Pediatric Coding Alert
Break Down Globulin Injection for Some Payers
CMS replaces J1567 with 4 product-specific Q codes As of July 1, Medicare Part B will not pay for J1567 (Immune globulin, liquid Injection, immune globulin, intravenous, non-lyophilized [e.g. liquid], 500 mg). If a private payer no longer accepts the J code, use the new product-specific Q code as follows: • Q4087 -- Injection, immune globulin (Octagam), intravenous, non-lyophilized (e.g. liquid), 500 mg • Q4088 -- Injection, immune globulin (Gammagard Liquid),intravenous, non-lyophilized (e.g. liquid), 500 mg • Q4091 -- Injection, immune globulin (Flebogamma), intravenous, non-lyophilized (e.g., liquid), 500 mg • Q4092 -- Injection, immune globulin (Gamunex), intravenous, non- lyophilized (e.g., liquid), 500 mg.
Pediatric Coding Alert
- Discover Do's and Don't of Coding Diet/Weight Assessments
Compliance with new AMA recommendations doesn't necessarily equate to more pay, experts say Pediatricians are [...] - You Be the Coder:
Splinter Removal Per Removal?
Reviewed on April 29, 2015
Question: A pediatrician removed 15 splinters. Should I bill [...] - Should You Use New Albuterol Q Codes?
Let payer steer your inhalation solution supply coding Before you bill for your next nebulizer [...] - Break Down Globulin Injection for Some Payers
CMS replaces J1567 with 4 product-specific Q codes If your payer decides to follow CMS' [...] - Are You Cutting $30 from Established Patient Visits?
Analyze your E/M patterns to fix this money-drainer Your coding pattern could cost you more [...] - What's the Difference Between 99212, 99213 and 99214?
Clip 'n' save your mid-level office visit breakdown You can't use just history and examination [...] - Reader Questions:
Worked-in Walk-ins Rule Out 99058
Question: A mother calls and reports her baby is having trouble breathing. A nurse recognizes [...] - Reader Questions:
Use 9920x After Involved 99381
Question: A pediatrician sees new patient twins for their four-month well visit. Chart shows patients [...] - Reader Questions:
UHC Reduces Problem-Portion Pay
Question: On claims containing a preventive medicine service and an office visit code, an insurer [...]
