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Mmborszich23@gmail.com replied to the thread Wiki Modifier needed with G0008.I don't think you are understanding my question. We billed the 90471 with another vaccine that does not use a G code. We also billed the 90661 with G0008. Mcr is bundling the G0008 with the 90471 and they say we need a modifier on the G0008.
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BHello, this cellulitis diagnosis is from a Bee sting that is noted in the HPI. Can I add the bee sting to the diagnosis if the provider does not state bee sting in the diagnosis and it is only noted it the HPI? Assessment/Plan Medical Decision...
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Mmsimko reacted to debatortho's post in the thread Wiki J1010 Depo-Medrol BILATERAL injections - MUE denial with
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On October 1, 2024 CMS assigned an MUE of 120 to CPT code J1010. Previous to this date, J1010 had no MUE assignment. Our physicians do 80 mg injections in a large joint and frequently do bilateral injections. So with the MUE assignment of 120... -
SShailyShah posted the thread Can empty space in hospital be utilized as outpatient setting? if yes what changes are needed to do so? if No, can you explain? in Billing/Reimbursement.Can empty space in hospital be utilized as outpatient setting? if yes what changes are needed to do so? if No, can you explain?
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You need the provider documentation. The coder is not allowed to select the code based on BMI. So even if "obesity unspecified, BMI 37" is documented, you would have to use the obesity unspecified code. -
SDoes anyone have a good ICD-10 for this diagnosis? A gastric ultrasound was done to make sure there was no food in the patient's stomach before proceeding with surgery. The best I could come up with is R63.8. Any and all suggestions are very...
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DWe've gotten some denials from BCBS stating "procedure inconsistent with modifier used or modifier is missing". We're billing a flu shot (90656) and the administration (90471), some of the denials are only a flu shot with no office visit, a...
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Bbdeb616 replied to the thread Wiki G0136 and Annual Wellness Visit.Yes, that is the information we have but have yet to have it paid. EOB states needs SDOH Z code. The bulletin for SDOH done with Wellness states any dx code used on the Wellness visit can be used. Guess we will wait and see if they start...
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Oocampbell43 posted the thread Question Covid Vaccine Coding Help in Medical Coding General Discussion.Hi All, Wondering if I might be able to get your input here, I'm not finding may resources online for the most up to date coding of covid vaccines and the administration of them. We are offering the spikevax option, from what I can find in out...
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RI have a provider who did an arthrodesis from T11-pelvis. He noted in his op note "T11-T12, T12-L1, L1-L2, L2-L3, L3-L4, L4-L5, L5-S1, and S1 pelvis". When I asked him how far he went down into the pelvis (sacrum) he told me that he went to the...
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Aadunlap23 replied to the thread Wiki Removal and replacement of antibiotic hip spacer..Hello, This is for a preauthorization code, so there is no op report... I read that we are to use 20680 if no primary procedure is associated with the add-on code. That wouldn't cover the insertion of the new spacer, though. I thought about...
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Mmkndevh@msn.com replied to the thread Wiki 2025 New CPT codes for Fascial Plane Blocks.Does anyone know if the Popliteal & Adductor Canal Nerve Blocks will be coded under the new 2025 CPT code 64473, since they are both fascial block injections? Any references or links? Thank you.
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KOh, my favorite topic :ROFLMAO: https://www.aaos.org/quality/coding-and-reimbursement/ https://www.aaos.org/quality/resident-guide-to-coding-and-practice-management/coding-reimbursement-for-residents/evaluation-management-coding/...
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Pphernandez@rosenfeldvanwirt.com posted the thread Medical Biller Position - Center Valley, PA in Employment General Discussion.Hello, We are looking for a medical biller in the Center Valley, PA area. The position is a hybrid position so being local to the area or surrounding area is a must. If interested please see the ad on Indeed...
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CCmama12 replied to the thread Wiki Coding BMI without associated DX.You need the provider documentation. The coder is not allowed to select the code based on BMI. So even if "obesity unspecified, BMI 37" is documented, you would have to use the obesity unspecified code.