Search results

  1. C

    Wiki 99417

    My question is if UHC prefers G2212 do they require the Max time + 15 minutes, per G2212 guidelines, or Threshold time + 15 minutes, per CPT guidelines for 99417? 69 minutes vs. 60 minutes for 99215 base code makes a big difference.
  2. C

    Wiki Moderate or High level with cancer talk

    Thank you for the previous answer. I'd like to expand this question if I could. Doctor A, diagnoses prostate cancer and creates a plan for the patient to see practice partner, Doctor B, to discuss robotic prostatectomy (Doctor A does not do this surgery) and enters paragraph: "We extensively...
  3. C

    Wiki Moderate or High level with cancer talk

    Hello, This has been an ongoing discussion in my office and we cannot settle on an answer, I would like your opinions. In this case the patient has had a prostate biopsy performed by our providers. When the biopsy results confirm cancer, a patient is brought in to discuss the results. The...
  4. C

    Wiki Cystoscopy with decision for surgery

    Hello, I am looking for advice on how you would assign codes for a situation we have been coming across lately. A provider has patient come in and performs a procedure like a cystoscopy, then recommends surgery. Is this significant enough to assign an E/M code? What if the provider reviews 2...
  5. C

    Wiki dual stent insertion, same laterality

    Thank you Daniel; I will try that.
  6. C

    Wiki dual stent insertion, same laterality

    I'm confused on how to code this procedure. Doctor did a Cystoscopy, retrograde pyelogram, ureteral stent exchange. That I understand, but.. " A new 4.8 French by 26 cm double-pigtail ureteral stent was placed into the left collecting system. Position of the stent was confirmed with...
  7. C

    Wiki Neurostim new codes, revisions advice needed. Replacement.

    Thank you, integrated, as in one connected unit, I must have misinterpreted that part.
  8. C

    Wiki Neurostim new codes, revisions advice needed. Replacement.

    Pt has OAB symptoms. She had an Interstim placed a number of years ago. The generator life is nearly complete and the lead is not MRI compatible. She presents for removal and replacement. Procedure: The incision was opened and the generator removed. Then the incision overlying the insertion site...
  9. C

    Wiki New and confused by insurance policies.

    Right, that is part of my issue. "Does Anthem pay for...?" the only answer is Sometimes. Or it depends..
  10. C

    Wiki New and confused by insurance policies.

    Thank you very much. I'm going to try that just like you said so I get familiar with doing this.
  11. C

    Wiki New and confused by insurance policies.

    I am a CPC and I have been asked to look into the policies of several insurances to find out if specific codes (G2211 for example) will be paid. My basic question is how? Each major insurers website seem to be a web of old information, different coverage levels, and state by state rules. Is...
  12. C

    Wiki Telehealth with family member

    I have a doctor who performed a telehealth visit today. The patient was very ill with Covid and unable to participate. There was verbal consent received for the doctor to speak with and give advice to the patients daughter. We are wondering if this is a billable visit since the patient was not...
  13. C

    Wiki What qualifies a unique test

    What if our physician reviews test results ordered by a separate entity. Then orders the same type of test for comparison or progression? Can I count the review of the separate, and the order of the new test?
Top