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    Wiki cardiology hc w/pulmonary angiography

    Any help appreciated please. I coded first as lt hc 93458,26 but 93568,93573 need a primary cpt code. Then after much research I began to think maybe code as a rt/lt hc 93460,26 without 93568 or 93573. Please see report below. Thank you Pre-operative Diagnosis: cardiac arrest Post-operative...
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    Wiki Holters/Event Monitors/King of Hearts

    I am new to coding holters, event monitors and King of Hearts. Seems like it should be easy but I find it confusing. I have the CPT codes but I don't know what date of service to bill. I think I read it depends on what kind of device. I hope that's not true. Can you tell me about the King of...
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    Wiki Scribe

    I have reviewed previous Scribes questions in the Forum and have looked at purchasing "Ask an Expert" or an audit. I thought I would try here in the beginning to see if my question can be answered. I have researched requirements for Scribes but not finding what I need to know. My doctor was in a...
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    Wiki PPM/ICD interrogation vesrses programming

    I am trying to answer my EP doctor's question about the difference between 93279-81 and 93288. I understand 93288 in for interrogation and the others for programming of PPM and interrogation is included in programming unless distinct from programming. I don't see the difference when reading the...
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    Wiki 2022 IP Hospital E/M Final Rule Shared/Split

    I have listened repeatedly to webinars and researched diligently. I understand the substanitve portion of the visit (hx, exam or mdm). Time will not be used in our group so just focusing on the three key components. What I need is a good example of documentation from the physician billing as...
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    Wiki Lithotripsy during TAVR

    I apologize if this is a duplicate post. Issues with the Forum today. Can you bill for a peripheral lithotripsy during a TAVR? I cannot find any written information on this one way or the other. This is pro fees and looking at an unlisted CPT code but I hear it is considered COS of TAVR. Please...
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    Wiki Inpatient Admit

    A new coder starting saying that if the physician has seen the patient recently in office and is now being admitted as inpatient but was seen for the same dx that you should bill a sub-day and not an admit. Also, says due to being an established patient that you should not bill an admit but a...
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    Wiki IP subday Covid-19 non face to face

    I posted a few weeks ago about a consult and CPT code for non face to face and was directed to 99451 Interprofessional Telephone/Internet/EHR. The doctor did a consult and reviewed the med rec from the RN and written report back to requesting doctor (no face to face). 99451 states in CPT...
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    Wiki Covid IP sub day non face to face

    Any thoughts on sub day visits IP non face to face with covid patient that is not a telemedicine visit. The doctor reviewed the chart and made mdm but did not see the pt face to face for an exam due to covid. What do you think about 94999 and compare it to G0406-8? It seems the doctor should get...
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    Wiki 2021 E/M OP guidelines

    Two basic questions: What happens to incident-to for office with the new 2021 E/M codes if time is used as the first visit when the physician follow ups after the PA on the same encounter? Is this for Medicare patients only?
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    Wiki Inpatient admit

    I have a basic question but I think I remember some update a few years ago. Family history documentation for an inpatient admit; 3 are needed. Past, social--on the family history can they document a reference back to a different date? It is not documented findings, only reference of a different...
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    Wiki 92978 OCT

    OCT MUE x 1 however MAI is 3. My doctor does pre and post OCT and I bill 2 lines with second line adding modifier 76. Not getting paid with records. Any suggestions?
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    Wiki 0483T

    I know there have been previous posts in regards to this code. I saw one where we were told to use ICD-10 code Z00.6 however would you also have to use a Clinical Trial number along with that diagnosis. We were told by the company supplying the product that our group is NOT in a clinical trial...
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    Wiki 90 day global and admit

    The decision for the 90 day global procedure was done on the second day of the IP stay. I added modifier 57 to the second day E/M cpt code however the Admit(first day) I did not add a modifier. The admit has denied as part of the global of the second day procedure that also had the E/M modifier...
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    Wiki Aortic pressures

    Does the aorta need to be crossed and a pull back in order to take aortic pressures? Or can a coronary angiogram only be done (93454) and not a left heart cath (93458) with aortic pressures be taken?
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    Wiki Consults in the hospital

    I read or heard here in the last few months about consults and not billing a consult if the patient had been seen within a certain time frame by the same doctor. I am not asking about the CPT codes for hospital consults- only about a time frame if the doctor saw the same patient in an earlier...
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    Wiki ICD elective generator replacement with return for fx lead replacement same day

    I have received a denial from Medicare. I billed 33263 for the elective ICD generator replacement for a dual lead ICD:leads were disconnected from device and tested. Leads attached to a new generator. Then, returned the same day to procedure room due to a fractured right ventricle lead that was...
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    Wiki Cardioversion with EP study x two

    My EP doctor has performed a cardio-version through the patient's ICD device with an EP study. I watched a webinar and the instructor was not sure what code to use and suppose to get back with me. She has not so I am reaching out to my EP coders. 92961? or 93642? or unlisted code 93799? The...
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    Wiki IP Consult

    I cannot find exactly what I am looking for. I understand how IP consults code but my question is if IP consults are limited from admit to admit. Say an attending dr. requests my dr. for a consult in April for CAD and then the same patient, either the same or even different admitting dr...
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    Wiki IP admit

    I know that if a patient is seen in office and then admitted w/o face to face documentation for the hospital that for this dos you would need to bill the E/M code for the OV. My question is that on the following day when the patient is seen in the hospital for the first day, I have been told I...
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    Wiki percutaneon balloon valvuloplasty

    Please help!! !A new Dr. has come on board along with new procedure, percutaneous balloon valvuloplasty. I apologize for the length of the 2 reports. My questions are can both the selective coronary cineangiography done before the valvuloplasty and the rt and lt hc, with temp ppm, ascending...
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    Wiki percutaneous balloon valvuloplasty

    A new Dr. has come on board along with new procedure, percutaneous balloon valvuloplasty. I apologize for the length of the 2 reports. My questions are can both the selective coronary cineangiography done before the valvuloplasty and the rt and lt hc, with temp ppm, ascending aortograpy be done...
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    Wiki OP or IP hospital E/M w/echo Medicare

    Does anyone know if Medicare requires mod 25 on the IP or OP E/M cpt code when an echo reading (93306-26)is billed the same day.
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    Wiki Medicare Consult in Skilled Nursing Unit

    I have a question. Our patient is seen by a consult, one of our cardiologists, in an IP swing bed. I know Medicare does not recogize consult codes. IP cpt code 99222 was billed with pos 21 and denied. I wonder about cpt code 99304 or 99305 but believe the doctor should get reimbursed for his...
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    Wiki Arch Aorta 93567

    If this has already been addressed recently, I apologize. Medicare has a new LCD on this cpt code effective August 30,2012. In order for reimubursement , 93567 needs to be billed with a congenital heart cath cpt code. Usually I have billed 93567 with a left heart cpt code of 93458 without...
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    Wiki echo readings

    I have been asked to research the billing date of test readings for Medicare. I guess Medicare requested that you bill the date of service the test(ex: echo) on the date read instead of the date of service performed. I know different offices are doing it both ways. I have heard that Medicare...
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    Wiki Ppm

    Please give me the parts to a PPM. I know there can be one or two leads, but is the generator seperate from the PPM. If you replace the generator are you replacing the whole PPM? Also, is cardioversion included in the replacement or seperately billable? I appreciate your help.
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    Wiki lt hc with abd aortography/renals/arch arota

    New coder at cardiology. Please help give me guidelines when a lt hc is done with any of the following:renal angio uni or bi lateral 36245 , arch aorta 93567 and/or abd arotography 36200 with or w/o run off. Can these be billed together with mod? I know you will tell me it depends on t he...
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    Wiki IP with PPM

    Does anyone add modifier 57 to the previous IP day before a PPM is done and then not bill any IP days following the PPM?
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    Wiki heart cath with IP sub days

    Does anyone bill heart cath same day as a subsequent IP day and get it paid? I know with mod 25 on the initial IP day pays and consult same way.Please advise.
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    Wiki modifiers-Just started new

    Just started new cardiology job. I want to make sure from the beginning that I am coding correctly. I have been coding modifier 59 AFTER modifier 26 on cpt code 93460 heart cath. Is this correct or should it come before the 26 modifier? Also, I am coding on stent cpt codes 92980 and 92981, when...
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    Wiki ov with modifier 25 and injection

    I was told by a fellow co worker that Medicare allows an office visit with modifier 25 attached when billing an injection of a drug ( example Kenalog for allergies/rash) to get the adm fee 96372 paid. I disagree. I say content of service and modifier 25 should not be used. I know Medicare...
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    Wiki Ear Wash

    Ear wash scheduled on nurse's schedule and done by nurse .No equipment is used and only wash is done for removal of impacted cerum. This is documented. NO HPI, no exam is given. Is 99211 appropriate to bill? Are there any other guidelines to bill 99211 for ear wash by a nurse, if this is...
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    Wiki 2 seperate, significant E/M same day, same doctor

    If a patient comes in to see doctor same day for two seperate reasons, are these billable or considered double dipping? Example:Had auto accident and this is back related and was seen for other aches and pains that pt has had for months that are not auto related and in a different area of the...
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