cost of dues

Does anyone else wonder why the cost of our dues keep going up? I just wondered if anyone is as frustrated as I am with the cost of dues and little in return. The cost to renew other licenses such as nursing, xray, etc.... isn't nearly as expensive.

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How to charge for end of life discussion?

I am trying to file a claim for an inpatient hospital follow up (99232) and include in claim that the provider also had end of life discussion included at same time. I am not sure how to code for this and what modifier I would need to use. And also how often can you charge for end of life discussion. Please advise.

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billing for phone "visit"

With the increasing health scare of CoVid-19 we have many patients that do not want to come in to the office to be seen. Most of these are elderly patients and are not comfortable with video-chatting for a telehealth visit. They would like to just call and talk to their provider over the phone, most times needing Rx refills. Is there a code that we can use to bill for this other than 99441-99443?
Thanks for your help!

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Place of Service

If our office will be billing for cpts 99441-99443 and G2012 Telehealth. What is the correct place of service? I have searched, but could not find anything. I know it will be a 11 or 2, and I keep going back and forth. Thanks for any help in advance!

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Secondary Billing

I have a group of providers working in a virtual practice that are submitting claims under the virtual billing NPI to payers for the primary payment. The question is can these same providers submit claims to the secondary payer using their individual billing NPI, using the COB from the payment received billed by virtual billing NPI? This would result in the primary claim being paid to one practice while the secondary claim is being paid to a different practice, all for the same patient/same...

Secondary Billing

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patient problems

quick question how do you know when do you have a new patient problem, for example if i have an establish patient and he comes in for fever i have never seen him for fever is that a new problem? for the problem points and when would it be self limiting or minor?

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Cpt and modifiers

I work for a Podiatrist, who is constantly billing 11719 Q8 with ICD-10 code E11.49 and 11720 59 Q8 with ICD-10 codes L60.2 and E11.19 together to Medicare replacement plans. The 11720 is constantly being denied. My question is, can these two codes be billed together or are they considered bundled? If they can be billed together please advise which modifiers can be used and if the DX codes are correct. Thank you.

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Bilat Venous Stents

What is the correct way to code for multiple bilateral VENOUS stents in the lower extremities? Ex. Bilateral Common Iliac, Bilateral SFA, and Bilateral Anterior Tibial Stents.

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NCCI Edits

Code 26750 with 12001 There is an open fracture that was reduced and repaired - NCCI shows 1 - allowed with appropriate modifier is my understanding of what 1 means, however it states misuse of column two code with column one code. Would I use a 59 modifier or does it mean I can't bill together if it was an open fracture that was reduced?

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incident to when there is a new diagnosis

A patient sees the PA for follow-up on a the doctor's diagnosis and plan, but during the visit the PA diagnoses a new, unrelated condition. My understanding is that the visit cannot be billed incident to, but the doctors are giving me a hard time, stating that what matters is the condition the patient came in for. Who is right?

And another issue: The PA saw the patient for a suspicious lesion and did a skin biopsy. The result was skin cancer. So the PA documented his plan of care, the...

incident to when there is a new diagnosis

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Part-time jobs

Does anyone know of any companies hiring part-time CPC remote coders? All the listings I have seen are for full-time and most say CCS/RHIT, etc., not CPC. I would appreciate any information.

Melanie, CPC

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Covid-19 question

Hello,

Do you know when to use Z03.818 (encounter for observation for suspected exposure to other biological agents RULED OUT)? I am a little bit confused with this RULED OUT statement. I understand that after the evaluation, the ED provider needs to document that Covid-19 was ruled out. Do we need to wait for the test results that is Negative in order to use that code? Can you please let me know your opinion on this code?

thank you so much for your help,
Niki

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Diagnosis for NST

The NST record states the indication is "Leaking Vaginal Fluid."
NST results were "reactive."
Patient discharged to home.

What would you code as the reason for the visit?
I'm thinking either O47.03 (False Labor) because the sub-description is "Threatened labor." The patient must have been thinking she had SROM, so it was a labor check?
Or I'm thinking O26.89 (Other specified pregnancy related condition) with N89.8 (other specified noninflammatory disorder of the vagina)
Or perhaps O41.8X30...

Diagnosis for NST

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Help me on coding Z45.2/Z51.11

Can we code Z45.2 or Z51.11, If patient coming for central venous access needed for chemotheraphy, Patient having breast cancer

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Which grade to code

I'm new to pathology coding. The pathologist will often grade lesion or biopsies specimen that are dysplasia like VIN or VAIN as II/III. When they do that which one am I suppose to code the lesser or the greater? Is there a guide somewhere that can show me those kinds of guidelines?
Thank you
eyacoback

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Screw tightened but no hardware removed

Would you code 20680 -52 or unlisted and if unlisted what code would be comparable?

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Intestinal obstruction coding

Patient seen in follow up laparoscopy with lysis of adhesion for intestinal obstruction. What would be the ICD10 code(s) for this senario? Would you assign Z48.815 encounter for surgical aftercare following surgery on the digestive system and K56.609 for intestinal obstruction or just the Z48.815?

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Mod 52 and 22 hip revision

Hip revision of the head and liner only - 27134-52 but the doctor wants to bill 22 mod for obesity and took 1.5 hrs longer - how would you bill this?

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Optometry vs. E/M

The hospital I work for is changing the way we currently bill Ophthalmology visits, so I’m trying to learn which CPT codes to use (before the Doctor was choosing the codes to bill). My biggest question at the moment is how to know how to choose between optometry codes (92012 etc) or regular E/M codes? I’ve seen conflicting answers on this. Is it driven by the diagnosis or is it payor specific? Or maybe a combination of both?

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What is the BEST EMR System you have ever used?

Hello Everyone!

Just out of curiosity, what EMR system(s) do you prefer for outpatient coding (especially for orthopedic / neurological practices)? Pros and Cons would be great!

Thank You in advance!
Kim

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Hospital TELEHEALTH

good morning!
what codes would you use for hospital internal medicine taking care of COVID+ patients when providers can use telehealth

Would it be G0425-G0427?

Our office doesn't usually use HCPCS codes so wanted to make sure this was appropriate

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Help with a global denial for cpt 93290

Hi

CTCR MCR is denying in person device evaluation (93290) as global to the remote evaluation (93295) because it was performed within the 90-day period. Would a modifier be needed in this circumstance? I was thinking modifier -58? I am new to cardiology coding and could use some assistance. Thank you so much

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Transitional Care Managment thru Telehealth

Good Morning,
Quick question regarding TCM done thru telehealth. Well the office received a phone call stating pt was discharged 2 days ago which we called the following day speaking with patient to setup for televist with provider which took place 5 days from discharge. Well everything as far as the contact is good but running into a problem with the provider not stating the level of complexity in the documentation of seeing pt within 7 or 14, 99495/99496 he only documented how long the...

Transitional Care Managment thru Telehealth

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Modifier 95, GT, QT with telehealth services

Can anyone do a quick breakdown of modifiers 95, GT, and QT when attaching to 99201-99215 POS 2 for telehealth services. I am looking into them but a bit confused. Appears we would bill with modifier 95 for these e&m codes. We just started this today so I'm trying to gain as much information as I can. By the way, I work for a oncology/hematology visit, if that helps.

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Modifier 95, GT, QT with telehealth services

Can anyone do a quick breakdown of modifiers 95, GT, and QT when attaching to 99201-99215 POS 2 for telehealth services. I am looking into them but a bit confused. Appears we would bill with modifier 95 for these e&m codes. We just started this today so I'm trying to gain as much information as I can. By the way, I work for a oncology/hematology visit, if that helps.

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Per CMS, are we able to capture HCC gaps in TeleHealth (video) visits?

Hello,
I am needing clarification on whether or not we can assess HCC gaps during TeleHealth visits via VIDEO. We would like to continue to close HCC gaps, but with COVID, physical visits are very limited and TeleHealth visits are increasing. Are we able to close HCC gaps during TeleHealth video visit, if possible? Thank you so much for answering this question

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fracture care and telehealth

Good morning,

Can fracture care be reported via a telehealth exam?

Thank you

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SOAP

Do SOAP notes have essential components to be coded as E&M ?

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HEALTHCON

Hi so in the FAQ about healthcon they said times and dates would post soon as well instructions for connecting to conference. Has anyone gotten this information?

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Failed Angioplasty due to baloon rupture.

Good morning. During an AV shuntogram and angioplasty of stenosis at the venous anastomosis with the brachial vein the balloon ruptured due to extremely resistant stenosis resulting in incomplete plasty. Would a modifier 52 or 53 be appropriate in this case? Thank you for your thoughts and assistance.

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CPC / CPB bundle certification by March 20201 - suggestions

Good afternoon,
I am a new member to your chapter as well as AAPC for the certifications CPB & CPC. I have been in some form of medical field for 20+ years and eventually worked my way to billing and coding multi specialties to include Anesthesia/pain mgm,Radiology,Orthopeadic,Nephrology,Hospice, Pediatric Urgent Care . . . for a total of about 5+ years. I recently purchased the CPC & CPB bundle package and I am looking for suggestions on how to coordinate my assignments in order to...

CPC / CPB bundle certification by March 20201 - suggestions

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