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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 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

    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 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 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 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

    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

    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 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?

    I have a question for a billing company that does ENT. Anyone avail from a billing office?
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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 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 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 - 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 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 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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    Wiki 99213-99214 E/M Note

    Is there anyone out there that would be willing for share your E/M note with us. Pt info removed of course. We need to do a better job at notes and we want to compare ours to others who have a really strong e/m note. Anyone willing to share? Fax or e-mail would be fine. Fingers crossed I...
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    Wiki ICD 10 Order of severity Help

    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. How do I know if N39.41 or N39.3 are more severe than the other. Please help.
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    Wiki Fat Harvest Coding help

    Newbie here, can anyone help? post left breast lumpectomy w/contour deficit superolateral left breast Areas of abdomen and hips marked in prep for fat harvest. Stab incision in the suprapubic area bilateral lateral groin crease and umbilicus. tumescent infiltration of abdomen, hips and...
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    Wiki Critical Care Time/Code

    Am I understanding this correctly ? If you see a patient prior to midnight and that service is continuous past midnight you would add your time and bill with the service date prior to midnight. If you are interrupted during service day 1, 11:00pm to 12:15am, get interrupted and return at...
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    Wiki CA WORK COMP DOCUMENT FEE

    Hi, Would appreciate some help with regards to what we can bill CA Work Comp for documents. What has been your experience? Do you bill 99080 and if so for what rate? I've also seen and heard of 99358 and WC002. Any help would be appreciated with regards to what these codes mean. We send...
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    Wiki TELEMEDICINE VS. PHONE APPT

    Hi All, Are any of you billing for telemedicine? If so, can you share what we need to know? CPT codes used? Does telemedicine mean on a video device vs. phone appt which is on the phone? Any clarification would be appreciated!!
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    Wiki Need coding help please 44120? Hernia?

    Hi All, Can I get a little help please. Getting 44120 but can I get anything for the hernia ? Thanks so much! midline incision was then made and carried through the subcutaneous tissue to the fascia. The fascia was incised and the abdomen opened. There was significant adhesive disease to...
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    Wiki Help with Excision Pls

    New to this. Doc notes .07x.04x.01 cm for benign eyebrow Nevus Excision. How do I calculate that to a code? I'm getting 11443 ?? Thank you!
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    Wiki HELP PLEASE Excision code

    New to this. Doc notes .07x.04x.01 cm for benign eyebrow Nevus Excision. How do I calculate that to a code? I'm getting 11443 ?? Thank you!
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    Wiki Critical care 99291 coding - time

    Hi All, Not sure if I'm in the right area, I've asked for an ICU/Critical Care group but never got an answer from the powers at AAPC Question - Are your providers adding their "time to document chart" to their critical care time. This has just come up recently and we are getting some that do...
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    Wiki 99233 and 99239 the same day

    I'm inclined to believe that you cannot bill these two codes on the same day under any circumstances with any modifier?? Physician see's pt in the AM during rounding (99233). Is back in the evening to discharge the patient (99238). Is there any payer that will pay for both codes? Even with a...
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    Wiki 99497 Please help better explain Mod's and usage

    99497 Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s)...
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    Wiki 99291 Critial Care w/ Place of Service

    Is 99291 acceptable and payable by the carriers in POS 22 and/or 23 ? Thank you!!
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    Wiki Consult Codes/Documents

    Do all consults need to have a request for a consultation, along with the need for a consultation, documented by the consultant in the patient's medical record and include in the patient's medical record of the requesting practitioner? Do we need the below also?: ?An opinion is rendered by the...
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    Wiki mitchellde Attn Debra !!

    Hi Debra, Trying to get some help from you via private message. Just a quick question. Can you shoot me an e-mail once you have room in your private message box if you don't mind. Much appreciated!!!! Lynn
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    Wiki Initial "A" vs "D" clafification Please

    The more I read, the more I get confused. Read this paragraph today on AAPC - ?Initial encounter utilizing ?A? for active treatment revised the examples in the guidelines to read: Examples of active treatment are: surgical treatment, emergency department encounter, and evaluation and...
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    Wiki Help with initial, Subsequent, Sequela

    My doctors work the ICU floor so they see patients every day for about 5 days. For their first visit, they code S06.0X9A concussion,V43.52XA auto accident. Now on the second day, he would code S06.0X9D but what about the auto accident? Am I keeping the auto accident code on the claim for...
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    Wiki ICD-10 Fall

    I'm confused and looking for help. Pt seen by doc on ICU floor day one for SDH, contusion to chest and fall. I'm coding the fall for the initial visit however I'm confused by the fall code the next day as a subsequent visit. The physician sees the patient on day 2 as critical care services...
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    Wiki Discharge billing during global op

    I noticed that the CCI Edit list allows for a number one in the column which means modifier allowed. Does this mean that we can bill for discharge on a general surgery post-op? I always thought we could not due to global days but why would CCI edits have a one for the 99238/99239 ? Are you...
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    Wiki CPT help needed

    Can some one confirm the CPT's for Echo ultrasound for Adult, Pedi and stress ?? Thanks!
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    Wiki Critical Care 99291 and PQRS

    I am needing to report a code on the claim for PQRS and can't seem to find one that fully matches the criteria. My doc sees most patients for Resp failure. There is no PQRS measure for Resp failure. Is anyone else running into this? What other measures are you finding useful to report for...
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    Wiki Need a very generous urology biller/coders help

    I am going back and forth with my doc regarding documentation required for office visits. Are ya'll familiar? I bet you are. Any who, I am looking to see if there would be a nice enough biller/coder that wouldn't mind either faxing or e-mailing a chart note for a 99213 and a 99214 so I can...
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    Wiki 99213/99214 chart documentation

    I must be crazy to ask this questions but I cannot find a templet document to show my provider what needs to be documented for either a 99213 or 99214 office visit. I understand that there needs to be Hx, PE and MDM but is there not, in this world of technology overload, a templet that they can...
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    Wiki Payments to patient instead of doctor

    I have a situation where my doctor is an out of network provider so naturally the ins carrier paid the patient and not the provider. We have been billing the patient for almost two years. What is the statute of limitations to collect (California)? Can we charge interest? Is the money the...
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