Latest activity

If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..

Search results

M
Wiki Interosseous Neurectomy Wrist

FYI if anyone is having the same issue.. I was never able to find formal info on this but I have been billing as 64772 x2 units w/64772-XU x2 units to all payers. On the original submission insurances are either paying only the first 2 units or denying all units but all 4 units are being paid on...
- MYAEKEL
- Post #3
- Sep 21, 2023
- Forum: Orthopaedics
M
Wiki Wrist Denervation

FYI if anyone is having the same issue.. I was never able to find formal info on this but I have been billing as 64772 x2 units w/64772-XU x2 units to all payers. On the original submission insurances are either paying only the first 2 units or denying all units but all 4 units are being paid on...
- MYAEKEL
- Post #2
- Sep 21, 2023
- Forum: Orthopaedics
M
Wiki Wrist denervation

FYI if anyone is having the same issue.. I was never able to find formal info on this but I have been billing as 64772 x2 units w/64772-XU x2 units to all payers. On the original submission insurances are either paying only the first 2 units or denying all units but all 4 units are being paid on...
- MYAEKEL
- Post #2
- Sep 21, 2023
- Forum: Neurology/Neurosurgery
M
Wiki Coding denervation

I was never able to find formal info on this but I have been billing the procedure below as 64772 x2 units w/64772-XU x2 units to all payers. On the original submission insurances are either paying only the first 2 units or denying all units but all 4 units are being paid on appeal by all payers...
- MYAEKEL
- Post #4
- Sep 21, 2023
- Forum: Neurology/Neurosurgery
M
Wiki 92285 for WPS Medicare

When questioning why a provider group wasn't billing 92285 ocular photography to WPS Medicare the provider responded they had previously found these were not payed by WPS Medicare & gave the 2 links below. I do see that there is an NCCI edit between 15823 & 92285 but are they still considered...
- MYAEKEL
- Thread
- Jul 18, 2023
- 15823 92285 medicare wps medicare
- Replies: 1
- Forum: Ophthalmology/Optometry
M
Wiki Drug waste & -JW mod

Please let me know where you can purchase a 50 unit vial for MEDICAL use in the U.S. To my knowledge only COSMETIC Botox is available in a 50 unit vial.
- MYAEKEL
- Post #11
- Jun 16, 2023
- Forum: Billing/Reimbursement
M
Wiki Drug waste & -JW mod

Just looked into this, my understanding is that the 50 vial size is NOT available in the US but is in Europe
- MYAEKEL
- Post #9
- Jun 15, 2023
- Forum: Billing/Reimbursement
M
Wiki Drug waste & -JW mod

Thanks for your response :) It's our understanding that single use vials can only be used on one patient is that correct?
- MYAEKEL
- Post #5
- Jun 14, 2023
- Forum: Billing/Reimbursement
M
Wiki Drug waste & -JW mod

Thanks for your response :) Botox only comes in 1 vial size so there is no smaller size we can get to reduce waste. Somewhat additional question, it's our understanding that single use vials can only be used on one patient is that correct?
- MYAEKEL
- Post #4
- Jun 14, 2023
- Forum: Billing/Reimbursement
M
Wiki Drug waste & -JW mod

If a physician injects 6 units of a 100 unit single use Botox vial for Clonic hemifacial spasm, does 94 units have to be reported as waste with the modifier JW? Do all insurances pay the waste? Thanks in advance!
- MYAEKEL
- Thread
- Jun 13, 2023
- botox botox injection drug administration drug units drug waste modifier jw waste
- Replies: 10
- Forum: Billing/Reimbursement
M
Wiki Wrist denervation

For the wrist denervation procedure below I billed 64772 x4 units, 1 unit for each procedure below. Insurance paid 2 units & rejected the additional 2 as it’s over MUE. Before I appeal I wanted to verify if 64772 is correct for the 3rd/4th procedures. Thanks in advance! PROCEDURE PERFORMED 1...
- MYAEKEL
- Thread
- Mar 15, 2023
- Replies: 1
- Forum: Neurology/Neurosurgery
M
Wiki Wrist Denervation

For the wrist denervation procedure below I billed 64772 x4 units, 1 unit for each procedure below. Insurance paid 2 units & rejected the additional 2 as it’s over MUE. Before I appeal I wanted to verify if 64772 is correct for the 3rd/4th procedures. Thanks in advance! PROCEDURE PERFORMED 1...
- MYAEKEL
- Thread
- Mar 14, 2023
- ain neurectomy denervation interosseous nerve neurectomy pin neurectomy wrist denervation
- Replies: 1
- Forum: Orthopaedics
M
Wiki nerve resectio

I have a similar situation, just wondering if you ever got an answer to this. Thanks!
- MYAEKEL
- Post #5
- Mar 1, 2023
- Forum: Orthopaedics
M
Wiki Interosseous Neurectomy Wrist

I have a similar situation, just wondering if you ever got an answer to this. Thanks!
- MYAEKEL
- Post #2
- Mar 1, 2023
- Forum: Orthopaedics
M
Wiki Coding denervation

I have a similar situation, just wondering if you ever got an answer to this. Thanks!
- MYAEKEL
- Post #2
- Mar 1, 2023
- Forum: Neurology/Neurosurgery
M
Wiki Endoscopic Carpal Tunnel Release with Open Arthrotomy & Synovectomy

How would you code the following op note: PREOP DIAGNOSIS: Carpal tunnel syndrome left wrist with synovitis of the left wrist POST OP DIAGNOSIS: Carpal tunnel syndrome left wrist with synovitis of the left wrist PROCEDURE: 1. Endoscopic release transverse carpal ligament. 2. Arthrotomy and...
- MYAEKEL
- Thread
- Oct 4, 2016
- Replies: 0
- Forum: Orthopaedics
M
Wiki Symptom documentation for 19318 reduction mammaplasty

Sometimes when our dr performs 19318 reduction mammaplasty they only give symptomatic macromastia as the diagnosis on the op report. Since insurance doesn't consider this medically necessary with just 611.1 dx the symptoms need to be coded as well. Our dr doesn't want to add the symptoms to...
- MYAEKEL
- Thread
- Oct 10, 2014
- Replies: 0
- Forum: Plastic Surgery
M
Wiki Foraminotomy

The 63042 is for reexploration, do you mean a 63030?
- MYAEKEL
- Post #3
- Nov 5, 2013
- Forum: Orthopaedics
M
Wiki Foraminotomy

What code would you bill for a foraminotomy only during fusion? For example in this op report for L2-S1 posterior lateral fusion he states: A laminectomy of L2, 3, 4, 5 was carried out. The central laminectomy was developed and then foraminotomies were carried out at 2-3, 3-4, 4-5 and L5-S1 with...
- MYAEKEL
- Thread
- Nov 4, 2013
- Replies: 2
- Forum: Orthopaedics
M
Wiki Billing per E/M coded

We are a medical billing company that has recently been asked by a physicians office to do their E/M coding. We havent done this before and are wondering how other billing companies charge their clients for this. We were thinking of setting an amount to charge per E/M coded. If your office...
- MYAEKEL
- Thread
- Mar 21, 2011
- Replies: 0
- Forum: E/M
M
Wiki 65780 & 65400

Our Dr removed a corneal carcinoma & applied an amniotic membrane. Were coming up with 65780 & 65400 but this is bundled. I was thinking we could unbundle as removal of tumor seems more extensive than whats written in 65780. Any thoughts?
- MYAEKEL
- Thread
- Oct 8, 2010
- Replies: 0
- Forum: Ophthalmology/Optometry
M
Wiki Billing 92018 w/injection

Does anyone have any suggestions for billing 92018 (Ophthalmological examination and evaluation, under general anesthesia) with an injection (ex. 67515)? When we file these codes to insurances w/-25 mod on 92018 it comes back as invalid, but without it we keep getting denials as included & have...
- MYAEKEL
- Thread
- Sep 10, 2010
- Replies: 0
- Forum: Ophthalmology/Optometry