pediatrics

  1. K

    Wiki LIMITED PRENATAL CARE

    We recently had a pediatrician join the office and she sees newborns in the hospital. She is putting limited prenatal care down to be coded. Can I get some guidance on codes and coding for this. Example Term newborn via c/s limited parental care
  2. D

    Wiki 99471 vs 99472 when pt ages from 28 to 29 days

    I cannot find this answer anywhere. The neonate has received critical care throughout 28 days of life, the subsequents billed as 99469. But when the pt is 29 days old and receives CC, do I bill a 99471 or a 99472 for the infant/pediatric code set? I don't know if it's considered an initial or...
    • dillerisev
    • Thread
    • critical care neonatology pediatrics peds critical care
    • Replies: 1
    • Forum: Pediatrics
  3. S

    Wiki Pediatric Birth Control Visits

    I work in a Pedi office and some providers are prescribing birth control at well visits. These patients have no issues (dysmenorrhea or menorrhagia) they are just requesting to start the medication. I am receiving internal errors from our system prior to sending the claims out that we cannot...
  4. S

    Wiki Modifier JW

    If a patient requests a vaccine for a pediatric patient, Then the vaccine is drawn up but once taken back to the patient room the patient declines the vaccine, Can we use modifier JW to consider that waste? Has anyone seen this paid?
  5. J

    Wiki Prenatal Orthopedic visit for fetus with suspected clubfeet

    A pediatric orthopedic specialist saw the mother of a fetus who is suspected of having clubfeet per an ultrasound. The physician did not perform or view the US, only the US report. He recommended letting the office know when the baby was delivered and that they could bring the baby at that time...
    • JenniferEdwards
    • Thread
    • clubfeet clubfoot orthopedics pediatrics prenatal
    • Replies: 1
    • Forum: OB/GYN
  6. KHH

    Wiki breathing treatment documentation requirements

    I am in need of a source for breathing treatment documentation requirements. I have been asking my providers for a pre and post treatment description and now they want in it writing and proof of why i am asking. i cannot find anything, but to me it common sense to do a pre and post treatment...
  7. J

    Wiki Multidisciplinary Coding and Billing

    I code for a specialty peds group that works with children who have autism, feeding disorders, mental disorders, etc. The practice includes 2 MDs, 1 PhD, I LCSW, and 1 neuropsychologist. They have within their practice 4 mini-clinics to assess and treat 4 specific types of conditions of their...
    • Journey13
    • Thread
    • development and therapy interdisciplinary multidisciplinary pediatrics
    • Replies: 1
    • Forum: Pediatrics
  8. K

    Wiki administration for oral Dexamethasone

    Our pediatrician wants to bill J8540 for the oral medication; which I believe is accurate, but he also wants to know if there is a CPT / HCPCS available for administering the oral medication. I've reviewed the HCPCS 2018 book, and have only come across H0033, but it's under the Mental health...
    • khenry0829
    • Thread
    • coding advice needed dexamethasone help with coding/billing oral administration pediatrics
    • Replies: 0
    • Forum: Pediatrics
  9. A

    Wiki 99090 Analysis of clinical stored data

    Does anyone bill this for reviewing a massive chart before seeing the patient, and if you do, does it get paid? Also what do you bill for it? Thanks in advance!
  10. B

    Wiki Frequency of 99462

    Does anyone know if you can bill 99462 for day 3 inpatient care and beyond?
    • bonnyr
    • Thread
    • 99462 newborn pediatrics subsequent newborn care
    • Replies: 1
    • Forum: Pediatrics
  11. S

    Wiki SCAT3 Screening

    Has anyone heard or been able to charge for the SCAT3 screening?
  12. P

    Wiki Looking for a coding position (remote would be preferable but if not, it's okay)

    Hello, I am CPC certified in ICD-9 and 10 and have two years experience in billing and coding for physician inpatient and outpatient settings, coding for different specialties such as pediatrics, cardiology, and internal medicine. If anyone is aware of any avaliable positions in the Northern...
  13. C

    Wiki Billing ills and wells together

    I believe there is some controversy on this. Our office is billing both for same visit and we are getting paid for it. I assume others are as well. For those that are comfortable with this my question is how do you determine the level of e/m? Do you look at the components and kind of subtract...
    • CRPedsCoder
    • Thread
    • billing e/m minutes pediatrics well visit
    • Replies: 11
    • Forum: Pediatrics
  14. M

    Wiki E/M Help!!!!

    I recently started a job at the University of Utah pediatrics department. I am having a little trouble with E/M code levels. Anyone have any tips to make E/M coding a little easier??? Any input is GREATLY appreciated! :)
    • malorykelina
    • Thread
    • e/m help pediatrics
    • Replies: 4
    • Forum: E/M
  15. S

    Wiki Question about coding and billing for covering physicians...

    I am in a bit of a bind and I am hoping someone can help me. The physician I bill for had another physician from another practice cover while out for vacation for 2 weeks. They made arrangements that the physician covering would bill out the claims. This physician's office billed the claims out...
    • sunchips
    • Thread
    • billing coding covering physicians pediatrics reciprocal billing
    • Replies: 2
    • Forum: Pediatrics
  16. P

    Wiki 94150 vs. 94200

    I work for Pediatricians who sometimes need to do a Peak Flow measure on children before and after medications are administered. 94150 (Vital capacity, total) is routinely being denied as included in 'another' service. Should we, perhaps, be using 94200 (Maximum breathing capacity, maximal...
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