cpt

  1. L

    Wiki Hospital Outpatient facility coding

    Hi everyone --I am looking for some feedback from any coders who work for a hospital and do facility coding. Are you required to code the ICD-10-PCS codes on your accounts or just the CPT codes? I am trying to gather some data to assist in decision making for my organization. Thanks in...
    • lweyerstrass
    • Thread
    • codes coding cpt facility hospital
    • Replies: 2
    • Forum: ICD-10
  2. M

    Wiki Instument Based Ocular Screening - Smartphone Mobile app and Billing?

    Does anyone know if there are any reimbursable CPT codes that I can bill when a provider is using their smartphone mobile app to analys data for an eye test? Or is their a reimbursable CPT code that can be used to bill for conducting the eye exam via the smartphone?
  3. S

    Wiki CPT code for re evacuation of hematoma from subdural space postoperatively

    Dear All Is there any CPT code available for the craniotomy & re evacuation 0f subdural hematoma done two days after the initial surgery for the same? Physician replaced bone flap also during the second surgery.Can we use the CPT 62143( Replacement of bone flap or prosthetic plate of skull )...
  4. B

    Wiki CPT code for application of stem cell autograft

    We have been trying to find a CPT code or HCPCS code for application of a stem cell autograft. The orthopedic surgeons are doing this during joint surgeries. Has any one found a code for this? Thanks for the help!
  5. T

    Wiki NIOV CPT Code

    I know HCPCS code E1352 is used, but is there a procedure cpt code for NIOV Non-Invasive Open Ventilation? I found under Pulmonary - Ventilator Management 94002-94005 could these work?? Thanks! Tanna
  6. N

    Wiki CPT code for lipoma removed during carpal tunnel release

    The physician did an open carpal tunnel release. He deepened the incision through the subcutaneous fat. Then there was a lipoma present over the transverse carpal tunnel ligament in which he removed. Can you bill the removal of the lipoma in addition to the carpal tunnel release? If so what CPT...
  7. R

    Wiki Biceps tendon exploration

    Surgery was scheduled for bicep tendon repair based upon MRI. However, when the surgeon got in there a tear was not found so all that was done was an exploration. I need help with the CPT for that. We originally filed this as unlisted and compared to 24341 but Cigna denied and tells us...
  8. S

    Wiki Nexplanon-What is the correct

    What is the correct CPT code for insertion of Nexplanon?
    • srohlmeier
    • Thread
    • code correct cpt insertion nexplanon
    • Replies: 3
    • Forum: OB/GYN
  9. I

    Wiki CPT changes: An insider's view 2016

    Hi, happy Friday to all ! I am wondering if anyone has access to the Insider for 2016 and if so, would you share the update regarding 81311 please? It's the new NRAS code in Molecular Pathology. Last year we were using 81404. Thanks! Megan
  10. C

    Wiki plasmaphereesis catheter

    Anyone cpt code for per-cutaneous placement of plasmapheresis catheter with fluro?
  11. E

    Wiki CPT code for repair of AV fistula pseudoaneurysm

    Would like some feedback and thoughts on coding for this procedure please. My original thought was to use cpt 35011 for repair of the aneurysm but the aneurysm is actually inside the fistula and wasn't sure if that makes a difference. TIA!
  12. A

    Wiki New CPT Codes for 2016?

    Hi, I was wondering if anyone had any websites listing new CPT codes for 2016? Thanks!
  13. J

    Wiki Endoscopy - Ia m getting a denial from Secure

    Ia m getting a denial from Secure Horizon for the services billed below....Any help would be greatly appreciated. Left endoscopic sinonasal tumor resection, CPT 31237/5159 Left endoscopic sinonasal medial maxillectomy, CPT 31267-2251 Left endoscopic sinonasal eyhmoidectomy, CPT 31255/51LT Left...
  14. D

    Wiki CPT 77280 bundled with 77301

    We received notice that simple sims 77280 are now going to be bundled into the APC payment for IMRT planning services. Are we to take it that the professional component is also bundled as we can still bill the professional component of the imaging 77014,26 but not the technical side?
  15. A

    Wiki Guillotine Amputation

    I have a physician who is doing a partial amputation of the great toe that he calls a guillotine amputation. He documents that the bone is osteotomized just distal to the interphalangeal joint. What CPT code would you use? Thanks, Alicia, CPC
    • aschaeve
    • Thread
    • amputation cpt guillotine interphalangeal joint
    • Replies: 1
    • Forum: Podiatry
  16. N

    Wiki Cubital tunnel release / anconeus epitrochlearis ?? Is this included with CPT code

    Need to clarify if when the patient is found to have anconeus epitrochlearis and the physician excises this, is this part of the cubital tunnel release or is there another CPT code that needs to be billed with the 64718? Thank you.
    • NL2022
    • Thread
    • anconeus code cpt cubital tunnel
    • Replies: 3
    • Forum: Orthopaedics
  17. D

    Wiki 2015 Tomosythesis Codes

    Is it appropriate to charge CAD (CPT 77051) along with the 77061 and 77062? There is a CCI edit that says that CPT 77052 is a component of the tomosythesis codes but it does not indicate that 77051 is? Anyone know??
  18. T

    Wiki Anesthesia cpt 99135

    I am researching how many times you would bill CPT 99135 per claim? I see that 5 units are allowed, so would you expect it to be billed out 5 times or only once and reimbursed x5? thank you for your help!
  19. S

    Wiki CPT and ICD-9 books from 2005 to 2010

    Does anyone know how I might get my hands on old CPT and ICD-9 books, specifically 2005 through 2010?
  20. T

    Wiki Modifier 22 - Does anyone know if medicaid

    Does anyone know if medicaid and the hmo superior health will pay additional money for the modifier 22 on cpt?
    • TishCpc
    • Thread
    • additional cpt modifier money pay
    • Replies: 2
    • Forum: Modifiers
  21. S

    Wiki Denial for 97597

    I have tried billing CPT code 97597 and keep getting it denied. I have used several ICD-10 codes and NONE seem to work. Help!
  22. P

    Wiki Workers Comp vs Commercial Insurance CPT pricing

    Need some advice: Can a clinic charge different pricing for WC CPT codes vs. Commercial Insurance? Basically, have two fee schedules for our CPT codes. Thanks PK
  23. H

    Wiki cpt code for open choledochoduodenostomy

    Looking for cpt code for open choledochoduodenostomy,I am having a hard time finding this cpt code I do come up with 47760 and was wondering if this would be correct?
    • Hibbs
    • Thread
    • 47760 choledochoduodenostomy code cpt wondering
    • Replies: 1
    • Forum: General Surgery
  24. R

    Wiki Medicare and CPT 64561

    Medicare is denying the 2nd 64561 when billed like this? 64561-LT 64561-RT Do I need to add a modifier XS to the 2nd line item? Send reports? The MUE is 1 for this CPT. Any feedback would be appreciated. Thank you!
    • Robbin109
    • Thread
    • 2nd 64561 cpt medicare mue
    • Replies: 5
    • Forum: Urology
  25. J

    Wiki nasal stenosis repair and advancement flaps

    Our md is billing cpt code 30465 with cpt code 14060- for advancement flaps. Are these 2 codes inclusive of each other. Please help!!!!!!!!!!!!
  26. G

    Wiki job

    hello, my physician group(UROLOGY) is looking to fill a medical charge entry/coding and billing position, also a position to do A/R appeals and work denials. we are located in downtown Albuquerque full time positions only, no certification needed. CPT, ICD-10, HCPCS II, CMS-1500 is required if...
  27. L

    Wiki Oral Appliance Sleep Study CPT Code

    When researching oral appliance sleep study cpt codes all I find are the cpt codes to bill for an oral appliance itself. What I am looking for is the sleep study cpt code to bill when doing a sleep study with an oral appliance since we are not using pap therapy. We do not supply the oral...
  28. C

    Wiki New CPT code 69209

    I'm looking for where i can find documentation on new CPT code 69209 and if this new code has the requirement of being done by a provider? I know that cpt code 69210 although not included in the actual description of the code, in order to bill for this service, it must be provided by doctor or...
  29. C

    Wiki suture repair

    Patient had a suture repair of a small opening in the apical upper lobe mechanical pleurodesis, , would cpt code code cpt code 32650 be the right choice ?
  30. S

    Wiki Cpt and icd.10 book suggestions please

    It is time to buy 2016 CPT and ICD.10 books. I am hoping for a little advice on this. I will be taking my CPC with these books as well as coding and billing at my job. I want to make sure before I purchase that these books will help me in both areas. Also, regarding the exam...Has anyone heard...
  31. A

    Wiki Aborted Colonoscopy

    In the 2015 CPT book, I was informed in multiple meetings that the "Colonoscopy Decision Tree" found right before the Sigmoidoscopy section was incorrect. I was told that when the colonoscopy didn't reach the splenic flexure, we were supposed to still bill the colonoscopy but with the...
  32. J

    Wiki Billing CPT 36410

    Happy New Year! Can anyone help me with cpt code 36410? Can this code be billed by a CRNA if the nurse requests that it be performed by a CRNA due to the patient being a hard stick? Thanks for any help that you may be able to provide. Jennifer
  33. A

    Wiki 43237 vs. 43259

    The description for CPT 43237 is an EGD; with EUS limited to the esophagus, stomach or duodenum , and adjacent structures. The description for CPT 43259 is an EGD; with EUS including the esophagus, stomach, and either the duodenum or a surgically altered stomach. Should the documentation for...
  34. C

    Wiki CPT Code 62267 or 10022 - I am looking fo

    I am looking for some advice for as I am not too familiar with this tyoe of procedure. Indication: Paraspinal soft tissue infection * The risks benefits and alternatives were explained and informed consent was obtained. 1 mg of Versed and 100 mcg of fentanyl were administered intravenously for...
  35. A

    Wiki coding dispute between CPT book and Anesthesia code

    I work for a group of Anesthesiologists and I had a case where a patient had implanted plates removed from her ribs. I coded 20680 and the code crosswalks to 01360 for anesthesia. On the EOB that the patient received the procedure description said she had work done on her femur. She called the...
    • AudreyS
    • Thread
    • anesthesia code cpt femur procedure
    • Replies: 2
    • Forum: Anesthesia
  36. A

    Wiki anesthesia coding

    I work for a group of Anesthesiologists and I had a case where a patient had implanted plates removed from her ribs. I coded 20680 and the code crosswalks to 01360 for anesthesia. On the EOB that the patient received the procedure description said she had work done on her femur. She called the...
  37. A

    Wiki CPT Coding for Anesthesia

    I work for a group of Anesthesiologists and I had a case where a patient had implanted plates removed from her ribs. I coded 20680 and the code crosswalks to 01360 for anesthesia. On the EOB that the patient received the procedure description said she had work done on her femur. She called the...
  38. A

    Wiki 2016 rule for Mental Health CPT code 90838

    I was wondering if anyone has any information about there being a new rule for the CPT code 90838? How the new rule applies. Here is the question presented to me. *can we bill two separate clinicians as long as one is the MD/NP the second being a ph.d./lcsw as long as same day same location...
  39. S

    Wiki Can CPT 49446 be billed separately from 43830?

    CPT 49446 states that for converstion to gastro-jejunostomy tube at the time of initial gastrostomy tube placement we are to use 49446 in conjuction with 49440. CPt 49440 is for a percutaneous approach. Our doctor performed an open approach which was coded as 43830. I have received a bundling...
  40. D

    Wiki 2016 IR CPT Crosswalk

    By chance, has anyone created a crosswalk for the new Biliary and Urinary CPT codes that they would be willing to share? Thank you in advance!!!
  41. C

    Wiki HBIG Vaccine coding help please

    I need help on how to code for the HBIG Vaccine for a patient who had a needle stick from a contaminated needle from a patient with HBV. The patient received the HBIG Vaccine and I'm not sure how to code the CPT portion? Since the cost is about 15x higher then the regular vaccine I needed to...
  42. T

    Wiki New To Behavioral Health Billing

    Hi, We have a new Clinical Psychologist starting in a PCP office and I have no idea how they bill. Any tips on what CPT and ICD codes they can use. Would love to communicate offline with an experienced biller that bills for a CP. Thanks.
  43. T

    Wiki Buccal Swab

    What is the CPT code for the Buccal Swab? Does anyone know if we can bill for this?
  44. J

    Wiki Modifier 59 - bariatric practice

    Our office is going back and forth regarding the following issue: We are a primarily bariatric practice, however my surgeon typically repairs a hernia (cpt code 43281) while she is there is she notices it. Can we bill cpt code 43770 with 43281 (with modifier 59)? or should this be modifier 51?
  45. A

    Wiki Medical Paying G6021 for Colonoscopy with EMR

    Medicare Paying G6021 for Colonoscopy with EMR Has anyone had any luck getting Medicare to pay G6021 for a colonoscopy with EMR? The CPT code is 45390.
  46. S

    Wiki NCCI edits policy for different surgeons working together

    Dear All: Good day! I have a query regarding the NCCI edits policy for diffrent surgeons working together in same operative session. Eg. Gyn Specialist performed CPT 58150(Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s)...
  47. S

    Wiki NCCI Bundling policy for different surgeons

    Dear All: Good day! I have a query regarding the NCCI edits policy for diffrent surgeons working together in same operative session. Eg. Gyn Specialist performed CPT 58150(Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s)...
  48. I

    Wiki cpt code 99386 and colon screening

    Does anyone know if you can use the preventative medicine cpt code 99386, (initial comprehensive preventive medicine evaluation and management of an ind. inc. an age/gender approp hx, exam,counseling/antic. guidance/risk factor reduction iintervention, and the ordering of lab/dx proc, new pt...
  49. C

    Wiki Sequencing of CPT affect REIMBURSEMENT?

    Does sequencing of CPT coding affect REIMBURSEMENT! I’m coding physician’s facility and non-facility. What or where can I get something in writing? “I know for audit purposes sequencing will be a issue.” Everyone, please give me your opinion. Thank you, CPC, I wondering now!
  50. B

    Wiki hiatal hernia

    What heading do I find hiatal hernia under in the cpt 2010 edition manual.:confused:
Top