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    Wiki 95819 time documentation

    Hello, Can anyone point me in the direction of a resource that states time must be documented to bill CPT code 95819? I infer the description as the exams are typically 20-40 minutes not that is a requirement for billing. Thank you in advance.
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    Wiki orbital wall excision and reconstruct

    Good morning, I could use some help with this report. Lateral rhinotomy incision was made on the left side from the base of the lobe along the lateral nasal skin with a V cut to the medial canthus and into the lower brow. Tissue was deepened down to the nasal bone and along the piriform...
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    Wiki Orbital wall tumor and reconstruct

    Good Morining! I could use some help with this surgery. Lateral rhinotomy incision was made on the left side from the base of the lobe along the lateral nasal skin with a V cut to the medial canthus and into the lower brow. Tissue was deepened down to the nasal bone and along the piriform...
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    Wiki Asymmetrcail hearing loss

    Thank you. This isn't an ICD 10 issue. I have a massive recoup from an insurance carrier regarding an LCD. I just wanted to make sure that I'm correct that we coded them correctly. 389.16 would be for one hear with moderate to severe sensorineural hearing loss and the other ear mild to moderate...
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    Wiki Asymmetrcail hearing loss

    Hello! If a patient is diagnosised with severe sensorineural loss in the left ear and moderate sensorineural in the right ear is this not asymmetrical sensorineural loss? Thank you,
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    Wiki What do you want to see at HEALTHCON 2016??

    HealthCon 2016 I would really be interested in a break out session regarding the surgery aspect of Head and Neck surgeons. This field is vastly expanding. I would like to network with others in the specialty.
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    Wiki 67924 & 67921

    Good morning, I was wondering if there is ever an appropiate time to bill these charges 67924 & 67921 together on the same eye. Thank you in advance for your help. Beth
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    Wiki Exceeding MUE

    Thank you. That was my orginial plan.
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    Wiki Exceeding MUE

    Good Afternoon, I have a surgeon who has performed 5 separate 14060s. Medicare has an MUE of 4. My surgeons would like to bill the 5th as an excision and a complex repair. My question is since it clearly states "advancement flap tissue rearrangement on all 5 can we bill it as anything other...
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    Wiki Office visit to discuss surgery / treatment after biopsy.

    Good morning, Is it appropiate to bill for an office visit when the patient is found to have cancer and is in need of additional surgery or treatment if it is in the global period of the inital excisional biopsy? Thank you, Beth
    • bmanus
    • Thread
    • Replies: 0
    • Forum: E/M
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    Wiki Head and Neck Surgery Resources

    Good morning, I was wondering if anyone knows of any helpful resources for coding head and neck surgeries mainly relating to oral cancers with reconstruction. Thank you. Beth
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    Wiki Head and Neck Resources

    Good morning, I was wondering if anyone knows of some helpful resources regarding head and neck surgeries. I'm looking for oral cancers with reconstruction. Thank you so much. Beth
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    Wiki resection lip, palate, mandible, maxillary

    Good morning Forum, I need assistance with the following surgery note. I have a question regarding the resections. Can I bill the resection of the lip 40530, resection palate 42120-52, maxillary 21034-52 and mandible 21044. Surgical resection of the of the left facial tumor which included the...
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    Wiki Resection lip, mandible, buccal mucosa, maxillary alveolar ridge and palate

    Good morning Forum, I need assistance with the following surgery note. I have a question regarding the resections. Can I bill the resection of the lip 40530, resection palate 42120-52, maxillary 21034-52 and mandible 21044. Surgical resection of the of the left facial tumor which included the...
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    Wiki Co-surgery

    Good morning Forum, I was wondering if the following wording is enough to bill as a cosurgeron. Dr M the procdeeded to perform the right parotid and right neck dissection to be dictated separately. Our doctor performed other procedures with Dr M as the cosurgeon. Thank you for your help. B...
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    Wiki Using WNL finding for Orientation, Mood & Affect

    Good morning, Is it appropiate to for a physician to use WNL for the findings on the Orientation, Mood and Affect on the exam? Thank you,
    • bmanus
    • Thread
    • Replies: 0
    • Forum: E/M
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    Wiki Allgery Testing and Office visit

    Thank you both!
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    Wiki Allgery Testing and Office visit

    Hello Forum. We have patients that receive their testing in our allergy clinic then see the physician after to review the findings. Is the office visit billable? To me it is not a separate reason. Thank you in advance.
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    Wiki Speciality exam & General E/M combined?

    Good morning, Can you combined the elements of the ENT exam and the general E/M elements. We are billing for an ENT practice. Example: EYES - ENT exam; Test ocular motility and primary gaze alignment. General E/M exam; Inspection of lids and conjunctivae...
    • bmanus
    • Thread
    • Replies: 2
    • Forum: E/M
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    Wiki ENT Exam and E/M exam combined?

    Good morning, Can you combined the elements of the ENT exam and the general E/M elements. We are billing for an ENT practice. Example: EYES - ENT exam; Test ocular motility and primary gaze alignment. General E/M exam; Inspection of lids and conjunctivae...
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    Wiki 92136

    Good morning, I need some clarification regarding the documentation for the 92136-26. The patient is seen in April and a global 92136 is billed; surgery left eye follows. Then in the May the patient is complaining of blurriness of the right eye and wants cataract surgery. The physician bills...
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    Wiki New patient and procedure on the same day.

    Thank you Marcus. The questions is can the new patient office visit me billed as well?
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    Wiki New patient and procedure on the same day.

    Good Afternoon If a new patient presents to our office for ear pain while chewing. The doctor completes all the elements required for a 99203 and also a 69220. The findings are debris in the mastoid cavity and TMJ. Patient is being referred out for the TMJ. Can the E/M be billed along with the...
    • bmanus
    • Thread
    • Replies: 4
    • Forum: E/M
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    Wiki Help!

    If this is a Medicare patient you would need the appropiate modifier. GW-Service not related to the hospice patient's terminal condition. GV - Attending physician not employed or paid under agreement by the patient's hospice provider.
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    Wiki DM coding

    Good morning, Can anyone tell me what codes require the 362. codes as the primary code?
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    Wiki Modifier 79

    Good morning, Shoudl modifier 79 be added to procedure that is being billed for only the professional component? Its a diagnositc procedure not a surgical procedure. Thank you for your help with this matter.
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    Wiki Initial Post OP visit

    Good morning, Is a patient entitled to at least one post op visit after a minor (10 day global) surgery, even if it falls after the 10 day period? Thank you in advance for your help.
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    Wiki Speech Therapy & Biofeedback

    Good morning, I was wondering when is it appropiate to bill 92507 (speech therapy) and 97530 (biofeedback) together. Should the documentation state the reason both exams are being performed on the same day at the same session. Thank you in advance for your help. Beth
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    Wiki Laryneal Videostroboscopy & Laryngeal function study

    Hello Forum, Is it appropiate to bill 31579 and 92520 together? If so can you give me the reasonings. I think you should be able to since images are being taken with the 31579 and 92520 is an evaluation of the larynx but I'm too sure. Thank you in advance.
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    Wiki Medical Risk

    I'm trying to decide the medical risk of tinnitus, subjective and Hearing loss Senorineural . MRI , Impendance, Audio ordered, new dx for my doc. I still can see it more that Low Decision making, but I'm new to ENT coding. Any suggestions would be great. Thank you Beth
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    Wiki Charlotte NC / surrounding area - CPC relocating

    Hello, I'm a CPC with 14 years of experience in regards to medical coding and billing. I have a strong background in General Surgery, Thoracic Surgery, Interventional Radiology, Diagnostic Radiology and E/M coding. I have experience with the appeals process with Medicare and Commerical Carriers...
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    Wiki Stark Law Violation

    If a physician is covering for another physician in the ER can he refer a patient to his own practice if the patient's conditions continues or worsens? I'm not sure if this would violate the Stark Law? Thank you.
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    Wiki LCSW Billing Questions

    Hello, I need to some clarification regarding LCSW billing. Some back ground information out place of service will be the patient's home for palliative care, not hospice. If the diagnosis is a mental health issue we should bill the 90832 -90837? If the diagnosis is related to physical health...
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    Wiki Lcsw seeing patients for palliative care

    Good Morning! I was wondering which CPT codes a LCSW would submit for palliative care visits not related to hospice. 96150-96155 or 90791-90853 codes.
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    Wiki Critical Care

    Hello! Can MDs that specialize in Palliative care bill critical care services?
    • bmanus
    • Thread
    • Replies: 0
    • Forum: E/M
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    Wiki 0227t & 0226t

    Thank you! I can't seem to find anything other than they are now approved.
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    Wiki 0227t & 0226t

    Good afternoon, I was wondering if anyone could help me find the billing requirements on these two codes that recently have been removed from the Non-covered list to approved. I can't seem to find any policies, LCD or NCD that cover these two codes. Thank you in advance. Beth
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    Wiki Physicain signing documentation

    Good morning. I have a question regarding a physician signing another physicians dictation. We have a doctor that had to leave unexpectly and has chart notes that need to be signed. Can his partner sign these charts off with a line stating "Reviewed chart note only Dr A" or something along...
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    Wiki Post Op charges

    Thank you! :D
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    Wiki Post Op charges

    Good morning! I have a question regarding post op appointments. Our clinic have several doctors that are contracted to work here one day a week. Their private practices bill for any surgeries. The doctors want to bill the post op appt since the surgery is linked to their private practice not...
    • bmanus
    • Thread
    • Replies: 2
    • Forum: E/M
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    Wiki Preventative care codes

    I would contact the carriers and ask if they pay on the G codes.
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    Wiki Preventive Services

    Here is an example of one report, I chose this since the patient has a low risk would that qualify for the BRCA preventive? Met with patient to provide breast cancer risk assessment. Personal history: Patient reports a history of squamous cell skin cancer. She reports a history of...
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    Wiki Preventive Services

    Thank you very much! We have a CMS that sees patients who have personal and/or family histories of cancer. I have been billing these under 99201-99205 or 99211-99215 for those that are coming back for their results. So if I use 96040 with V84.01 or V84.02 do you think that would qualify under...
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    Wiki Preventive Services

    Hello Forum! I was wondering if any can tell me if billing new or established office visits are the correct codes to be for genetic counseling. Since BRCA is covered under the preventice act I wasn't sure which code to use. Thanks Beth
    • bmanus
    • Thread
    • Replies: 4
    • Forum: E/M
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    Wiki ER visit then Admit

    My doctor was the admitting doctor.
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    Wiki ER visit then Admit

    Good morning! I have a doctor that saw a patient in the ER for a consult then the patient was taken to the OR. My question is can I still bill the consult with 99283 since the patient was admitted for surgery. Thank you for your help.
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    Wiki EKG preoperatively

    Good Morning, Can a EKG done preoperatively be billed? The EKG was done prior to start of surgery. I think it would be bundled but I just want to verify. Thank you in advance for your help with this matter. Beth
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    Wiki Venous dissection

    Can anyone help me with the venous dissection of this report? PREOPERATIVE DIAGNOSIS: Hepatocellular carcinoma and chronic hepatitis C. POSTOPERATIVE DIAGNOSIS: Hepatocellular carcinoma with right portal vein thrombosis. PROCEDURE: Diagnostic laparoscopy, intraoperative ultrasound, open...
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    Wiki Robotic Thymectomy

    Good morning Forum! Robotic Thymecotomy... would you use 60521 since its a transthoracic approach or 32662? Thank you for your help! Beth
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    Wiki New to Chiropratic billing

    Good afternoon, If a chiropractor is not contracted with a Medicare managed care plan can he bill the patient instead? Since he is not contracted he can bill as a courtsey but is not held to any contractual write offs correct? Also is it okay have Medicare patients pay for their massage...
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