Recent content by commitsvs

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    Wiki 2021 E/M Guidelines - Cat 2 Ordering Unique Tests for labs

    Hello Nicole/Cynthia/Amwittler, It's wonderful to see this conversation with an expert. I've included this in the medical record because we have some clarity on MDM. Could you kindly verify it and let me know which CPT should be billed? Additionally, could you please explain how this should be...
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    Wiki Surgical Pathology Stains Confirmation

    Hello all, Can stains be considered from grossing information/grossing comment, If not mentioned in the final impression (Stains Mentioned as Performed in the Grossing Comments), Below is the reference, Specimen - Sigmoid Colon Final Diagnosis - Hyperplastic polyp. Grossing Information...
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    Stains Billing In Surgical Pathology

    Hello, Can stains be considered from grossing information/grossing comment, If not mentioned in the final impression, Below is the reference, Specimen - Sigmoid Colon Final Diagnosis - Hyperplastic polyp. Grossing Information: Received in Formalin is a specimen measuring 04x03x02mm, color is...
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    00630 getting denied by Medicare as medically not necessity. Can anyone guide on this.

    00630 getting denied by Medicare as medically not necessity. Can anyone guide on this.
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    Wiki Pain Management Billing

    Hello all, Any idea on getting paid for add on codes of Pain Management (64494, 64495, 64491, 64492), only primary code is getting paid and add on denied as inclusive.
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    Wiki Telehealth Visits

    This is pediatric report so they have informed mother, A well-child visit was previously performed and there were abnormal findings in the blood test or urinalysis test. Due to all diagnostic tests being sent out, test results will be given within 3 to 7 days. Therefore, additional reports are...
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    Wiki Telehealth Visits

    Can you help with this , From office they have called patient mother to inform lab result. can could help me what CPTs can bill for this kind of visits.
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    Wiki Well Child Check first year

    Normally - Most of the insurance companies follow this. AAP Schedule of Well-Child Care Visits Parents know who they should go to when their child is sick. But pediatrician visits are just as important for healthy children. The Bright Futures/American Academy of Pediatrics (AAP) developed a set...
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    Wiki Lab/Test Results Discussion Follow-up Visits

    Hello Csperoni, Can please help me with this, 1)During their wellness visit (Pediatric/Adult), the patient does not mention any issues and the doctor orders the usual lab panels outside the office. After a few days or weeks, the lab results will be shared with the provider. There are no...
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    Wiki CPT 96160 - risk assessment

    General guidelines for CPT 96160 can we consider, is below mentioned documentation is enough to bill CPT 96160. Can we bill CPT 96160 with office visit CPT 99202-99215 and can we bill both CPT 96160 and CPT 96110 for same date of service. kindly help me out as i am new to pediatric coding.
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    Wiki Pediatric coding guidelines

    Thank you.. 😇
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    Wiki Depression screening

    CPT 96127 is utilized for the depression screening example - PHQ9, and 96160 is utilized for risk assessment as per CRAFFT, AUDIT, BSTAD, S2BI, and DAST-20. Please let me know if I am incorrect.
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    Wiki Pediatric coding guidelines

    Thank you, but insurance like Medicaid will not cover vision and hearing screening tests. Furthermore, there are many other screening tests that are not covered. Can you give more give clarification on 1) In MDM, how do we consider unique tests in MDM? For example, our doctor orders Covid-19...
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    Wiki Pediatric coding guidelines

    1) In MDM, how do we consider unique tests in MDM? For example, our doctor orders Covid-19 with flu, CBC, urine culture, and urinalysis on the same day. Do we need to take into account that there are 3 or more distinct tests and documents for review? In addition, they have prescribed medication...
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    Wiki Pediatric coding guidelines

    Hello Guys, Since I am new to pediatric coding, I require some clarification on the guidelines for pediatric coding. 1) Is there anyone who can suggest additional tests or screenings that the preventive medicine service for pediatrics can perform with age criteria? 2) Is there anyone who can...
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    • pediatric coding guidelines screening for childers
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    • Forum: Pediatrics
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