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lindam@caricures.com's latest activity
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Llindam@caricures.com replied to the thread Wiki Appendectomy w/ partial cecectomy and ileocecectomy.I am having a similar issue - Appendectomy w/partial cecectomy - Laparoscopy - "we identified the cecum. There was some atypical attachments of the ileum to the appendix. Using the vessel sealing device we took down the fatty attachments. We were...
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Llindam@caricures.com replied to the thread Wiki 22 Modifier.copy of OP report - sorry I took the OP report off - I noticed one place I hadn't blacked out patient info
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LI have a patient that had multiple large polyps, that took some time to remove. I would like to add Modifier 22 as it was an extensive procedure. I am trying to figure out the best way to submit. Submitting electronically I have no way of...
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LNot sure I picked the right discussion - but - does anyone have any contact information for Meritain? I am trying to use the provider portal, but something isn't working correctly. It tells me to contact our Meritain Account Representative - we...
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Llindam@caricures.com posted the thread Wiki Modifier 52 on a screening colonoscopy in Gastroenterology.I am in PA. Billed Medicare G0105 with modifier 52 because he had a poor prep. Cecum was reached so I didn't use 53. Medicare is denying the claim. N519 Invalid combination of HCPCS modifiers. Claim/service lacks information which is needed...
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LWe are considering ordering a patient to have a Sitz Mark study done. If we purchase and provide the capsule they need to swallow - how would I bill her insurance for that?
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Llindam@caricures.com replied to the thread CPT code 45385 & 45380.I didn't think you could use both 45385 and 45380 if both polyps were in the same area of the colon.
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Llindam@caricures.com posted the thread Wiki Can a physician self refer for a procedure in Medical Coding General Discussion.We are a colon/rectal practice, one doctor, he is doing Anal Manometry in our office with equipment he purchased. Medicare denied claims without a referring doctor. Patient is a long time patient that dr. felt would benefit from this test, so...
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Llindam@caricures.com reacted to TamGIGal's post in the thread Wiki Colonoscopy into terminal ileum with biopsies with
Like.
Was the colonoscopy performed due to symptoms and looking for Crohn's (abd pain, diarrhea, bloating, etc)? If so, then list the symptoms as the diagnosis. -
LI have a patient that was in the hospital. He went home for a few days, then he was readmitted. I billed the readmission as an Initial Hospital visit - 99223, but my claim is being denied. Codes - 16 - Claim/service lacks information which is...
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Llindam@caricures.com posted the thread Wiki HIGH RISK SCREENING FLEXIBLE SIGMOIDOSCOPY in Gastroenterology.I have a patient that had most of her colon removed. She has a family history of colon cancer and MD is doing a flexible sigmoidoscopy. Is there a High Risk Screening code for flex sig? I now G0104 for screening, but what about high risk?