ICD-9 code 152.1 for Malignant neoplasm of jejunum is a medical classification as listed by WHO under the range -MALIGNANT NEOPLASM OF DIGESTIVE ORGANS AND PERITONEUM (150-159).
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The Medicare fee schedule is based on the RBRVS (Resource-Based Relative Value Scale). Every CPT code has a RVU (relative value unit) that is a measure of how much work goes into it (in the simplest ... [ Read More ]
Any advice would be appreciated.
I have an example of a patient that has Humana Medicare Replacement as primary and Medicaid as secondary. Billed amount $2,150. Humana allowed $763.96 and paid $611.17... [ Read More ]
I work for a wound care clinic that often bills skins substitutes on the same date as an evaluation or other E/M codes. So I would like to know the proper way to bill this. Should we bill 992**-modifi... [ Read More ]
While I'm here, here is one where Medicare paid nothing, because the patient had not yet met their deductible. You would still write off $347.44, but this time you would bill the patient for $152.56,... [ Read More ]
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Okay, here is a similar redacted EOB. On the first line, we billed $500 for 99215 and $152.56 is the Medicare allowed amount, and $500 minus $152.56 is $347.44, th... [ Read More ]
Sharon, I am unsure if you are coding for an office or an OR (ASC or outpatient), so I will provide an answer of where to look/ what to do for both:
Office:
There are no codes for devices used in the... [ Read More ]
There are times when Medicare allows more than the primary, and in those instances, yes, the patient owes the difference. Some practices don't collect it, but if the Medicare EOB shows the patient ow... [ Read More ]
Can someone please help me with Medicare secondary claim questions? The claim was for $152.00 -- primary insurance allows $65.00 ($25.00 insurance payment, $40.00 copayment to patient, $87.00 adjustm... [ Read More ]
Hello Everyone
Due to a scheduling conflict with our registration of the Dome Room location for our August meeting. I have now secured room AH E152 in Allgood Hall @ AU Summerville to complete this y... [ Read More ]
Sorry. posted another thread error....
[COLOR=#cccccc]Is this exam Detailed if following 1995 guidelines? I think it qualifies for a EPF on both the 1995 and 1997 guidelines.
Please let me know wha... [ Read More ]