cpt

  1. C

    Wiki Prolonged Services

    Hello I have a patient who after his E/M visit was admitted to hospital by Dr. but stayed in office for 4 hours under supervision until an open room was available at hospital. Would I use prolonged visit codes? Or not include at all. Any advise would be helpful. thank you
  2. S

    Wiki Revenue code crosswalk

    Does anyone here have access to Revenue Code crosswalk tools like Uniform Billing Editor or Revenue Cycle Pro? I need a help with 6 codes.
  3. D

    Wiki 97602 is there another code like this that is not an e&m

    I am trying to answer a question on a test and can't use E&M, only CPT, ICD10CM and Modifiers. 97602 is the best match I can find but it's not scrubbing. All that was done was a dressing change in the ER. Can anyone point me on the right path, I'm at a loss.
  4. B

    Wiki Help Needed: Project and Research Question-Correct an Edit

    Hi everyone, I am stumpt on this preoject/research question below, any assistance would be so greatly helpful :) Thanks so much, Brittany- CPT code 77003 is present under revenue code 320. CPT code 64490 is present under revenue code 360. An NCCI edit is present on code 77003 and reads...
  5. aimeeread

    Wiki CAR-T cell infusion

    Hello, I am now receiving direction that I should be billing for CAR-T cell infusions. Has anyone else ever seen these? If so, what code(s) did you use to bill for this procedure? I have read everything I can on this trial...and the closest thing I can come up with is 36511 (apheresis for...
  6. K

    Wiki Radiology CPT Coding

    When it comes to radiology coding, where do you get the CPT from, the order or the report? Example: Ordering Physician states to do a Pelvic Ultrasound (76856/76830) but in addition to this the Radiologist also does a complete Doppler (93975). Would you code directly from the order (which is...
  7. 5

    Wiki New CPT coded 2017 VS CPT 2016 codes

    in 2016 62311 was used, but in 2017 we have new codes. I have a patient that had a LESI in December of 2016. Do I use the 2016 CPT codes or the new 2017 codes? I have not been able to locate the answer to this question and I know I knew the answer at one time, but it has left my brain! Boy...
  8. C

    Wiki CPT 2017 Changes

    Good morning, Does anyone know where I can get a comprehensive list of ALL of the 2017 CPT code changes? Thank you
  9. A

    Wiki LCSW In home E/M and psychotherapy

    Trying to get an LCSW to provide in home psychotherapy/counseling to a patient who is covered by Cigna primary and Medicare secondary. Cigna advises that they do not accept CPT codes 90791 or 9083x for in home psychiatric assessments or psychotherapy and advised me to utilize E/M codes...
  10. N

    Wiki Cpt code globulin

    HI! How will you CPT code GLOBULIN alone term? Thanks in advance for the answers.
  11. J

    Wiki Rating code for an out of state (CA) workers comp patient? Help?

    We typically use the 99455 rating code for our patients. One of our patients has an out of state California workers comp case. And the rating, ( as well has the nurse case manager conference 99366 ), are getting denied. We were told to re-bill with CA RVS codes ? And that those codes we used...
  12. K

    Wiki Medcare ONLY covered CPT/HCPCS

    Hi! I've been searching everywhere on the net for Medicare ONLY covered CPT/HCPCS codes. Does anyone know a useful place I can obtain this information? Thank you, Katie
  13. A

    Wiki left thumb metacarpophalgeal arthrodesis & trapezium excision w/ suture suspension

    left thumb metacarpophalgeal arthrodesis & trapezium excision w/ suture suspension I need help coding this surgery for accuracy and maximum reimbursement. Should I use 25320, 25210, and 26850 or 25447? The skin was incised with a 15 blade along the preplanned mark. Hemostasis was achieved...
  14. P

    Wiki Cms1500/ub04

    Hello everyone, In what instance would you bill CPT codes on a UB04? I've never done this and it doesn't seem normal. Also, what is the difference between billing on a UB04 VS a CMS1500? Any guidance would be greatly appreciated. Thank you in advance!
  15. D

    Wiki 99221 or 99223????/Neuro Inp Consult

    HPI comp PFSH Comp ROS Comp Exam GA no acute distress HEENT mucus membranes moist, no conjunctival injection Fundoscopic exam-optic disc sharp on L, unable to see R CARDIO carotids-no bruit Heart-regular rate and rhythm+cardiac friction rub, no murmurs or...
  16. D

    Wiki Consult/Hospital Visit/Subsequent ???

    For inpatient neurology consult coding. HPI ROS PFMSH EXM MDM My question is that there is also a Neuro Exam which consist of Gen app-(1), Vitals 3 vitals (1), Fundus (optic disc exam (1), CV (pulses, bruits, or auscultation of heart (one point Maximum), Mental status (5), CN (8), Tone...
  17. P

    Wiki Code 46716 is a female procedure only??

    Hi, My denial defender on a bill I'm trying to submit is telling me that 46716 - (Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula) is a female-only code. I can't find anything in the description of this code that designates it as female-only. Is...
  18. W

    Wiki Vascular surgery

    I was wondering if anyone have heard of aortic relining. Looking for CPT Code.
  19. T

    Wiki Help with CPT Code - greatly appreciated

    What would be the best CPT code for debridement of 4 porokeratosis lesions on the plantar aspect of the left foot? I was looking at the 17xxx code range, but I don't see where they support the dx code Q82.8. Any suggestions would be greatly appreciated. The provider used trichloroacetic acid...
    • TMB1965
    • Thread
    • code cpt provider q82.8 support
    • Replies: 2
    • Forum: Podiatry
  20. H

    Wiki CPC-A and ICD-10 Proficient Candidate Seeking Remote Part-Time Medical Coder Position

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  21. N

    Wiki Federally Qualified Healthcare Centers

    Since FQHC's don't always bill a traditional CPT code, do they still have to follow the CPT guidelines when obtaining HPI? Example: FQHC's will bill Medi-Cal an "01", this is an office visit. They do not use a 99211-99215 as most traditional offices. So, when it comes to meeting all the of...
  22. L

    Wiki CPT 78299 and CPT 78278

    When Nuc Med Spect CT is used to pinpoint the exact location of a GI Bleed, can unlisted code 78299 be billed? If so can it be billed with 78278?
  23. V

    Wiki Needs assistance pls. - HCPCS

    Hi All, Is there a HCPCS CODE FOR CPT 99173 as per MEDICARE GUIDELINES? Thank you, IM
  24. 0

    Wiki Outpatient Allergy shots........................

    I have had this question sent to me -- What cpt code do you think is appropriate for an outpatient allergy shot CPT 95115 for one and 95117 for two or CPT code 95120 one shot and 95125 two shot? Actually what is the difference? I’m a little confuse.
  25. M

    Wiki IHC staining confusion (88342, 88344) - please help!

    Could someone please help me with this? The pathology report supports ONE specimen. The report states "IHC stains are performed with appropriate controls & reveal strong & diffuse positivity for CK5/6, CALRETININ, & WT-1 (Nuclear). Focal positive staining is seen for CK 7, MOC31, & BEREP4. The...
  26. B

    Wiki Cpt for cardiopulmonary bypass support only

    Does any one know if there is a CPT for Cardiopulmonary Bypass Support only? One of my surgeons had to put a patient on Cardiopulmonary Bypass for another surgeon doing a Nephrectomy & I cannot for the life of me find a stand alone code. The only ones I have found are the add on codes for the...
  27. A

    Wiki New EBUS CPTs for interventional pulmonology

    I have received two articles (ATS and AABIP both February issues) that state we can no longer use the 31629, 31628, 31633 or 31632 with the new codes... although there is not a CCI edit for them. Does anyone know more detail about the proper billing for these codes? CPT is not exactly clear...
  28. P

    Wiki CPT code for Rast Testing

    What is the CPT code for Rast Food Testing (Lab Work) or a Peanut Panel
  29. J

    Wiki Replacement Code for 72010

    Does anyone know the replacement CPT code for 72010? It is now an obsolete code. Thanks!
    • jhofler
    • Thread
    • 72010 code cpt obsolete replacement
    • Replies: 1
    • Forum: Orthopaedics
  30. J

    Wiki Cpt 22310

    I have a new physician to our practice that states she has always billed for CPT 22310 (Closed treatment of vertebral fracture w/o manipulation) in conjunction to either an office visit or hospital follow up. I was under the impression that in order to bill this code the doctor must be present...
  31. A

    Wiki Need CPT code for Transverse Abdominus Release

    I am looking for CPT code for Ventral hernia repair with component separation AND transverse abdominis release. My physician went to a conference and did not bring any documentation on how to bill this "new" code.
  32. B

    Wiki CPT Help!

    I used CPT code 32555 for ultrasound guided left thoracentesis. The radiologist drew out fluid and later did a 1 view chest xray and a view chest xray. I am certain that I am not supposed to bill the chest xrays with this code. But need to get more opinions for the physician. Thanks!
  33. C

    Wiki Patient expires during procedure

    I hope someone can help with this. My physician took a patient to the OR for emergent ruptured AAA repair. He opened the patient and placed a clamp on the aorta and the patient expired. Can we bill for reduced services either modifier 52 or 53, or was there not enough of the CPT code 35102...
  34. J

    Wiki SCCIS chemical peel

    If SCCIS is destroyed by chemical peel which does not give measurements only a percentage of area covered (in this case 35% of face) - is the appropriate cpt code one 15788 or 15789 or do you use a destruction cpt code and query the physician for measurements?
    • jperkins
    • Thread
    • chemical code cpt measurements sccis
    • Replies: 1
    • Forum: Dermatology
  35. S

    Wiki Included Services in CPT Codes

    Are there any books or online resources that can tell you what procedures are included in each CPT code, like if imaging or catheter placement is included? Or maybe something that describes the steps for each procedure? It would be something like this book, only more up to date...
  36. D

    Wiki Billing Hospital Consults

    One of our providers (we are a specialist group) did a consultation in the hospital. The patient is on Medicare. Since you can't bill consultations, what CPT code should we use? I know to change the place of service.
  37. B

    Wiki Billing Procedure for Sobxone Treatment

    I need assistance with the CPT code(s) that would be used for Drug Addiction Therapy. Our office will shortly begin using Suboxone therapy for treatment of drug addictions. What CPT code would be used for the Assessment which will include an Initial Comprehensive History and Physical, the...
  38. N

    Wiki 64718 ?

    Hi, just needed to know if the findings of anconeus epitrochlearis is included with the CPT 64718. He states that he excised the muscle to release the nerve. He states that there was fibrous bands of the muscle crossing the nerve. If it is not included what would be the additional CPT for this...
  39. S

    Wiki J3490, j3590

    Hi all, can you please assist me with medicare fee schedule for CPT J3490(Avastin inj.) and fee schedule for BCBS(colorado) for CPT-J3590(Avastin inj.). Thank you.
  40. K

    Wiki 6 minute walk, 94761 vs 94620

    Hi, I am new to Pulmonary coding , I have read all the threads on this forum regarding the 6 minute walk performed with spirometry with bronchodilator vs 94761. I have a question regarding how this should be coded? I receieved an email from another coder as to how she bills this service...
  41. I

    Wiki Anal pap smear cpt code? Or use e/m?

    Hi, Does anyone know if there is a CPT or HCPCS code for Anal Pap Smear? I did see one post where someone advised it is to be bundled in with E/M code. Also, I found pathology CPT code of 88112, for Cytophath cell enhance tech on Medicare website fee schedule. Am I to assume that this will...
  42. H

    Wiki left hemicolectomy?

    For a left hemicolectomy what is the cpt code?
  43. J

    Wiki cpt code 31825

    Hi, Does anyone know if cpt code 31825-tracheocutaneous fistula w/ plastic repair include using a muscle flap(15732) for closure of the fistula? Your assistance will be greatly appreciated.
  44. N

    Wiki Arthroscopic shoulder cpt code for biceps tenotomy, subacromial decompression with ma

    What are the correct CPT code for arthroscopic shoulder for adhesive capsulitis, biceps tendon tear, impingement I got the subcaromial decompression and he did do the acromoplasty - 29826 For the biceps tenotomy there was significant damage- the shaver was used to release the biceps tendon. I...
    • NL2022
    • Thread
    • arthroscopic biceps code cpt shoulder
    • Replies: 2
    • Forum: Orthopaedics
  45. R

    Wiki dermatology

    Does anyone know if cpt 11101 or 17003 which are add on codes can be modified with 59? Thanks
  46. S

    Wiki CPT code for Drug screens

    Looking for clarification. CPT code 80104 has been deleted for 2016, What has it been replaced with? I have read one place G0477 is one of three that replaced it as well as replaced G0434. I would appreciate any guidance on this. thank you
  47. D

    Wiki Unnaboot change and Port Flush

    I am hoping someone can help me with a couple of questions. Do you have to have a supervising physician in the office and to sign off the charts to be able to bill for a Unnaboot change CPT code 29580 or for a Port Flush CPT code 96523?
  48. S

    Wiki CPT codes for PHP for chemical dependancy

    My office is expanding to PHP for chemical dependancy from only IOP for behavioral health. I need help with CPT codes please. Any assistance would be greatly appreciated. Sue/LBHS
  49. K

    Wiki Need help for CPT

    Hi every one , i am new to coding Need your help for finding CPT for Excision and Electrocauterization of multiple genital warts under local anesthesia measuring 0.3 cm-0.4 cm. I am using 54055. Thanks in Advance Sarith Kalikkot CPC-A
  50. B

    Wiki CPT Code for hypoglossal nerve injection?

    Does anyone know which CPT to use for a hypoglossal nerve injection? It was done by a Pain doc. Thanks!
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