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  1. Brenda88

    Wiki Billing Office Visit INSTEAD OF Procedure

    I was once told by another coder that if a provider does a procedure that we know is not covered by insurance, we can bill an office visit for that diagnosis instead. I've been unable to confirm whether that's true. When I search online, everything is about billing the office visit in addition...
  2. Brenda88

    Wiki Coding as Malignant Destruction without Biopsy

    I have a provider who was treating lesions that are clinically consistent with basal cell carcinoma and she is confident it is basal cell carcinoma. She proceeded with destruction without conducting a biopsy and used 17270 destruction malignant lesions. (She used liquid nitrogen). Can you call...
  3. Brenda88

    Wiki Alopecia

    I have a provider who performed injections for L65.8 non scarring hair loss and also tried to bill an office visit with a 25 modifier for L66.8 other cicatricial alopecia. I wanted to check with y'all to make sure before correcting it. Is it ok to bill the office visit or are the diagnoses seen...
  4. Brenda88

    Wiki Patient Refunds

    Does anyone know where I can find information on the laws regarding patient refunds? Our practice is located in North Dakota. Specifically we are wondering if there is a certain threshold, underneath which we are not required to refund if not requested by the patient. (i.e. not required to...
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