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    Wiki Olecranon Osteophyte Excision

    I would also like to know the answer to this question as I am searching for it right now lol
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    Wiki Simple Laceration Repair with an E/M code

    Would a "neuro and vascular status" documentation qualify as "above and beyond" with regards to a laceration repair for a finger? Is this risk above and beyond what is usually required for the procedure? Also what if a prescription was prescribed to hinder infection?
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    Wiki APRN billing

    When billing 99214 under the APRN's credentials is there a certain modifier required with that 99214? I have a clinic that has been billing 99214 under their MD and the claims have been denying stating, "Not a clean claim. Medical records received do not match Rendering Provider Name for DOS...
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    Wiki Surgeon and Anesth billing different CPT for surgery

    Is there a resource for Anesthesia coding billing for ASC level? Meaning if Anesthesiologist wants us to bill his claim for him? New to anesthesia coding and looking for direction sources. Thank you
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    Wiki Smartlipo CPT?

    Does anyone know what CPT is appropriate for Smartlipo? It is a new procedure we are performing at our ASC. I don't know if I should use a liposuction code or if I should use the unlisted code for the body site treated?
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    Wiki SG Modifier

    Sg Modifier Answer Medicare will pay with or without the SG Modifier until May 23, 2008. Somebody told me if the SG Modifier is on the claim after May 23, 2003 the claim could get rejected. Other payers that we file the 1500 form on have asked us to leave the SG modifier on the claim. I myself...
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    Wiki G0289-I was wondering

    G0289 Answer Our BCBS contract pays for G0289. You have to look at your individual contracts. When billing Medicare you have to use CPT 29877 with Mod 59 and write off the charge when you are billing. Medicare will not pay for 29877 or G0289 if billing with 29881 or 29880. All of my other...
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    Wiki Exam under anesthesia - technical component

    Eye exam answer I have had to do one of these before. I appealed with a letter and the operative report and explained why it was performed at our center. In our particular case the patient is mentally handicapped. The insurance paid after I showed medical necessity.
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    Wiki Billing for ACL Allograft

    Use L8699 for the graft and 278 for the revenue code.
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    Wiki Implant billing

    Also find out if you are contracted with your payers to receive additional reimbursement for implants.
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    Wiki Implant billing

    Most insurance companies will only accept the L8699 code. We have luck with payment when sending a copy of the invoice and the peri op report showing the implant was used on the patient. An or employee will put a sticker from the implant used on the back of the peri op report that goes in the...
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    Wiki Implant billing

    Do you send an invoice with the claim? What code do you use when you bill them?
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