Gastroenterology Coding Alert
Reader Questions:
Unravel the 'Different Edits'Mystery
Published on Fri Apr 18, 2008
Question: Virginia Subscriber Answer: For instance, Aetna follows McKesson edits and will not bend on this. CIGNA does as well, but you may obtain reimbursement after a review. You may have success with Blue Cross Blue Shield (BCBS) depending on whom you talk to. However, other carriers like UnitedHealthCare do not follow McKesson edits altogether.
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Gastroenterology Coding Alert
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Zoom In on Cold Biopsy Forceps
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Internalize 2-Year Screening Colonoscopy Rules
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Get Specific With Anemia Codes
Question: My gastroenterologist performed an EGD (43235) on a Medicare patient with severe anemia. Because [...] - Reader Questions:
Gastric Aspiration Calls for 91105
Question: A patient complaining of rectal bleeding reports to the ED. After a level-five E/M, [...] - Reader Questions:
Hone Your ICD-9 and Modifier Skills
Question: I think that I have a good handle on coding gastroenterology claims, but if [...] - Reader Questions:
Unravel the 'Different Edits'Mystery
Question: I follow Correct Coding Initiative (CCI) edits, but some carriers don't follow these guidelines. [...] - Reader Questions:
Mod 25: Procedure, E/M Don't Have to Be Unrelated
Question: A patient comes in for a consult because of abdominal pain and bloody diarrhea. [...]
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