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    Wiki F90.0 & F98.8 not covered by Alaska Medicaid

    Alaska Medicaid is denying F98.8 and F90.0 for adult patients. They only recognize them for patient age 0 to 17 years, 11 months. My office has copied the page out of ICD 10 and included it with our appeal. Book states " Behavioral and emotional disorders with the onset usually occurring in...
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    Wiki Estring HCPC

    Does Esting have a HCPC code? fThe NCD is 0013-2150-36. I haven't had any luck. Thanks for the help, Jennifer
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    Wiki Telemed and In House Lab

    Our system doesn't split the claim based on location on it's own. I'll mannually split and submit the 2 claims.Thank you for taking the time to answer. I really appreciate it.
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    Wiki Telemed and In House Lab

    Our system doesn't split the claim based on location. Thank you for taking the time to answer. I really appreciate it.
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    Wiki Telemed and In House Lab

    Our Family Practice Clinic is doing telemed visits. We have had a few patient come in after their appointment for an In House Lab. The Telemed has the location as 02. The Lab has the office location 11. How should these be billed? Thanks for the help, Jennifer
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    Wiki Telemed and In House Lab

    Our Family Practice Clinic is doing telemed visits. We have had a few patient come in after their appointment for an In House Lab. The Telemed has the location as 02. The Lab has the office location 11. How should these be billed? Thanks for the help, Jennifer
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    Wiki Alaska Medicaid 14 day rule

    I am looking for clarification on counting Alaska's Medicaid 14 day rule for signing notes. Does the count start the day of the visit or the day after the visit? Thanks for the help, Jennifer
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    Wiki 7 days count for 99442

    I'm looking of some clarification. Our office has different opinions on how to count the 7 days between an Office Visit prior to a telephone call (99442). Is it Office Visit followed by Day 1, 2, 3, 4, 5, 6, 7, and Telephone call (99442 on Day 8) or Office visit followed by Day 1, 2, 3, 4, 5...
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    Wiki Health Coach & Nutritional Therapy Practitioner

    Thanks for the quick reply.
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    Wiki Health Coach & Nutritional Therapy Practitioner

    The clinic I work for is wanting to add Health Coach and Nutritional Therapy services. We had a Health Coach and a Registared Dietatian in the past, but Insurances would not pay for the service. How are these services billed and has anyone gotten paid? Thanks, Jennifer
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    Wiki Medicare coverage of 20610

    How many Kenalog injections will Medicare pay for on the same joint for 1 year? Example : 20610 Joint injection RT Knee with Kenalog J3301 x 4. Thanks for the help.
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    Wiki Signing off another provider's EM notes

    Thank you all for your help.
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    Wiki Signing off another provider's EM notes

    Our office is hiring a ANP. Is it possible under the new 2021 EM guidelines to have another provider sign off the EM note and bill for her services? She is credentialed, but is under a no competition clause from her last employer for 1 year. Thanks, Jennifer
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    Wiki Home visit

    Do Home Visit code 99341 -99350 follow the new 2021 EM guidelines or the old guidelines with a history, exam and/or medical decision making? Thanks, Jennifer
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    Wiki Covid Vaccine and Administraion

    Our EHR is not loading the new codes some time in January COVID-19 CPT vaccine and immunization codes The following COVID-19 vaccine and administration codes will be effective once the Pfizer and Moderna vaccines have FDA emergency use authorization or approval. Please note the special...
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    Wiki Sequealae or initial encounter?

    Thank you.
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    Wiki Sequealae or initial encounter?

    New patient enters the clinic with R medial aspect of knee with approximately 12 cm interrupted linear wound/ scrape. The middle aspect / segment is slightly open but not currently weeping. There is about a quarter size erythema around this area, minimally tender, non fluctuant, but there is a...
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    Wiki Alaska release of medical records guidelines

    Our office is trying to smooth out some bumps for intergraded services between our medical and BH departments. Where would I find info for the state of alaska? Thanks, Jennifer
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    Wiki 2021 E/M Coding Tool

    Thank you :)
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    Wiki E/M coding Toll 2021?

    Does anyone know if the E/M Coding Tool (Wheel) has been updated with the 2021 info and is for sale? Thanks, Jennifer
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    Wiki 2021 E/M Coding Tool

    Does anyone know if the E/M Coding Tool (Wheel) has been updated with the 2021 info and is for sale? Thanks, Jennifer
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    Wiki Telephone Billing Telemedicine

    I am looking for documentation guideline for telephone visits. Thanks for the help, Jennifer
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    Wiki Telehealth

    What are the guidelines for documentations on a telephone visit? I've been sifting through a lot of the data. Thanks for the help, Jennifer
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    Wiki Telehealth and coronavirus

    Does anyone know if CMS is doing a telehealth teleconference soon and how the register?
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    Wiki 2020 AMA CPT Book

    Do other people have yellow dots in the 2020 AMA CPT book? I'm hoping that it's just my copy because my eye are not likely them and would like to get another.
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    Wiki ICD 10 Codes that support Advanced Imaging for Medicare

    I have been given the new task of finding ICD 10 codes that support Advanced Imaging for Medicare. I trying to access the LDC on the Medicare coverage database. Some CPTs had ICD 10 codes and others did not. Any ideas? Thanks, Jennifer
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    Wiki ICD 10 supporting CPT for Medicare

    I have been given the new task of finding ICD 10 codes that support Advanced Imaging for Medicare. I trying to access the LDC on the Medicare coverage database. Some CPTs had ICD 10 codes and others did not. Any ideas? Thanks, Jennifer
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    Wiki Nurse visit 99211

    Starting this spring, Medicaid in Alaska began denying payment for stand alone Venipunctures 36415, Finger Sticks 36416 & Pt/INR 85610. Any suggestion on how to get paid when patient comes in solely for these services? Thanks for the Help.
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    Wiki Medication count

    Can 99211 be billed along with the Urine Drug Screen test when the patient sees the nurse and a suboxione count is done? No vitals are preformed. The Dr will review the note later and prescribe refills. There is no documentation from the Dr on this encounter. Our office is evenly split between...
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    Wiki IV's and injectable medication

    Medication Push- Thanks Thanks so much for the help. Some times the books just don't explain things that come up at work. Again, thank you for taking the time to answer question in the forum. Jennifer
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    Wiki IV's and injectable medication

    Repeat med push Here is a similar question. I work in a family practice. A patient came into the clinic and had an initial med push of Zofran at 9:30 to 9:32 am (96374). Then the patient received a med push of Valium at 9:35 to 9:38 (96375) What code do I use for a repeat med push of Valium...
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    Wiki Soft tissue aspiration

    CPt 10160 I looked at that cpt code. The arm is swollen. There is no abscess, hematoma, bulla, or cyst. Would cpt 10160 still work? Thanks, Jennifer
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    Wiki Soft tissue aspiration

    I need some help coding this procedure. Any suggestions?? A pt comes into the clinic with a swollen let arm. The swelling has increase since she was seen two days ago (x-ray were negative and pt was given spiint to wear). Patient has diffuse pain with palpation around radioscaphoid joint...
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    Wiki Testing wound draingage for CSF

    A pt came into the clinic who had hardware placed in his neck 5 day post surgery. There is drainage from the surgery site. The provider wanted to know if the drainage was CSF. The drainage was tested for glucose using a UA dip strip test. CPT 81003 is for a urine sample. The clinic staff...
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    Wiki Treatment of FX cpt 25500

    I have some questions on what CPT 25500 covers. 1st Visit: Pt came to clinic with hand pain. DX fracture radius, distal (813.42). Xray of hand (73130) and xray of wrist (73110) done. Sugar tong splint and sling applied. Treatment of fracture...
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    Wiki Fun ICD 10 scenarios

    Does any one have fun scenarios/stories to code with ICD 10? I have found a couple, but would like to have more to pass off to provider to make ICD 10 fun. Thanks for the help, Jennifer
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    Wiki saline lock

    What CPT should be used for a Pt that came into the clinic and had a saline lock placed prior to being transferred to EMS? (no fluid given, no medications given, and for blood sample taken from this site) Thanks for the help, Jennifer
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    Wiki Suture removal

    Thanks sooooo much. Jennifer
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    Wiki Suture removal

    I am just wanting to check that I have the correct use of cpts for suture removal. If a patient comes into the clinic for a wound repair of the finger (cpt 12001) and then returns to the same clinic for removal of the sutures, the patient is now billed with E/M. If a patient comes into the...
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    Wiki Well Women CPT codes

    We have new staff. It has lead to new questions on cpt codes for Well women visits and Comprehensive Preventive medicine. What are the correct cpt codes to use for: 1. Well Woman visit, only Breast exam and PAP for woman not enrolled with Medicare 2. Well Woman with PAP and Annual PE for...
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    Wiki 99212 and toenail removal 11730

    Does this documentation support 99212 along with 11730? A pt came into the clinic CC: ingrown toenail. HPI: Location Lt Hallux. Toe pain moderate. Redness, swelling, warmth at toenail and discharge. 3-4 weeks with nail pain. ROS: Nail was torn 1 month ago. Now swollen and painful. Has...
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    Wiki 36416 Capillary sample

    Is anyone using cpt 36416 for Pt/INR or for glucose testing? Does this code need to be used or can the lab test be billed without it? Thanks, for the help, Jennifer
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    Wiki child with past heart murmur

    We had a child come into the clinic who was born with a heart murmur. The patient is now three years and during this visit, the heart murmur is no longer present. What ICD 9 can be used for this visit? Thanks for your help, Jennifer
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    Wiki heart murmur

    I have the same issue. You're not alone in looking for this anwer. Jennifer
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    Wiki FAS Evaluation of 13yr old

    A mother brought in her 13 yr old daughter into our clinic (Family Practice) for a FAS evaluation. This is the first time that the possibility of FAS has been mentioned. The mother feels that it is in her daughters best intrest to behonest about the prenatal exposure to alcohol. The...
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    Wiki 796.0 vs 305.XX

    A pt had a positive urine drug screen in the office. The provider would like to use 796.0 as the dx. With a specific positive result, I feel that a 305.XX code is more accurate. Is there a better description of 796.0? (ICD 9 is vague-Nonspecific abnormal toxicological findings, abnormal...
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    Wiki Bandages and Dressings

    The family practice that I work for would like to have a "bag" of bandages and dressings for the patient to take home after an would care. Is there a way to bill for these supplies? Thanks for the suggestions and help.
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    Wiki Merchant Mariner Medical Evaluation

    Does anyone know what CPT code to use for a Merchant Mariner/ Coast Guard Medical Evaluation? Thanks for the help.
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    Wiki Chlorine allergy

    Thanks for the help.
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    Wiki Chlorine allergy

    I need some help in finding ICD 9 code. A mother brought her young daughter into our office for a note to excuse her from swimming due to chlorine allergy. She has not been swimming so there are no symptoms. Nothing is medically wrong with her. She just needed a note for school. Any...
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