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    Wiki Esophageal Reflux PH Probe Testing 91034

    Good Afternoon - Is there anyone out there billing for PH probe testing in the office setting? are you having any issues with insurances carriers reimbursing ENT's for this procedure? Do you have mid-levels billing this service? My physician is in the process of purchasing this equipment, but...
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    Wiki Surgery Coding

    Good Afternoon - I just wanted to check some coding rules for which I am starting to get confused on. Say the physician decides to do a thyroglossal duct cyst excision as the patient has a mass and ultrasound confirm most likely a thyroglossal duct cyst or cystic structure. They obtain prior...
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    Wiki WPS- Lesion Removals

    Good Afternoon - I have an Indiana physician that bills a lot of shave excisions to WPS Medicare we used to used dx code 239.2 as the physician documents the lesions are pigmented and irregular. He does not always send them for path. The WPS policy does not included ICD-10 code D49.2 for...
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    Wiki Cochlear Implant - Post procedure testing

    Good Afternoon - We have a physician providing cochlear implants. Our audiologist see the patients post operatively and are billing code 92604, 92553, 92552, 92567, 92626, 92627 and 92595 but all services are being bundled into code 92604 and only that test is being paid. I am also finding that...
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    Wiki Swallow Study ? - Urgent

    Good Afternoon - I have a physician that was providing swallow studies at an facility in which many patients were in an inpatient stay. Therefore the code 92616 was being denied by Medicare for place of service conflict. She has been getting reimbursed for the interpretation and report only...
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    Wiki Septal Flap

    Good Afternoon - Is anyone out there billing for nasoseptal flap pedicled on the septal artery in conjunction with skull base surgery? If so what code have you been using to denote this service. Would greatly appreciate your assistance....Thanks
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    Wiki CoSurgery?

    Good Morning - I am receiving denials for code 62165 endoscopic pituitary tumor excision when my ENT and a neurosurgeon bill as cosurgeons stating co surgeons not warranted. Anyone having to appeal these and if so how are you appealing to get reimbursed. Any assistance is greatly appreciated.
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    Wiki Usual and Customary ?

    Good Afternoon - I have a physician asking the following and I'm hoping someone can help me with the correct answer; We have a patient's whose insurance states that they will pay what 60% of usual customary. What is usual and customary for in office balloons, Is that 60% of the billed...
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    Wiki Usual and Customary>

    Good Afternoon - I have a physician asking the following and I'm hoping someone can help me with the correct answer; We have a patient's whose insurance states that they will pay what 60% of usual customary. What is usual and customary for in office balloons, Is that 60% of the billed...
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    Wiki Pterygpalatine BX - Urgent Help

    Good Afternoon - Hoping someone might be able to help with this I doubt it as I don't seem to find many people responding to head and neck questions. Looking for code for pterygopalatine fossa bx. This was done as cosurgery with neurosurgeon. Patient has left infratemporal fossa mass with a...
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    Wiki Pterygopalatine Fossa Bx - Urgent

    Good Afternoon - Hoping someone might be able to help with this I doubt it as I don't seem to find many people responding to head and neck questions. Looking for code for pterygopalatine fossa bx. This was done as cosurgery with neurosurgeon. Patient has left infratemporal fossa mass with a...
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    Wiki Cosmetic Consult

    Good Afternoon - Does anyone know if it is appropriate for the physician to bill a cosmetic consult when patient books appointment for possible cosmetic surgery and also bill a consult to the insurance carrier for the functional portion of the surgery that will be billed through the patient's...
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    Wiki Rehab ?

    If physician goes to Rehab facility for inpatient consult should the place of service be 21 or 61? Thank you in advance for your assistance.
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    Wiki Transcervical Radiesse Injection

    Is the correct code for transcervical injection of vocal cord with Radiesse unlisted code 31599?
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    Wiki Burrow's Triangle

    Good Morning, Physician is excisiing a lesion with complex closure including Burror's Triange. Is this coded as just complex closure or is this tissue rearrangement? For some reason I thought I had read some where that burrow's triangle was tissue rearrangement and fell under "140" code series...
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    Wiki Frontal Sinus ?

    Is it appropriate to bill 31276 if the physician states he canulated the frontal sinus?
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    Wiki Laryngoscopy ?

    Good Afternoon, Physician is indicating suspension direct laryngoscopy. Is this the same as micro direct laryngoscopy??? Thank you for any assistance in this matter.
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    Wiki LPR PH Testing-Urgent Help

    Good Afternoon, I urgently need assistance. My physician is having a meeting with representatives from Restech regarding laryngopharyngeal ph monitoring. The reps have told the physician that the code to report for the service as listed below would be 91038 Esophageal function test...
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    Wiki Failed CPAP

    Does anyone know if there is a dx code for failed trial of CPAP ??? Thanks
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    Wiki TB Test - the correct code

    My physician is looking at providing TB testing in our office. What is the correct code??? I believe the follow up check is billed as a nurse visit 99211 but what about the actual skin test?? Anyy assistance is greatly appreciated.
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    Wiki Palatoplasty

    Good Morning - I was wondering if anyone has any idea what is the correct code for Palatoplasty - Woodson-Tucker procedure. Should it still be coded as UPPP 42145 ??? I appreciate any assistance available. Thank You
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    Wiki Visit ?

    My doc's are question the following scenario and I'm not that experienced with E/M and would love your expertise.......I am think the 2nd physician should bill an initial hospital visit but I'm not 100% sure: Group physician 1: actually billed for an office consult and completed the admisson...
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    Wiki Visit ?

    My doc's are question the following scenario and I'm not that experienced with E/M and would love your expertise.......I am think the 2nd physician should bill an initial hospital visit but I'm not 100% sure: Group physician 1: actually billed for an office consult and completed the admisson...
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    Wiki Audiology Testing

    Good Afternoon, I am trying to set up guidelines for our audiologists as they are questioning the correct billing for the following: What is the appropriate dx to use for hearing testing pre or post test dx ? How would you code dx for patient's that come in for anual audio's when physician...
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