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Wiki MDM- Possible Management/ Testing Options

When my providers add this type of documentation to their notes, I do not give credit towards the MDM. I would give the credit at the visit that the order the test or use the treatment in their plan of care. However, if they recommend the service and it is noted that the patient declined, I will...
- Cwirtalla
- Post #2
- Aug 11, 2023
- Forum: E/M
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Wiki Decision regarding surgery with identified patient or procedure risk factors

Would a joint injection even be considered a minor procedure? I don't usually view them as a minor procedure.
- Cwirtalla
- Post #4
- Aug 11, 2023
- Forum: E/M
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Wiki Consults

When a PA is on call at the hospital and preforms a consultation, are they able to bill out for this service thru the practice they work for? When an MD is on call, and they are preforming surgery, can they attest to the hospitals PA consult and bill out for the consultation, or do they have...
- Cwirtalla
- Thread
- Aug 3, 2023
- Replies: 0
- Forum: Medical Coding General Discussion
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Wiki Consults

When a PA is on call at the hospital and preforms a consultation, are they able to bill out for this service thru the practice they work for? When an MD is on call, and they are preforming surgery, can they attest to the hospitals PA consult and bill out for the consultation, or do they have...
- Cwirtalla
- Thread
- Aug 3, 2023
- Replies: 0
- Forum: Inpatient Facilities
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Wiki SCR procedure coding

How are your reporting a SCR procedure? We are having a difficult time getting codes 29827 and 29806 authorized without a peer to peer. I am afraid when we bill the 29827 and 29806-59 they will be denied. Has anyone had any luck with these two codes being paid together. Is anyone else coding...
- Cwirtalla
- Thread
- Oct 20, 2022
- Replies: 0
- Forum: Medical Coding General Discussion
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Wiki SCR procedure coding

How are your reporting a SCR procedure? We are having a difficult time getting codes 29827 and 29806 authorized without a peer to peer. I am afraid when we bill the 29827 and 29806-59 they will be denied. Has anyone had any luck with these two codes being paid together. Is anyone else coding...
- Cwirtalla
- Thread
- Oct 20, 2022
- Replies: 2
- Forum: Orthopaedics
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Wiki Kenalog conundrum. HELP. :(

report J3301 on one line with total units used
- Cwirtalla
- Post #3
- Oct 20, 2022
- Forum: Medical Coding General Discussion
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Wiki DME and KV Modifier

We also use the KX, but because we are in a CBA we must use the KV in addition to the KX for Round2021.
- Cwirtalla
- Post #3
- Jul 30, 2021
- Forum: Orthopaedics
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Wiki DME and KV Modifier

I have been running into trouble with Knee brace denials that need to be billed with the KV modifier to Noridian . The trouble I am having is that our Medicare patients come back in for a DME fitting for the brace with a MA, and we are unable to bill an E/M out. Due to this I can not use the...
- Cwirtalla
- Thread
- Jul 23, 2021
- competitive bid dmerc durable medical equipment medicare modifiers
- Replies: 3
- Forum: Orthopaedics
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Wiki Durolane Injection Help

I am having a problem getting Medicaid to accept my durolane claims. When we have called and spoke to the reps at Medicaid they are claiming there is a problem with the NDC number which we have confirmed is correct , 89130202001. Is any one else having issues?
- Cwirtalla
- Post #3
- Mar 16, 2021
- Forum: Orthopaedics