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J
Can CPT code 33286 Removal of Subcutaneous Cardiac Rhythm Monitor be performed & paid in an office-based lab setting?
N
QUESTION I bill Company X 12345 Company Address Group NPI and Tax ID on Box 33.
Amerigroup does not have this company nor my provider INN. BUT has him individually INN under his individual NPI and Tax ID.
W9 reflects ABCDEFG H IJK, MD PA then of course doing business as Company X 12345 Company Address.
Can I bill the HCFA Box 33 with his ABCDEFG H IJK, MD PA name on it with his individual NPI and Tax ID#?
B
Hello,

We have some issues with our VA billing? Would you be available to assist us, we really need help! 09.18.2023 California
M
When does Modifier -26 apply to CPT 93623 in a hospital setting?
Hello everyone!
We work at a hospital where we've been receiving denials from insurance carriers that modifier -26 needs to be appended to CPT 93623 and associated codes due to programmed stimulation after iv drug infusion procedure performed in hospital setting for POS 21, 22, and 23 when performing electrophysiology ablation procedures.
J
Does anyone know about billing and the foreign exchange student? I have a claim they the patients address just says Australia but no city or postal code. Can I send the billing to the host family?
R
Question, Has anyone billed J0174 lecanemab-irmb, infusion for Alzheimer's disease Yet, and receive payment? The clinical documentation requirements seem a bit tedious.
T
I have just recently started to code for Sleep Studies. I am trying to confirm the date I use when I am entering the charge. Do I use the date of the Sleep Study or the date the physician interprets it? I am not having any luck finding anything. When I bill my PFT's I use the date of interpretation not the day of the test.
L
Hey Brittany, could you please help me? Select coder states that CPT codes 52330 and 52332 can be billed together, but our insurance carriers are not paying. Are you guys billing these codes together?
A
What is the current rule about keeping a deceased patient's records? Do we have to keep them if we haven't seen the patient in over seven years? Thank you
R
What is the best set of cpt codes for RUDAS, MoCA, Mini-Cog assessments by LPC/LCSW/LMFT licensure types mental health providers? Thank you!
K
CO-119 denials - We are an OBGYN office and are getting more and more of these denials. The PCPs in our area seem to not want to perform pelvic exams or pap smears and send patients to us. The problem is the annual exam/preventative code has already been billed elsewhere (PCP or another provider) and we are not getting reimbursement. We don't know how to avoid this situation......any suggestions??
J
My surgeon has been using 2 strips of bio-mesh for the hiatal hernia crural closure. Would this be CPT 43281 vs. 43282. This isn't' considered implantation of mesh, right?
D
hi, can anyone please help me with how to code for the laser hair removal sessions? and how does it affect the code selection when is it classified according to the area of the body treated or the no. of pulses or even the time consumed for the session?
thanks in advance
C
hi!! i am needing a little confirmation... prov stated that they were told to not add e/m code to a dermatology visit if it is only procedure codes, for instance 17004, 11310 & 11301.. is there something that i missed or is this bogus? pt in for follow up for a previous 17004, but also in doing the 11310 & 11301 that should have a e/m correct? just wanting to have my ducks in a row before i do anything
D
Good Morning - can someone confirm the correct way of billing the following codes for a 78 year old patient? 90732 (Pneumococcal) with G0009 administration code for 90732 and 90715 (Tdap) - do we bill a 90471 or a 90472? I am getting mixed answers. I have been told that G0009 is not considered a "first administration" code so we should bill 90471 for 90715 but when we do G0009 and 90471 bundle.
N
ny2scgirl
In this scenario I bill 90471 with 90715 and G0009 with 90732
G
Can someone tell me if the IVUS codes be billed for 37252 & 37253, when the dr just mentation this sentence;
Intravascular ultrasound was performed at the level of the left femoral veins, left iliac veins,
and inferior vena cava.
And we coded 36475-Lt, 36010-59, 37252, & 75820.
Can anybody tell me if the was coded correct?
T
Tenicajo
Hi, curious to see if you got a response going back and forth with a provider as well. From what I understand findings must be documented.
S
Cystogram. When the patient presents with the foley catheter already in place, would you still code 51600 for the injection? I have been given different instruction, one is you do not bill 51600 when the patient presents with the foley catheter already in place and another one states that you still bill 51600 but with 52 modifier for reduced services.
L
Hi, I saw your response regarding RPM billing. We are getting a bunch of denials for 99457 and 99458. Can you help please?
T
TThivierge
Hi Leah
Per the CPT manual yr 2023 pg 40 CPT 99457 & 99458 are out of sequence. It tells you to look at and use the CPT 99448-99454 Internet Phone consultations for QHP. You must have atleast speak to pt. 5 minutes, add minutes in record, tell in record type of media (phone, or video) and verify pt s info if go that route. CPT 99448 starts at 20 minutes. Whereas CPT 99446 starts at 5 to 10 minutes. :) Lady T
M
Does anyone have any suggestions on what to use for an external code for foreign body in eye & foreign body in ear? Any information would be greatly appreciated. Thank you
T
TThivierge
I responded..it is in the ICD10 manual S00.25 & dx T15 for eyes .Then dx T16 and S00.45 for FB in ears. :) Lady T
M
medicode3
Thank you so much. Those are the codes I came up with as well so we will go with those. Thank you Lady T.
K
Hi,
I just Passed my CPC exam with 82%, and saw my score on area of study. I knew I did really well (100%)without doubt in medical terminolgy, coding guidelines, and HCPCS. What are the chances for not having correct score since it's scantrons not corrected by actual person.
J
We've been having the same rejection for VFC. Clearinghouse advised we resubmit and the go through.
P
Hello,

I work with a general surgeon. Can I reach out to you if I need some coding guidance? I can pay per consult please let me know.

Thanks,

Shree
K
Hi,
I'm well experienced in US medical coding Specialization of HCC and RxHCC coding now i'm CRC credentialed entry as well auditing the records. Kindly let me know here the eligible criteria of USA remote Certified Risk adjustment Coder job.

Thanks,
MK
N
Does anyone have any Humana contacts? I am having issues with Humana unlawfully retracting our money.
M
Hello Sharon,
You've answered some of my questions in the past. I have posted on the forum but have yet to receive a response to my new questions. Hoping you can help me?

I bill for a Primary Care Family Practice. We are starting to do In-house X-Rays but they are being read outside of the office. Can the provider bill for both services? We do own the X-Ray equipment.
N
Hi! I was wondering if you had a list of Medicare covered radiology procedures that can be billed with R0075 or R0070? I can't seem to find an all inclusive list. Thank you.
T
TThivierge
Yes sent message but must bill that CPT R0075 with series 7000 CPT
A
I saw your reply post on thread asking to send resume if still looking for job. I also see your location as CA. my location is NJ. I am Looking for remote work and have facility coding experience in Path/Lab of 2 yrs. I am sending my resume to your provided email on that thread. please let me know about the availability.
C
Hello everyone, is the HCPCS drug code
necessary even when no payment from the payer is required?
R
Renee CPC
Yes, carriers do require the HCPC'S code to be submitted on the claim along w/NDC#, dosage, & units even when it's not supplied the office. We change charge amount to $0. then select (Y) on claim to include zero dollar charges on the claim for carriers to see the HCPC's code. You would still bill the administration code as well. Hope this helps. 🙂
N
Hello Everyone,


I recently passed my CPC exam and hold my CPC-a. currently looking for jobs or any volunteer work link where I can apply
J
Hello,yes I would appreciate if you show me an example, we have been sending letters explaining and showing where is that information but no luck
J
Non Admitting MD being to consult an observation patient (we are cardiologist) - should we continue to bill E/M based on Np or Established ( 99202-99205 / 99212 - 99215) and if Non medicare based on the AMA rules can we now bill 99252 - 99255
J
Greetings everyone and happy holidays, I am new to the medical coding field, I have completed the AAPC CPC course and will take the certification exam on 1/20/2022. I am seeking any information to get started working in a medical coding position. Thank you in advance
T
TThivierge
Hi Jumm
I d find out the local AAPC meeting in your area and try to network with members there. Good luck on your upcoming APC exam in Jan 2023.It is a exciting career
Lady T
P
I know we would normally post to the forum. I have and am not getting a response. You are very knowledgeable and I was hoping you could advise me. I have a speech clinic asking if they can bill out for a session with the parents without the child. I am unable to find anything. Do you know if there is a cpt code that would allow a speech session with the parents without the child?
S
Hello, I billed a colonoscopy: 45380 with Z80.0,Z86.010 and K63.5 and No modifier, Medicare denied claim with PR-49,N429 / Not covered because routine/preventive, Pt is a 70yo with last colonoscopy on 2021, With recommendation to repeat in 1 year due to larger and multiple polyps found, largest was 11mm and 12 polyps in the rectum. Is the 24 months for Medicare coverage?and is there anything that could be done?
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