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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?
P
Hi all,
I took the CPC 2022 online exam and did not pass. I am asking anyone who can offer a possible resource study guide to prepare myself for the next try at it. Any advice, I am open to... Any study guide for CPC exam or anything in addition to what I am using now. I am wanting to retake exam in December 2022
Thanks,
Cathy
S
I saw you answer a post about chronic care management and I have some questions. We are contracting with an outside company to take over our CCM program and we are differing on the requirements for billing. Would you be willing to talk about these questions?

Thanks!

Stacy
W
whaider
Hi Stacy,

What questions do you have about the billing requirements?

I can be of help if you want to discuss further please email me at mianmwaqar@gmail.com. Thank you
B
New Dementia codes
I have a provider who is saying that the patient is severe dementia with agitation and anxiety. I believe i should code both of those, but want to make sure before i do. I can't find anything that says I shouldn't.
A
Does anyone know how to go about getting CME credits for provider to provider trainings for clinical documentation? Can providers use an AAPC - approved CEU credit for CME?
nesrochelle7
New to the coding world.. really excited about what I’ve been learning and continuing to learn. It’s a lot of information to take in. I take my CPC exam in January, which I’m really nervous. I have these practice tests that I’ll give a try..if there are any suggestions to learning the guidelines in the code books I would greatly appreciate it. Stay tune 🫣😉
L
quick question is that still available if you paid for the purchase of one aapc cpc test, but failed you can still get into the system and reschedule without being charged?
jkyles
Hello, could you please tell me your email so I can send you the ICD-10-CM chart?
C
PROCEDURE: Open revision of left ileal ureter with placement of left renal stent, flexible cystoscopy, left native ureteral stent exchange (through open ureterotomy), intraoperative use of indocyanine green and near-infrared technology.
Can someone help on this. Thanks
Y
PROCEDURES:
1. EXAMINATION UNDER ANESTHESIA, PROCTOSIGMOIDOSCOPY. 45990
2. EXPLORATORY LAPAROTOMY, TAKEDOWN OF COLOVAGINAL FISTULA, SIGMOID RESECTION AND PRIMARY COLORECTAL ANASTOMOSIS.

POSTOPERATIVE DIAGNOSIS: RECTOVAGINAL FISTULA.

can some help me in2nd one how to code procedure. i see so many things done .is there any one code for all or do i need to code separately each one.
G
Hi, can someone please assist me in coding the following:

1. Complex repair of thumb wound by Volar Advancement Flap
2. Debridement of Devitalized Soft tissue left thumb
3. Bony Shortening of Distal Phalanx.
This was an ER case, thank you.
S
Hi, My name is Safi. I just wanted to learn Plastic Surgery Billing. I have seen your post. Can you please share with me the list of CPT codes plastic surgeons normally use, along with any material that can help me learn the basics? Thanks.
C
Hi Ree! Our chapter has a total of 6 meetings per year: 4 virtual and 2 in-person. The next upcoming virtual ones will be in September and October and the last one of this year will be in December and that's the in-person one. You will be sent an invite through email within 2-3 weeks of those events.
P
Hi all,
I took the CPC 2022 online exam and did not pass. I am asking anyone who can offer a possible resource study guide to prepare myself for the next try at it. Any advice, I am open to... Any study guide for CPC exam or anything in addition to what I am using now. I am wanting to retake exam in December 2022
Thanks,
Cathy
S
I have doubt in Hypertension vs hypotension coding? Here the senior Patient is came to the hospital to treat hypotension And given iv fluids. In past medical history Patient have hypertension, CHF, CKD. In this senior i have to code Combo codes? or Hypotension and CHF CKD. Can any one explain me on this senior with any reference please.
S
Requesting clarification regarding coding lumbar ddd with radiculopathy injecting at T11 due to anatomy to treat L1. Would you code as 62321 with M51.16? Patient only has lumbar pain and due to anatomy, injection can only occur at T11.

TIA
J
O69.81 Labor and delivery complicated by cord around neck, from which weeks this diagnosis applicable to code. I reviewed one report that 39.4 weeks patient's ultrasound states cord around neck. This applicable for all the third trimester weeks or from 35th weeks or from any specific weeks. Please guide
P
Meridian health plan IL keeps denying cpt 31579 needing a modifier?? it was done by an MD no surgery was involved. any suggestions?
N
hello guy, first time asking for help ---
i have a patient presenting with pain and dr is send pt to er for to schedule surgery same day as office visit as my dr as the performing surgeon -- how do i code this we are a gyn office -- usually i code 99215,57 but is there a better code to use ??? then i was going to do claim for outpt surgery-
thank for any help
C
Colonoscopy Question: When billing a SURVEILLANCE Colonoscopy with findings would you bill 00812 or 00811 with a 33 modifier?
T
TThivierge
Hi Cpg26b,
I d bill lab 88305 list where the bx came from in the colon, see dx block codes D12 and put Z12.11 on claim last. However if no findings with colonoscopy put Z12.11 as first dx code. Also if pt came to get colonoscopy cause he or she had reasons such as dx K59.89 or dx K92.2 dx R19.5 or dx K21.9 then put that first on the claim along with bx of polyps
Lady T
G
I'm excited about starting my new career. Having difficulty finding an entry-level position in coding and billing. I'm in the Beachwood and Chagrin Falls OH area. Want to have more experience with Project Xern can't find a facility does anyone have suggestions?
  • Like
Reactions: carlabhough@gmail.com
OpenClaims
OpenClaims
Do you have any coding experience yet? Most remote coding companies require their coders to have experience, because it can be difficult to train someone who is not in person in some cases. However, there are companies who do hire new coders. My suggestion would be to create a great LinkedIn page and start there. You can make great connections on LinkedIn and ease your way into a role that you find fit.
C
carlabhough@gmail.com
I am in the same position and growing weary.
T
ttamez
D
Colonoscopy question: What you would code for "Erythema in the gastroesophageal junction"?
R
Rosemariejmoore
What is the proper code to use for physician filling out FMLA paper work?
S
So there is an update for infertility codes - Cigna says they no longer accept Z31.41/ Z31.83 infertility testing - what are the new codes during the diagnosis phase? before we know what is going on with the patient- ICD-10 code that is acceptable.
V
Is there a CPT code that can be used to bill for a nurse calling for prior authorization for medications of patients (Example: Biologics like Tremfya)? Any help would be appreciated.
F
HI Jim,
May I have your email. Have question on one skin substitute case. if possible.
J
Jim Pawloski
I'm not good with skin substitute, please ask someone else.
T
Coverage is limited to screening services and does not include treatment options for depression or any diseases, complications or chronic conditions resulting from depression, nor does it address therapeutic interventions such as pharmacotherapy, combination therapy (counseling and medications).

Resource: CMS National Coverage Determination 210.9 – Screening for Depression
S
I am currently working on Practicode to have the A removed from my name, I would love to find a part-time job as a remote entry level coder.
M
Needs advice -- prolonged service codes at Pediatrics practice. does anyone experience please advice. thank you.
e.g. Pediatrician was seen 10 years old estab. pt face-to-face 115 minutes.
B
Need only telehealth POS for office setting as of 2022. Read it's POS 10? Is this for all video and audio only or also for audio only? Does cpt 99212-99214 and 99441-99443 need modifier -95. I can't find any new info on modifier -95
L
If my provider does a 99204 for adrenal insufficiency consult & the provider feels the patient needs hydrocortisone injection, but then also during the exam notices a nodular goiter and does a thyroid u/s, we can bill for both of those with modifier 25, so long as the injection and the u/s are documented in standalone notes?????
C
Hello everyone, When coding EM charts, what warrants the level 99285? Do a provider have to document HPI 4, Review of System 10 bullets, Exam 10 bullets and, Past, family and social histories.
T
Holly - take a look at Ensemble Health Partners website. The company are considering CPC-As for coding positions. They strive to employ the best and encourage career development for their employees. They are also a growing company, hence the need for more coders.
It would do no harm to submit a resume - please make sure it is accurate and grammatically correct though.
Thank you.
Andrew
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