend a seminar and someone mentioned that the patient or their representatives have adequate time to review Patient Rights & Responsibilites, Consent...
  30. U

    Wiki PHQ9? depression quiz?

    Hi everybody- One of my Family practice docs is asking if there is a CPT to bill for a depression questionnaire. He called it a PHQ9? It's a series of 10 or so questions asking the patient about the last two weeks-"have you felt sad, has your sleep patterns changed, has you appetite decreased?"...
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    Wiki POS for CPT 90960

    When a doctor uses CPT 90960, is he saying that he saw the patient face-to-face while that pt was getting dialysis? or can this be done in th doctor's office? thank so much!!:confused:
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    Wiki billing for doctor AND facility

    I am billing both for the provider and the ASC side (both have own tax ID). While in Hawaii, at the gastro session, I heard someone say that the doctor side of the bill would have one code for the type of removal (snare, etc) no matter how many polyps were removed that way. But the ASC side...
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    Wiki colonoscopy with tattoing

    Hi! hope someone can help me on this. Our gastro docs do a colonoscopy with tattoing of a particular area to help the general surgeon find a particular area. In the past , we billed 45378-22 for these cases, as the tattoing does involve additonal work. The problem is if we also remove polyps-we...
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    Wiki 1st doc can't complete DRE,2nd doc bills how?

    Patient came in for yearly prevent, because of size, doctor unable to do digital rectal exam. She sends patient to male doctor in same practice 6 weeks later to complete DRE. How should 2nd doctor bill and what dx. This was the only thing patient seen for at second visit. We billed 99213 with dx...
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    Wiki Current condition vs history of condition

    Can anyone direct me to information for my docs regarding the difference between current condition and history of that condition? I showed them in the ICD-9 book the gudelines stating the "history codes explain a patient's past medical condtion that no longer exists and is not receiving any...
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    Wiki Screening mammo vs diagnostic mammo

    AS I understand it, if a doctor orders a screening mammo, that is what our radiologist must do. We have had instances where, based on a questionnaire the patient fills out, the radiologists changes the screening to a diagnostic. I know with Medicare we can bill both on the same day with a...
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    Wiki Charging Medicare patients for copies of their records

    Does anyone know of a Medicare regulation that says we CAN'T bill a patient for their records if they request them? Of course we wouldn't charge another provider for these records, but occasionally a patient wants their records (for whatever reason) and my boss wonders if we can charge the...
  38. U

    Wiki multiple EKG's on same day

    Thanks!!
  39. U

    Wiki multiple EKG's on same day

    What are the rules for billing multiple EKG's (93010) in the hospital with the same dx? The appeal states that "repeat ECHO per cards consult fellow to asses for change in fxn" Modifer 76 was used on add'l three EKG's. thanks
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    Wiki use of modifier 22

    We are having great debates on what constitutes use of mod 22 for colonscopies and EGD procedures. One doctor says he was told if it normally takes him 30 minutes to do a colonoscopy and it takes him an hour (because of a spastic redundent colon for example) he could use mod 22. Or if he took...
  41. U

    Wiki laparoscopic retrieval of IUD

    how would you code a laparoscopic removal of an IUD in the abdominopelvic cavity after fluoroscopy location identification done on same day?? Thanks! Clare
  42. U

    Wiki code for Phlebolith excision

    Hope someone can help me. I am looking for a code for removal of a calcification in the vulva area. We have not done the procedure yet as the doctor is looking for a code so we can quote a cash pay price to the patient. She does have insurance, but this removal of a calcification is more...
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    Wiki G0399 vs 95806 for Medicare patients

    Help!! for billing purposes are these codes the same? And will Medicare accept one over the other? We are going thru transition for Medicare carriers (NHIC to Palmetto) and unfortunately, neither carrier is accepting phone calls right now. I find no LCD or NCD for the new code G0399 (effective...
  44. U

    Wiki coding for coblation to base of tongue/soft palate

    Thanks yes this does help Clare
  45. U

    Wiki coding for coblation to base of tongue/soft palate

    Help!! Looking for a code for coblation done to base of tongue and soft palate during deviated septum surgery. Provider does coblation for dx of nasal obstrucion and snoring. thanks Clare
  46. U

    Wiki "get to know you" visit

    thanks!! Clare:)
  47. U

    Wiki "get to know you" visit

    How would you code a new patient visit where there is no chief complaint other than "new to area-looking for new PCP"? A history is recorded and an exam but again-no real problem- just a patient shopping for a new doctor? Thanks
  48. U

    Wiki Cardiac Consults

    thanks-it sure did help!! Clare
  49. U

    Wiki Cardiac Consults

    Looking for help in how to help my cardiac docs with level of consults they do. In regards to the complexity of medical decision making-what/where can I get a description of the different levels under the three categories of # of dx's, amt/complexity of data to review and risk of complications...
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    Wiki ENT billing for FloSeal

    Hi! We have a new ENT who previously used a product called FloSeal and billed in an out-patient hospital setting. He now works for us and we bill services on a 1500, not on UB92s. This product is a very expensive sealent to be used to control bleeding and is above and beyond supplies usually...
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