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  1. K

    Looking for a diagnosis code for hypoferritinemia.

    What diagnosis code would you use for hypoferritinemia. thank you.
  2. K

    Wiki APRN and MD see patient on 2 different days, new patient for both?

    thank you so much for your assistance with this. Greatly appreciated!
  3. K

    Wiki APRN and MD see patient 2 different days, new patient to both?

    We are a hem/onc practice. A group practice with several hem/onc physicians. Patient has Medicare.
  4. K

    Wiki APRN and MD see patient on 2 different days, new patient for both?

    Very good information! thank you! Our MAC is with WPS. So after reading everything it seems to me like CPT states the NPs and PAs are considered as working in the exact same specialty as the practice in which they are assigned. (so this would not be a new patient to the physician if the NP...
  5. K

    Wiki APRN and MD see patient 2 different days, new patient to both?

    And there wouldn't be a supervising provider when our APRN originally saw the patient for the genetic counseling. This would be the patient's first time into the clinic and seen by the APRN. No physician involvement. The patient then saw our physician a couple weeks later.
  6. K

    Wiki APRN and MD see patient 2 different days, new patient to both?

    I so appreciate your help. Our NPs work for our oncology group. Patient came in for a genetic counseling visit and saw our APRN. The same patient saw our physician a few weeks later because their genetic test came back positive. I just think it seems strange that the APRN would bill an...
  7. K

    Wiki APRN and MD see patient on 2 different days, new patient for both?

    I also always thought the midlevel was considered the same specialty as their physician. But after watching the Medicare webinar, doesn't it sound like from the question asked in the Medicare webinar that the physician could bill as a new patient? Sorry, just trying to get clarification.
  8. K

    Wiki APRN and MD see patient 2 different days, new patient to both?

    I also always thought the midlevel was considered the same specialty as their physician. But after watching the Medicare webinar, doesn't it sound like from the question asked in the Medicare webinar that the physician could bill as a new patient? Sorry, just trying to get clarification.
  9. K

    Wiki APRN and MD see patient on 2 different days, new patient for both?

    The reason I'm confused is because I watched a Medicare webinar a while ago and there was a similar question asked. This was the question: "We have NPs and PAs throughout our clinic, in urgent care, family medicine, dermatology. If a patient sees NP in urgent care or acute care and then sees...
  10. K

    Wiki APRN and MD see patient 2 different days, new patient to both?

    The reason I'm confused is because I watched a Medicare webinar a while ago and there was a similar question asked. This was the question: "We have NPs and PAs throughout our clinic, in urgent care, family medicine, dermatology. If a patient sees NP in urgent care or acute care and then sees...
  11. K

    Wiki APRN and MD see patient 2 different days, new patient to both?

    We are an oncology practice. Our genetic counselor who is an APRN saw a patient for genetic counseling. She recommended genetic testing to the patient. She billed 99205. The patient tested positive for the BRCA2 gene mutation. The patient then saw our MD a week later. Can the physician also bill...
  12. K

    Wiki APRN and MD see patient on 2 different days, new patient for both?

    Is this different for Medicare? My understanding is that Medicate uses the physician specialty the practitioner is enrolled under. A nurse practitioner is enrolled as a nurse practitioner. They're not the same specialty as any doctor. So wouldn't the doctor be able to bill a new patient visit?
  13. K

    Wiki APRN and MD see patient on 2 different days, new patient for both?

    We are an oncology practice. Our genetic counselor who is an APRN saw a patient for genetic counseling. She recommended genetic testing to the patient. She billed 99205. The patient tested positive for the BRCA2 gene mutation. The patient then saw our MD a week later. Can the physician also...
  14. K

    Wiki Pneumonitis due to immunotherapy

    Thanks! Dictation had stated: Immunotherapy induced pneumonitis. Stopping Keytruda. I coded as J70.4 and T45.1X5A.
  15. K

    Wiki Pneumonitis due to immunotherapy

    Thank you! Does the code selection differ if it’s “immunotherapy induced pneumonitis” versus “chemotherapy induced pneumonitis”?
  16. K

    Wiki Immunotherapy induced pneumonitis

    What diagnosis code(s) do you use for pneumonitis due to immunotherapy?
  17. K

    Wiki Pneumonitis due to immunotherapy

    What diagnosis code do you use for immunotherapy induced pneumonitis?
  18. K

    Wiki Pneumonitis due to immunotherapy

    What diagnosis code(s) do you use for immunotherapy induced pneumonitis?
  19. K

    Wiki Unsure if cancer is a primary or secondary site

    A patient has a breast sarcoma. The physician is not sure if this is the primary site or metastasis from another site. How would you code this? thanks!
  20. K

    Wiki Unsure if cancer is primary or secondary

    A patient has a breast sarcoma. The physician is not sure if this is the primary site or metastasis from another site. How would you code this? thanks!
  21. K

    Wiki adverse effects of corticosteroids on diabetes

    Hi Debra! would you mind if I emailed you personally a coding question? thank you
  22. K

    Wiki Excision 3 breast masses

    Patient with 3 separate right breast fibroadenomas. My physician made an incision from the 12:00 to the 3:00 position on the patient's breast. She then excised the 3 fibroadenomas. Is this just coded with 19120 ? thank you!
  23. K

    Wiki Surgical drain replacement breast

    Patient had a previous partial mastectomy in which a drain was placed. At the post-op visit, it was clear that the drain was not working adequately. Patient was taken back to the hospital for replacement of surgical drain in her breast. Patient is Medicare. What CPT code do we use? thanks!
  24. K

    Wiki replacement surgical drain in breast

    Patient had a previous partial mastectomy in which a drain was placed. At the post-op visit, it was clear that the drain was not working adequately. Patient was taken back to the hospital for replacement of surgical drain in her breast. Patient is Medicare. What CPT code do we use? thanks!
  25. K

    Wiki Ultrasound guided tatoo right axillary lymph node

    Patient has breast cancer. Tattooing of the biopsy-proven malignant node was recommended to facilitate its identification at her eventual axillary surgery following chemotherapy. The operative note states: After cleaning the skin with alcohol at the base of the ultrasound transducer, I...
  26. K

    Wiki Ultrasound guided tattoo right axillary lymph node

    Patient has breast cancer. Tattooing of the biopsy-proven malignant node was recommended to facilitate its identification at her eventual axillary surgery following chemotherapy. The operative note states: After cleaning the skin with alcohol at the base of the ultrasound transducer, I...
  27. K

    Wiki Payment for breast biopsy device

    Is anyone charging a HCPCS code for the breast biopsy device when the surgeon does a core needle breast biopsy in the office? If so, what code are you using?
  28. K

    Wiki CTP code 38792

    When my breast surgeon does an injection of the blue dye for a sentinel lymph node identification, we use code 38792. Apparently the radiologist, who is injecting a radioactive dye prior to the patient being take to the OR is also using code 38792. Medicare will not pay both doctors if they both...
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