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    Wiki Need coding help please

    Hello, can someone please help with the code for this procedure. Thoughts on 45990 ? Male with history of IBD, proctocolectomy with loop ileostomy presented with prolapsed ileostomy x 4 days. He has been followed at XXXXX Hospital with a colorectal surgeon and is in the planning stages for...
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    Wiki Code help please for SBO

    I was thinking 44120 and 44050. Can someone offer help please on the proper codes. patient was taken urgently to the OR for small bowel obstruction concerning for closed loop obstruction, possible ischemia. The patient was placed supine on the OR table. General endotracheal intubation was...
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    Wiki Statement Envelopes Needed

    Thank you. Do you have a contact phone number by chance ?
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    Wiki Need a envelope vendor pls!

    Hi All, We have a printing vendor who prints our address on the outer and inner envelope for our patient statements. All we have to do is stuff the envelope with our statement. Our vendor has closed up shop. Looking for a new resource for patient statement envelope printing please. Thank you!
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    Wiki Statement Envelopes Needed

    Are we the only ones still sending paper statements ????
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    Wiki Statement Envelopes Needed

    Hi All, We have a printing vendor who prints our address on the outer and inner envelope for our patient statements. All we have to do is stuff the envelope with our statement. Our vendor has closed up shop. Looking for a new resource for patient statement envelope printing please. Thank you!
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    Wiki 99291 Critical care code change

    Bumping this bac u the chain. What are you all planning to do? Are you following the new CMS rule or are you following CPT policy?
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    Wiki Observation/Inpatient Codes for 2023?

    I'm still so confused on what codes to use. Been using 99221-99223 for inpt and 99218-99220 for Obs. Too much conflicting info to understand what I should be using for 2023
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    Wiki Anyone billing 99291 and 99292

    Looking for help with the time change that I'm hearing about but not finding much resource. Anyone coding 99291 and 99292 ? Haven't gotten many responses from the other forums. Thank you
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    Wiki Anyone billing 99291 and 99292

    Looking for help with the time change that I'm hearing about but not finding much resource. Anyone coding 99291 and 99292 ?
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    Wiki CPT 30117 denied for Investigational/Experimental

    Thank you very much. This was very helpful. I will take a look back at the notes with these codes in mind. Thank you again!
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    Wiki 99291 Critical care code change

    Hello, Has anyone heard the Critical Care time will be changing in 2023 from 30-74 min for 99291 to now 35-103 min for 99291 ??
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    Wiki Can 99291 and 99292 Critical Care be reported separately for same patient same day by different physicians of same specialty?

    I've not seen a 99292 alone get paid. Are these doc's in the same group? If in same group the time would be added together and one NPI billed. If separate group (two independent physicians) Then each should be able to bill for 1 unit of 99291 if meet the qualifications of 30-74 min
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    Wiki CRITICAL CARE 99291 (TIME)

    Has anyone heard the Critical Care time will be changing in 2023 from 30-74 min for 99291 to now 35-103 min for 99291 ??
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    Wiki CPT 30117 denied for Investigational/Experimental

    B.Shield has denied CPT 30117 as Experimental/Investigational. Has anyone successfully appealed and gotten paid? Is there a better code I should be looking at? X returns to our office today for removal of internal nasal lesion. (Please refer to dictation from XX/XX/XXXX for complete...
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    Wiki CPT for sinus cleaning and suction in office

    Thank you for the reply. This is what is noted: EXAM - Patient is alert, oriented, cooperative, comfortable. All packs in good position, no evidence of active bleeding, infection noted. Oral cavity is clear, neck supple. ASSESS - stable course POD#2 endoscopic sinusotomy, septoplasty...
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    Wiki CPT for sinus cleaning and suction in office

    New to this and looking at several codes. Would you share your recommendation for the CPT code for sinus cleaning and suction in office? thank you!
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    Wiki PA Billing help

    @csperoni @amyjph Thank you all for your response. @jkyles@decisionhealth.com The office would like to bill Incident-to (which I have learned this is under the provider NPI/Tax number) I'm just unclear if the PA NPI or Tax ID is on the HCFA 1500 at all in this instance. The provider is...
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    Wiki PA Billing help

    Hi All, Our provider just announced that she is hiring a PA. I don't know anything about a PA and how to bill professional billing for a PA. Can someone please fill me in on how PA billing works. Thank you!
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    Wiki PA Billing help please

    Hi All, Our provider just announced that she is hiring a PA. I don't know anything about a PA and how to bill professional billing for a PA. Can someone please fill me in on how PA billing works. Thank you!
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    Wiki 61782 and 31259

    Any news on this? I looked up the two codes and don't see any edits or LCD's. Not sure why your software wouldn't accept it. Have you tried to swap the order of the codes? Good luck
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    Wiki J3301 and J1100

    HI there, New to ENT. Provider is doing 99203 and 31575 along with J3301 and J1100. Can I bill an admin code(96372) for either J3301/ J1100 or for both codes or neither code ? Thank you!
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    Wiki J3301 and J1100

    New to billing these codes. Can I bill an admin code (96372) to either or both or none ?? Thank you!
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    Wiki Laparoscopic drainage of retrogastric abscess

    Can I please get CPT help. If unlisted what would I be comparing to? The abdomen was prepped and draped in standard fashion. A midline supraumbilical incision was then made and carried through the subcutaneous tissue to the fascia at the base of the umbilicus. The fascia was then incised...
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    Wiki Looking for an outsounce billing company for ENT?

    Thank you. I am trying to decide if I can learn ENT enough to help the doctor or recommend that he outsource. He's concerned about the outsource fee's. I had a local lady quote 9% but I have not clue if that's the going rate or if that starts at 9% and increases over time. I want to present...
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    Wiki Looking for an outsounce billing company for ENT?

    I have a question for a billing company that does ENT. Anyone avail from a billing office?
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    Wiki ENT

    Have you found any resources? I'm an just starting in ENT and feeling a bit lost.....
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    Wiki CPT Help please proximal jejunal injuries

    Will Do. Thank you for your reply
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    Wiki Telemedicine POS Change

    Hello @MCogdill Did you get anywhere with your question? I am so confused. I'm not sure if I should be using -10 or -02 for any carriers including Medicare. What is the address listed for POS -10. Are they expecting us to put the member address in for every patient that is seen via...
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    Wiki Laparoscopic PEG tube placement

    Checking back to see if anyone can help with this one ??
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    Wiki Modifier prior to surgical procedure

    You could probably put -57 on the discharge
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    Wiki CPT Help please proximal jejunal injuries

    initial exploration showed large volume blood and clot in pelvis thus the decision was made to convert to midline laparotomy. The incision was carried down through the skin down to the fascia layer and into the abdomen. The blood was fully suctioned and a free bullet was removed from the...
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    Wiki Laparoscopic PEG tube placement

    Can I get your advice on CPT's for this please. I'm thinking 43653 but there was more of an explore ?? The patient was brought to the operating room, and placed in the supine position. General endotracheal anesthesia was then established. The abdomen was prepped and draped in standard fashion...
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    Wiki Can you please help with CPT for I&D

    I'm thinking 11044 and 11047 ? General anesthesia was established. The patient was placed in the lateral position, right side up. The back and perineum were prepped and draped in the usual surgical fashion. The large necrotic eschar was incised. Necrotic and foul smelling tissue was...
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    Wiki Bronchoscopy

    Were you able to get pay using -50 modifier? Did they pay for both sides? I don't see bi-lateral allowed
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    Wiki Bleeding colostomy CPT help please

    Has no one encountered this procedure ??
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    Wiki Bleeding colostomy CPT help please

    colostomy and portal hypertension now with bleeding colostomy CPT help please? Colostomy bag and waffle removed. No blood on digital exam of colostomy. Stoma cleaned and inspected circumferentially and there was point bleeding at the 1 o'clock position mucocutaneous junction. Area over sew...
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    Wiki Prostate screening help please

    Hi All, Pt had a phone appt with the doctor to discuss doing a prostate screening. Dr did not do a digital screen, he just order a PSA for prostate screening. What Dx would I use for this phone visit? Thank you
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    Wiki Simple E/M audit

    For some reason I cannot send you a private message. It won’t allow me to ??
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    Wiki E&M Coding??

    The doctors should have the knowledge to code and choose the level. Some doctors don’t even have coders. At the end of the day, if there’s an audit and take backs/refund requests the insurance carrier isn’t going to slap the office coder on the hand, they are going to come straight to the...
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    Wiki CPT help please -repair laceration of right colon

    Can I get some direction of where to start with these CPT codes please. Thank you all in advance. Lynn ext 00443 PREPROCEDURE DIAGNOSIS: Stab wound to right upper quadrant of abdomen. PROCEDURE PERFORMED: Trauma laparotomy, repair of laceration of the right colon x2, repair of mesenteric...
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    Wiki CPT code help pls- exploration & evacuation of RT groin hematoma

    .
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    Wiki CPT Code help - incision and drainage of peri rectal abscess

    I started with that too but wasn't sure. Thank you for your reply
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    Wiki CPT Code help - incision and drainage of peri rectal abscess

    No other info listed. Thank you for your reply!
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    Wiki CPT Code help - incision and drainage of peri rectal abscess

    I hate these... I always go down a rabbit hole. Any suggestions ? Thank you! Pt was taken to the O.R and placed prone jackknife.. prepped and draped in sterile fashion. IV sedation and general anesthesia instituted. The perianal region was palpated and an area of fluctuance identified, a 20...
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    Wiki CPT code help pls- exploration & evacuation of RT groin hematoma

    Can someone offer help for the correct CPT code for this procedure. Thank you Patient taken to OR placed supine. Medial aspect of the incision was opened with a kelly clamp and army navy retractors used to expose the deep space. A suction device was used to remove old clot from the wound , 2...
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    Wiki MDM vs Time

    That's the Million dollar question. Is that in fact the rule. I can't seem to find that spelled out anywhere....
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    Wiki Simple E/M audit

    Does anyone do a simple E/M audit of charts? I want to forward notes for a 99212, 99213 and 99214 to see if we are doing our note right and getting those level that we are billing. Does anyone have a per chart fee for something like this and in return can if us a detailed explanation of what...
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    Wiki 99213-99214 E/M Note

    Can I sweeten the deal by offering a $20 Starbucks card :) We just want to be sure we have everything we need on our e/m note. Thanks
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    Wiki ICD-10 is order of severity

    Is there a guideline that helps to order ICD-10 in order of severity on the claim. Does that have to come from the physician? I have an ins carrier telling us that our ICD 10 are not in order of Severity. Please help.
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