Append modifier 32 to a code to show that a third party mandated that the provider perform the service.
For clinical responsibility, terminology, tips and additional info
start codify free trial.
Question: I've been getting a handful of denials from Humana about ICD-10-CM codes being inappropriately billed together. I assume it’s due to the codes not being mutually exclusive. However, N18.32, E83.52, N25.81, and E55.9 are all very different diagnosis codes. [...]
Question: An ophthalmologist performed a bilateral Humphrey visual field test with the 30-2 pattern. They also performed bilateral optical coherence tomography (OCT) to examine the patient’s optic nerves at the back of the eyes. Can I report these procedures together? [...]
Bolster your knowledge of this growing epidemic. Since 2014, e-cigarettes (vapes) have been the most commonly used tobacco product among U.S. middle and high school students, according to the Centers for Disease Control and Prevention (CDC). Besides being an addiction [...]
Don’t forget to brush up on your ADHD coding knowledge. If your provider has been administering more Vanderbilt Assessment screenings than usual, you shouldn’t be surprised. That’s because attention-deficit hyperactivity disorder (ADHD) diagnoses have been steadily rising over the last [...]
Question: When I see documentation that says a newborn patient has apnea, is it always sleep apnea, like in adults? Vermont Subscriber Answer: Apnea is defined as an at least 20-second stoppage of respiratory airflow. There are several types of [...]
Question: When a patient suffers from sleep apnea, how do I choose the correct ICD-10-CM code? I have an encounter form in front of me that says the patient suffers from “sleep apnea.” Is this all the information I’ll need [...]
This modifier tells Medicare that the service isn’t covered. If you need to estimate what to charge a Medicare patient when your ob-gyn performs a preventive service as well as an evaluation and management (E/M) service at the same visit, [...]
Question: Encounter notes indicate that the patient suffered from “altitude-related sleep apnea.” Should I just report an unspecified sleep apnea code for this condition? Colorado Subscriber Answer: There actually is a code for altitude-related sleep apnea: Report G47.32 (High altitude [...]
One specialty makes up almost half of the October codes. The October update to Proprietary Laboratory Analyses (PLA) CPT® codes is now in play. Take a little time to see what’s new for labs and which of the 45 additions [...]
Stay ahead of numerous telehealth revisions. On Nov. 5, 2024, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician Fee Schedule (MPFS) final rule for calendar year (CY) 2025. As always, the 3,088-page document was a mixed [...]
