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  1. J

    Wiki J2919

    I'm following this one. I've been billing 8 units for 40mg and haven't see a denial yet but I'm worried that I'm billing it incorrectly. It makes sense to bill it that way but I'm still fairly new at this (this is my first big change as a coder).
  2. J

    Wiki Administration 96413 question

    We had a patient here today for a Saphnelo infusion. As soon as the nurse put in the IV and started the bag the patient's veins blew. The patient did not receive any medication due to the pressure of the IV start blowing out the vein. The patient declined trying to start the IV again. My...
  3. J

    Wiki JZ Modifier

    If there's wastage, then you don't use a modifier on the first line. Just the JW modifier on the wastage line. JZ is only used if there is no wastage at all.
  4. J

    Wiki procedure 20610 different sites same day

    Did you bill the second line at 20610 5059 previously or just 59? When I bill multiple bilateral joint injections, the first one would be just like you had - 20610 50- then the second large joint would be 20610 5059. The only time I've run across a denial with that is when the doctor uses the...
  5. J

    Wiki Help with Telehealth visits and modifiers 02, 10, 11.

    I haven't seen a rejection yet from using the 93 modifier here in Virginia with Medicare or any other insurance. Our providers don't do too many telephone only visits anymore, though, as a lot of commercial payers will not cover them. The 93 modifier is fairly new as we were using 95 for all...
  6. J

    Wiki Help with Telehealth visits and modifiers 02, 10, 11.

    So, like tjuntunen1 said, every insurance has their own rules. I can only speak to a specialist office setting but I'm sure it would apply to a PCP office as well. In Virginia, UHC wants POS 02 with no modifier. Cigna Commercial, Anthem (commercial and HK+) and Aetna Commercial requires POS...
  7. J

    Wiki JA and JZ Modifiers -- which ones goes first?

    Thank you!
  8. J

    Wiki JA and JZ Modifiers -- which ones goes first?

    We use an infusion drug at my practice, Orencia (J0129), which Medicare requires a JA modifier for since this medication comes as both a buy and bill infusion drug and a self-injectable drug. With the new addition of the JZ modifier, would the JA modifier still be used first? They're both...
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