oncology question

Can an oncologist order a low dose CT scan for a patient currently under her care? She has been told in the past that only a PCP can order and be paid for this. This seems odd to me because the results of the scan determine the course of care for her. Ultimately she would be treating him and managing his care if the results show recurrence or there are issues to be addressed.

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can someone give me list of all inpatient conditions/ diagnosis which can not be coded in outpatient coding?????

can someone give me list of all inpatient conditions/ diagnosis which can not be coded in outpatient coding?????

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RFA Lateral or Medial Bilateral

Can 64640 or 64635 be billed as bilateral procedures? Example: S1,S2,S3 bilateral or medial branch ablation 3 levels bilat.

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Sigmoid colectomy and end colostomy creation with ileocecectomy with end ileosto

Patient had massive distention of the entire colon as well as small bowel distention. Both the inferior aspect of the cecum and the terminal ileum approximately 15 cm upstream from the ileocecal valve were involved in a firm inflammatory or malignant mass associated with the sigmoid colon and posterior superior wall of the bladder. An en bloc resection was performed. This did not require a cystectomy as we were able to resect the lesion removing the posterior bladder peritoneum. Both ureters...

Sigmoid colectomy and end colostomy creation with ileocecectomy with end ileosto

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ICD-10 code for tight hamstring

Physical Exam: LUMBAR SPINE: Lumbar alignment is unremarkable to visual inspection with no asymmetries in sagittal or coronal plane. Full range of motion is noted with flexion and extension. No masses, step offs or deformities are noted. There is no PSIS, sacroiliac, piriformis or trochanteric tenderness to palpation noted. No midline pain with palpation or percussion noted. NEUROLOGIC EXAM: CN grossly intact. Gait is nonantalgic with well coordinated movements of all 4 extremities. UPPER...

ICD-10 code for tight hamstring

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PFSH statements

This might seem like a silly question, but I’m hoping someone might humor me anyways. I have seen records with a statement such as, “The following portions of the patient's history were reviewed and updated as appropriate: allergies, current medications, past family history, past medical history, past social history, past surgical history and problem list.” The record doesn’t list any of these areas separately or have additional documentation about these items. Would there be any credit...

PFSH statements

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NST CPT 59025

If a patient presents to the labor and deliver floor with an order to rule out labor, the patient receives a non stress test. From those results, the patient is admitted or discharged to the facility. Can the facility charge 59025 and the physician charge 59025-26? The pregnancy is not preterm and the mother is healthy. Can you offer guidance of when and when not this should not be charged? Also, if a facility has a policy in place, can a NST be a standard test to evaluate the pregnancy...

NST CPT 59025

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Coding question covid

I am the billing account manager for a neurologist in Atlanta. He is asking if he can test his church congregation for covid and receive reimbursement. The CPT code is G2023. If so, would it get billed for place of service?

Texas Deliveries

Needing help with our local Medicaid product denying our deliveries prior to 39 gestational weeks. Per the delivery note the patient has a 1st or 2nd degree laceration which is what we use for a diagnosis but it is not listed as a payable dx.
Has anyone else incurred similar challenges? If so how are you appealing these denials?

If you are coding a Pediatric Well visit 99392 and you also do a vision a 3yr old occular vision screen 99174, do you only apply the -59 on 99174?

If we are doing a Pediatric's Wll visit 99392 and we also do a 3yr old ocular vision screen 99174, do you only apply the -59 modifier? Has something changed and you also need to add the -25 modier to the 99392?

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