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    Wiki Interstim..I don't understand it!

    I know Interstim has been addressed so many times within this forum but my little brain just can't grasp the concept. I'm very new to billing these and obviously I'm not doing it right due to claims not getting paid. For instance, I have one that is billed: 64561 64590 95972 76000 Insurance is...
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    Wiki Fusion biopsy denial

    Humana is sending a denial: Humana Medicare denied procedure code 76376 as PAYMENT IS NOT ALLOWED FOR 3D RENDERING WITH INTERPRETATION AND REPORTING (CPT 76376 & 76377) WHEN BILLED WITHOUT A CORRESPONDING BASE IMAGING PROCEDURE CODE. We billed: 55700 76376-26 76872-26 What is wrong with it...
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    Wiki 11420 Medicare denial for frequency

    I'm actually a urology coder but I need some help from those of you who may do lesion removals more frequently. I surely don't do them. Medicare is denying a claim for frequency. Here's what we billed (not me...a coworker): 11422 x2 11421 x2 11420 x2 dx: L72.3 Here's the note: Findings...
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    Wiki Fulguration on bladder wall

    Diagnosis code: N30.10 IC w/o hematuria Procedure code billed: 52234 Note simply states: Tissue from left lateral wall of the bladder was fulgurated using cauterizing electrode. The aggregate diameter of the treated area was 1cm. It was done in office. What would you bill? I don't see...
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    Wiki Sequencing of 96402 and J9217

    Just checking to see what you all say. I have always sequenced 96402 followed by J9217. My coworker says the opposite because of the charge amount of the J code. So, which is it?
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    Wiki 99211

    I'm wanting to get some info on 99211. I have all the basic info but I need something about documentation in the office visit. I work in Urology and we bill catheter removals or teaching visits with a 99211. The visits are done by a nurse or MA. I see where they need to put documentation to...
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    Wiki J1071 and 96372

    Good morning, I have a patient with BCBS of NC and we have billed 96372 and J1071. The patient brought in the meds. We billed 96372 originally by itself but the insurance denied as needing to know what med was administered. So we added the j code with the charge being $0.01. They're still...
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    Wiki Billing for KUB

    We joined a larger group and we've transitioned to a different type of system with our KUB/ultrasounds. Before we'd bill 74018 for a KUB because the doctor ordered and performed the xray in clinic. Now, the doctor orders the x-ray but someone else interprets the results for the physician who...
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    Wiki Post Vas specimens

    We had a rep come into the office advertising post vas specimen kits. These kits would be sent to the patient's home and they would mail in the specimens to their lab for analysis. We've always done our post vas specimens in office and we don't bill because it's included in the 55250 code...
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    Wiki 99211 for foley removals?

    Does anyone use a 99211 for a foley removal if only the nurse sees the patient? What about injections like testosterone where the patient brings his own meds? We currently bill 96372 but I wondered if anyone was billing 99211 instead.
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    Wiki Testopel fee schedule

    Where in the world can I find a Medicare fee schedule for S0189/J3490?? I have searched everywhere it seems and I can't find it!
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