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    Wiki DME denials - Please help

    Hello, I am currently coding for a podiatry group. We are experiencing high denial volumes when it comes to our DME being billed. In particular L3000, L3260, and more. Insurance companies range from commercial insurances to Medicare advantage plans. I am billing these with laterality. The denial...
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    Wiki Digital amputation with metatarsal head resection. CPT 28820 vs 28810

    I am new to podiatry coding, the situation of a digital amputation of the toes with a portion of the metatarsal head being resected has come up quite often. I am not finding instructions in the CPT code book or hips and below that are definitive for how to proceed in coding this. If I code the...
  3. M

    Wiki Acute appendicitis with phlegmon

    I have seen the surgeon post this DX a few times now. Acute perforatated appendicitis with phlegmon. I am wanting to code this to icd 10 K35.20; Acute appendicitis with generalized peritonitis, without abscess. Since the phlegmon definition is: The difference between phlegmon and abscess is as...
  4. M

    Wiki OCT optic nerve 92133 and OCT retina 92134

    Hi, I am an ophthalmology coder and in my experience it is not allowed and not payable EVER to bill both the OCT optic nerve 92133 with OCT of retina 92134. One of the doctor's I'm coding for was displeased I had to remove one of these as I explained they bundle. The Dr said this does not make...
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