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  1. M

    Wiki Needing to know what code to use for a removal of an eyelid weight please.

    Hello! I had one of my providers remove and eyelid weight while the patient was in OBS care. Can someone help me with a CPT code for this procedure please? It is taking me to 67999, Unlisted procedure, eyelids. Thank you in advance for your help!
  2. M

    Wiki Billing G0296 on a Medicare wellness exam

    Thank you so much for your help!
  3. M

    Wiki Billing G0296 on a Medicare wellness exam

    Has anyone billed the G0296-Screening for lung cancer on an Annual Medicare Wellness visit? We are a Rural Health Clinic and one of my doctors is asking if I would bill this and I am wanting to know if Medicare will pay for this. Thank you!
  4. M

    Wiki PROVIDER SERVICES WITHOUT THE PATIENT PRESENT

    One of our providers had a Telehealth visit with a patient's mom & care team without the patient present. I unable to find how to bill for this? I sat on a webinar in April & it stated that we are unable to bill an E/M & we are unable to bill insurance. So, is there a generic code to use when...
  5. M

    Wiki Billing critical care on an inpatient

    Thank you so much for your help! I really appreciate it!
  6. M

    Wiki Billing critical care on an inpatient

    Have you ever billed the E&M along with the critical care?
  7. M

    Wiki Billing for CPR

    Has anyone ever billed the 92950 for CPR? One of our doctors pointed this code out to me today and I was just wondering if anyone has ever billed this as a professional code in a RHC?
  8. M

    Wiki Billing critical care on an inpatient

    Can someone tell me if you have ever billed critical care on an Inpatient? We recently had a patient that needed transferred out. The provider is wanting critical care billed. We are a Critical Access Hospital. Can I bill critical care instead of the Acute d/c code?
  9. M

    Wiki Billing for a swing bed stay on a Medicare advantage insurance patient

    Hello! I am just wondering if anyone bills a 99310 for a subsequent day visit on a Skilled swing bed stay? The codes I show to bill are 99307, 99308 & 99309. Thank you in advance for your help!
  10. M

    Wiki Extended time billing

    That is what I thought but I wanted to make sure. Thank you so much for your help! I really appreciate it!
  11. M

    Wiki Extended time billing

    Hello! I am inquiring about a Medicare ER patient that was taken care of by one of our PA's on 09/15/22. This patient has an LVAD device and needed transferred out to the hospital he had the device put in at. They did not have an available bed until 09/16/22. He ended up being in our ER for...
  12. M

    Wiki BILLING 90847

    I am trying to bill 90847 but Medicare is stating that it is not a stand alone code. I have tried researching this on multiple sites but I am unable to find another code to bill it with? Does anyone else bill this code in a Rural Health Clinic & if so, how do you get it to pay?
  13. M

    Wiki Billing 99495

    Has anyone ever billed the 99495, Transitional Care Management Services to BCBS before? If so, did it pay ok? The patient was in the hospital and seen 4 days after being discharged. I have never billed this before so I am curious as to how this will pay. Thank You in advance!
  14. M

    Wiki Billing when a family member comes in to discuss another family member

    Great information! Thank you for your help!
  15. M

    Wiki Billing when a family member comes in to discuss another family member

    We had a grandmother come in to discuss her grandson to whom she is the guardian. He was not present. From what I have found, we can bill 90846. The questions are can we bill this code to the grandmother's insurance or will it be self pay & where does the documentation go? Does it go in the...
  16. M

    Wiki Billing for Conners 3rd edition packets

    Hello! I am wondering if anyone has a licensed mental health provider that uses the Conners 3rd edition packets for their patients/parents/teachers? If so, do you bill for the packets that they fill out? If so, what CPT code do you use? We have found that each packet is very expensive and...
  17. M

    Wiki 99421 billing

    Thank you so much for your help! It is greatly appreciated.
  18. M

    Wiki 99421 billing

    I talked with the nurse and she couldn't remember whether the Mom emailed her or left her a voicemail. The picture was sent from the Mom to the Dr. by phone or email. The Dr. isn't in today to confirm which one.
  19. M

    Wiki 99421 billing

    One of our Dr's has an established patient who's Mother contacted our Dr's nurse about her daughter having pink eye. The nurse contacted the Dr, who was not in the clinic that day, and the Mother sent a picture of her daughter's eye to the Dr and he prescribed an antibiotic after viewing the...
  20. M

    Wiki SUPERVISION OF PICC LINE PLACEMENT

    Are we able to bill (with a modifier) for our NP that is supervising PICC line placements at the hospital? She has been training other staff so I didn't know if this was billable or not? We are a Rural Health Clinic.
  21. M

    Wiki 99406

    Thank You so much for your help! I really appreciate it!
  22. M

    Wiki Split/Shared services

    Thank You so much!
  23. M

    Wiki 99406

    So the 25 modifier will go on the E&M and the 99406?
  24. M

    Wiki 99406

    We are getting a denial from Aetna Better Health stating that 99406 needs a modifier when billed with 90471 and 90472. What modifier should we use? Thank You!
  25. M

    Wiki Coding for a vaginal delivery of a stillborn baby

    Thank You so much for your help! It is greatly appreciated!
  26. M

    Wiki Coding for a vaginal delivery of a stillborn baby

    Hello! We had an OB patient come into our ER and deliver a stillborn baby. We do not have OB here at our facility so I am unsure how to bill this correctly. I am going to bill a 59409 for Mom. What do I bill for baby? Thank You!
  27. M

    Wiki Split/Shared services

    I am in a Rural Health Clinic and have a scenario that I am needing help with. One of my PA's saw a patient for shoulder pain. Referred this patient to one of my MD's for an ultrasound guided injection on the same day. If the PA does documentation and puts in a charge as well as the MD for...
  28. M

    Wiki Can I bill in a Rural Health Clinic for one of our providers using his own ultrasound machine?

    I would appreciate any help on this. Does anyone have any problems with getting their claims paid when one of your providers has their own ultrasound machine and use it to do arthrocentesis/injections? Are there any special modifiers that I would need to use? Thank You in advance!
  29. M

    Wiki 1100F-Fall risk assessment

    Does this code go in on the claim? Is there a "G" code for Medicare?
  30. M

    Wiki 1100F-Fall risk assessment

    Hello! I am just needing feedback on if anyone uses this 1100F code on Medicare wellness exams? If so, do you get reimbursed or is it just for data mining?
  31. M

    Wiki Chest x-ray reading on a picc line insertion cpt code

    Hello! Can anyone help me with a CPT code for the provider who reads the chest x-ray on a picc line insertion? The provider did not put the PICC line in, she read the chest x-ray only. Thank You!
  32. M

    Wiki Authorization form

    Thank You for your help!
  33. M

    Wiki G0442, G0443 Codes

    I am just wondering if anyone uses this G0442 or G0443 code with a Medicare Wellness exam? If so, do you get reimbursed for it? Also, what ICD-10 codes do you use to get them to pay for you? Thank You so much for your help in advance!
  34. M

    Wiki Authorization form

    So what about in an audit? Do I need any authorization signed or am I good to code with just verbal authorizations?
  35. M

    Wiki Authorization form

    Does anyone know of a form that providers can sign authorizing, myself, as a CPC to bill a charge for them if they would forget to do it themselves? All of the providers that are in the practice I work for have all told me verbally that they trust my coding and that if anything needs changed or...
  36. M

    Wiki Can you bill 4 days in Observation?

    Hello! I am just wanting to know if I can bill a Kancare/Sunflower (Kansas Assistance Insurance) with a 4 day Observation Hospital stay?
  37. M

    Wiki Biopsy of a raised skin colored lesion off of ear cpt code

    To add to my question, the lesion was removed in the concha part of the ear. I apologize for not stating that initially!
  38. M

    Wiki Biopsy of a raised skin colored lesion off of ear cpt code

    I talked with the Dr. that did the biopsy and how the sample was removed to send to pathology and he stated that the patient had a lesion that was raised and he just "snipped" off a piece of the lesion. The whole lesion was not removed. So I am wondering how to bill this? I did receive the...
  39. M

    Wiki Billing for a family visit.

    I have a patient that is currently in a nursing home. Her primary care provider had a telehealth visit with her family, the patient was not on the call. Can I bill for this? If so, who would I bill?
  40. M

    Wiki BILLING 93010 IN THE ER

    I am asking if it needs to be billed with ER as the POS or as IP as the POS? It was done in the ER time frame before the patient was admitted. I am billing it either way. I'm just not sure what the appropriate POS is.
  41. M

    Wiki BILLING 93010 IN THE ER

    How does everyone bill an EKG (93010) when done in the ER when the patient is admitted? Do you bill the EKG through the ER or do you roll it into the admission? I'm just curious how other people bill these.
  42. M

    Wiki BILLING 36471 WITH J3490

    Does anyone know how to get reimbursement from BCBS when billing 36471 & J3490? I keep getting denials that this is not medically necessary. I also read that you can't bill the med with the procedure code. I have 2 of these that I can't get paid. Any insight would be greatly appreciated!
  43. M

    Wiki Billing question

    Would the 59 modifier go on the EKG or the intubation?
  44. M

    Wiki Billing question

    Thank You for your guidance. We will check into this.
  45. M

    Wiki Billing question

    When billing 93010 and 31500 together what modifier do I need to get them both paid? Thank You!
  46. M

    Wiki B-12 injections

    Can a Rural Health Clinic bill for a B-12 injection on a Medicare patient that also has an office visit? Thank You!
  47. M

    Wiki Billing the code G0444

    Thank You for your help!
  48. M

    Wiki Billing the code G0444

    Thank you for your help!
  49. M

    Wiki Billing the code G0444

    Thank you for your help!
  50. M

    Wiki Billing the code G0444

    Good Morning! I am looking to see who has billed the G0444 for depression screenings? Are they covered by all insurances? Can you bill it on other than an annual wellness exam? Any comments will be appreciated! Thank You!
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