https://www.aapc.com/discuss/threads/pump-analysis-w-reprogramming.4274/
Is it possible to charge a pump analysis w/reprogramming 5x on the same superbill? From what I understand the refill was done gradually because the pt was...
medical billingwikipumpanalysisreprogramming
https://www.aapc.com/discuss/threads/help-w-cfl-code.11029/
I am trying to code placement only of pledgets for cerebral fluid leak any suggestions would be appreciated Thank you
wiki helpmedical billingcflcodecoding
https://www.aapc.com/discuss/threads/pathology-coding-cmv.1802/
Hi everyone! Can someone please assist me with coding CMV. :eek: My understanding is that 87495, 87496, and 87497 are mutually exlusive of each other...
medical billingwikipathologycodingcmv
https://www.aapc.com/discuss/threads/templates-and-dictation.993/
I have a doctor that uses templates while he sees the patient and then uses these templates as "notes" when he dictates that evening. Here is my question...
medical billing codingwikitemplatesdictationforum
https://www.aapc.com/discuss/threads/mental-health-coding.11638/
I work in an outpatient psychiatry department of a hospital. Our LCSW and LCPC would like to start a Dialectic Behavior Therapy Group (DBT) and have asked...
mental healthmedical billingwikicodingforum
https://www.aapc.com/discuss/threads/help-with-asc.8450/
DOES ANYONE HAVE ANY MATERIAL TO SHARE FOR THE ASC SPECIALTY EXAM. I RECENTLY TOOK AND DID NOT PASS AND I THOUGT FOR SURE I WOULD PASS UNFORTUNTELY I DID...
wiki helpmedical billingasccodingforum
https://www.aapc.com/discuss/threads/medicare-statutorily-excluded-dx.7933/
Does anyone have an updated list of non covered dx's or a link that I can get to? Thanks in advance.
medical billingwikimedicareexcludeddx
https://www.aapc.com/discuss/threads/grovers-disease.1777/
Anyone know the ICD-9 for Grover's Disease? Also know as transient acantholytic dermatosis.:confused:
medical billingwikigroverdiseasecoding
https://www.aapc.com/discuss/threads/labiaplasty.3907/
Please Help! Does Anyone Know The Cpt Code For This. We Were Thinking Of 15839 But The Physician Says "that's Not Good Enough"... Anyone Have Any Other...
medical billingwikilabiaplastycodingforum
https://www.aapc.com/discuss/threads/incident-to-question.25092/
Would anyone know if you can bill out Physical Therapy services as "Incident to" if the therapist is contracted by us and is doing the PT in our office...
medical billingwikiincidentquestioncoding
https://www.aapc.com/discuss/threads/senator-proposes-indefinite-delay-to-icd-10.75283/
The fight over ICD-10 implementation has taken a new turn..... Senator Tom Corburn from Oklahoma has filed a white paper proposing that ICD-10 be delayed...
medical billingwikisenatorindefinitedelay
https://www.aapc.com/discuss/threads/laparoscopic-appendectomy.618/
My Dr. Performed A Laparoscopic Appendectomy. Appendix Was Normal By Pathology. Dx Turned Out To Be Pelvic Inflammatory Disease. Can Someone Tell Me...
medical billingwikilaparoscopicappendectomycoding
https://www.aapc.com/discuss/threads/urgent-care-does-anyone-know.5880/
Does anyone know where can I find specific information about Urgent Care billing and coding?
urgent caremedical billingwikianyoneknow
https://www.aapc.com/discuss/threads/ed-visit-and-hand-surgery.4285/
I sent a claiml into Medicare that was denied. Patient was seen in ED as a consult and hand surgery was performed. 99255 26615x2 26410x2 51 Dx code...
medical billing codinghand surgerywikivisit
https://www.aapc.com/discuss/threads/incisinal-biopsy-axillary-mass.11299/
Patient ghad an incisional biopy of axillary mass as well as right arm bass , . My question is would it be:confused: cpt code 240654- and axillary mass...
mass medicalwikibiopsyaxillarybilling
https://www.aapc.com/discuss/threads/knee-x-rays-bilateral-verses-of-images.30810/
My name is Pat and I trying to figure out how to correctly bill bilateral knee images. Our physicians here do a lot of views standing, and knee sunrise...
x raysmedical billingwikikneebilateral
https://www.aapc.com/discuss/threads/bariatric-surgery.4123/
When My Surgeon Performs Only A Lateral Gastrectomy On A Patient Who Cannot Have Other Weight Loss Procedure Because Of Medical Conditions, Is 43843...
bariatric surgerymedical billingwikicodingforum
https://www.aapc.com/discuss/threads/uhc-denials-on-e-m-codes.17616/
We have been getting denials from UHC stating the OV is bundled into the pulse ox 94760 and spirometry 94150. I would think they would deny the tests and...
medical billingwikiuhcdenialscodes
https://www.aapc.com/discuss/threads/screenings-on-pregnant-patients.15765/
Hello, My question is if a patient comes in for screening for strep b or any other screening like gonorrhea or chlamydia and that patient is pregnant do...
medical billingwikiscreeningspregnantpatients
https://www.aapc.com/discuss/threads/pseudoaneurysm-post-catherization.8214/
Hi All, How do u code pseudoaneurysm common femoral artery post cardiac cathertization and cabg? 997.2 or 997.2,442.3 or different altogether...
medical billingwikipseudoaneurysmpostcoding
https://www.aapc.com/discuss/threads/surgery-guidelines-on-new-patients.2469/
Hi, I work in family medicine and we had a scenario come up and were unsure how to handle it nor could we find any supportive information online. The...
new patientsmedical billingwikisurgeryguidelines
https://www.aapc.com/discuss/threads/documentation-issue.1633/
I work for a maternal-fetal medicine doctor who refuses to do his consults properly. He won't do any physical exam, history etc., and only spends about 5...
wiki documentationmedical billingissuecodingforum
https://www.aapc.com/discuss/threads/using-v58-1x-as-primary.5084/
I'm trying to find any other oncology clinics in MO or actually anywhere that gets paid by using V58.11, V58.12 or V58.0 as primary. I've been trying to...
medical billingwikiusingprimarycoding
https://www.aapc.com/discuss/threads/93005-and-93017-w-mod-25.4534/
We've run into quite some debate on this particular subject. So the question is since 93005 is a component of 93017 but the results of the EKG is what...
medical billingwikimod
https://www.aapc.com/discuss/threads/picc-line-placement.8299/
OK---WHAT IS THE CODE FOR A PICC LINE PLACEMENT--???? THIS IS FOR AN ASC----(HOPE I SPELLED THIS RIGHT!!!):confused:
picc linemedical billingwikiplacementcoding
https://www.aapc.com/discuss/threads/dental-block.4886/
If pt. presents to the ER with a toothache and the ED physician performs a dental block, what CPT code would you use? 20600?
dental blockmedical billingwikicodingforum
https://www.aapc.com/discuss/threads/dislodged-lasik-flap-repair.12207/
Has anyone coded (cpt and icd-9) for this procedure? Patient had corneal laceration which dislodged the lasik flap. Physician elevated the flap, irrigated...
medical billingwikilasikflaprepair
https://www.aapc.com/discuss/threads/2-day-nuclear-stress-help.22093/
I was given the following codes 78464, 78465, 78478, 78480, 93015, A9505 x 2 and J2785 on a billing sheet with the notation "this is a 2 day study" &...
nuclear stressmedical billingwikidayhelp
https://www.aapc.com/discuss/threads/closed-reduction-and-application-of-long-arm-cast.18668/
Hello, Can someone help find the appropriate code for the following report?: ( it is both bones, I just was unsure if the physician would have to specify...
closed reductionlong armwikiapplicationcast
https://www.aapc.com/discuss/threads/ed-visit-and-op-procedure-on-same-day.140571/
Our gastro DR visited the patient in the ED, after review of pt decided to bring them to the "endoscopy suite" (outside of the ED) on the same day for EGD...
wiki edvisitopprocedureday
https://www.aapc.com/discuss/threads/payor-specific-guidelines.5191/
Does anyone know how to get the payor specific guidelines for each ins. co.? I know they are all a little different than others, but it would help us to...
medical billingwikipayorspecificguidelines
https://www.aapc.com/discuss/threads/dx-help.10798/
Could some please enlighten me re:a dx code for previous biceps tendon tear. Patient is having surgery on his shoulder 29826 for impingment and 29824 for...
medical billingwikidxhelpcoding
https://www.aapc.com/discuss/threads/correct-cpt-for-c-spine-x-ray.10641/
CERVICAL SPINE INDICATION: Status post ACDF. FINDINGS: AP, lateral, and oblique views of the cervical spine were obtained. Comparison study of...
c spinex raymedical billingwikicorrect
https://www.aapc.com/discuss/threads/perq-thrombectomy-primary-or-2ndary.6483/
I apologize in advance for the length, but I am having a bit of trouble determining whether the thrombectomy procedures described within the op report below...
medical billingwikiperqthrombectomyprimary
https://www.aapc.com/discuss/threads/gc-modifier-with-90801-90899.9013/
Hi, Can someone tell me if a GC modifier can be attached to codes 90801-90899? Also if you have any supporting documentation/links that would be great...
medical billingwikigcmodifiercoding
https://www.aapc.com/discuss/threads/seminars-on-coding-op-notes.2755/
Good Day, I was wondering if anyone knows of any upcoming semiars with respect to coding op notes, I know that AAPC has one but it's not until Aug 08, I...
medical billingwikiseminarcodingop
https://www.aapc.com/discuss/threads/lap-cholecystectomy-hernia-found.25090/
Im not certain about this but if a Lap Cholecystectomy is done and during the procedure a hernia is found and doc does an incisional ventral hernia...
medical billingwikilapcholecystectomyhernia
https://www.aapc.com/discuss/threads/independent-certified-coder-needed.8019/
Note: The following project was submitted by a non-member. Contact details are located below the project description if you are qualified and interested...
medical billingwikiindependentcertifiedcoder
https://www.aapc.com/discuss/threads/is-this-enough.10532/
Pt comes in two weeks after a cystoscopy with urethral catheterization to review the findings and discuss a plan. No physical exam is performed. No HPI...
medical billingwikienoughcodingforum
https://www.aapc.com/discuss/threads/asc-billing-modifiers.10724/
Does anyone have any insight to using modifer 51 for ambulatory surgery billing? We were advised not use 59 anymore but not quite sure 51 is appropriate for...
asc billingwikimodifiersmedicalcoding
https://www.aapc.com/discuss/threads/two-procedures-which-global-period.3108/
Happy Good Friday All, I do the coding for a vein center and they often perform Endovenous ablation therapy... (36478) and Stab Phlebectomy of varicose...
medical billingwikitwoproceduresglobal
https://www.aapc.com/discuss/threads/group-counseling-for-smoking-cessation.32187/
I have a provider who would like to do group counseling for smoking cessation. She is a LCSW. What would be the appropriate code to bill for this type of...
group counselingsmoking cessationmedical billingwikicoding
https://www.aapc.com/discuss/threads/medicare-29875-29877.11618/
Medicare patient had a medial meniscectomy with synovectomy and chondroplasty done in the patellofemoral compartment. Does the chondroplasty take precedent...
medical billingwikimedicarecodingforum
https://www.aapc.com/discuss/threads/help-with-implant-removal.73856/
My doctor removed a patellar component and didn't replace it. What cpt code would I use for the implant removal? I am thinking 20680 but not sure if that...
wiki helpimplant removalmedical billingcodingforum
https://www.aapc.com/discuss/threads/global-period.72594/
On a 10 global period, the provider that did the procedure sends the patient to a specialist for evaluation and it is still within the global period, can...
medical billingwikiglobalperiodcoding
https://www.aapc.com/discuss/threads/t5-modifier.8115/
If a patient comes into the office and we perform an x-ray on the right foot, great toe, do we use modifier "RT" or "T5?" The practice administrator is...
medical billingwikimodifiercodingforum
https://www.aapc.com/discuss/threads/sculptra-juvederm-restylane.69043/
Does anyone know the HCPCS for Sculptra, Juvederm, Restylane? I have located Q2027 for Sculptra. Also, please share reimbursement trends when billing 3rd...
medical billingwikisculptrajuvedermrestylane
https://www.aapc.com/discuss/threads/pre-op-clearance.31301/
Patient is being seen for pre-op clearance and has no chronic conditions or medications. Basically the patient is perfectly healthy. He has a commerical...
pre opclearance medicalwikibillingcoding
https://www.aapc.com/discuss/threads/consult-in-the-er.3186/
My doctor was asked to consult on a patient in the ER.. He admitted the patient to the hospital. Do I use an ER consult or In patient admit? We are...
medical billingwikiconsultercoding
https://www.aapc.com/discuss/threads/medicare-pay-for-discharge-after-surgery.9714/
OK. Patient comes in for surgery that has a 90 day global period. The surgeon discharges the patient a few days after surgery. Medicare denies the "Hospital...
medical billingwikimedicarepaydischarge
https://www.aapc.com/discuss/threads/ua-test-81002.74694/
Would you charge for the UA 81002 test if the doctor could not read it due to being Pyridium stained? My urologist perform these in the office.
medical billingwikiuatestcoding
https://www.aapc.com/discuss/threads/transnasal-endoscopic.4841/
I will be billing out the CPT 43200, if any one can give me some insite on this code and if they are having problems getting this paid. We just purchased...
medical billingwikiendoscopiccodingforum
https://www.aapc.com/discuss/threads/new-modifier-92.2745/
I just read my Coding Edge March 2008 edition. I have a question re: article on Modifier 92 on page 42. Reading the article I see I will have to use this...
medical billingwikinewmodifiercoding
https://www.aapc.com/discuss/threads/ktu-kennedy-terminal-ulcer.13784/
Does anyone know if their is a dx for Kennedy terminal Ulcer? Thanks, Deanna Williams CPC
medical billingwikiktukennedyterminal
https://www.aapc.com/discuss/threads/need-dx-for-tendinosis-of-achilles.13555/
What ICD-9 code would you use for Chronic Achilles Tendinosis?:confused:
medical billingwikineeddxtendinosis
https://www.aapc.com/discuss/threads/modifier-78-now-that-modifier-78-description.2176/
Now that modifier 78 description has changed to read... Unplanned return to the operating/procedure room by the same physician following initial procedure...
medical billingwikimodifierdescription
https://www.aapc.com/discuss/threads/diabetes.9494/
Does a Family Physician need to be accredited by some organization in order to proved these services. G0108 - Diabetes outpatient self-management...
medical billingwikidiabetescodingforum
https://www.aapc.com/discuss/threads/follow-up-and-discharge.28127/
I have a patient who was admitted 5/24/09, physician billed a level 2 follow-up for DOS: 5/27/09. The patient was also discharged by the same physician to...
medical billing codingwikifollowdischargeforum
https://www.aapc.com/discuss/threads/screening-mammograms.9284/
:confused: Attention all Radiology Experts out there! Can you help with something regarding screening mammograms (cpt 77057) with ABNORMAL FINDINGS OR...
medical billingwikiscreeningmammogramscoding
https://www.aapc.com/discuss/threads/shave-removal.1906/
What is the difference between a shave removal and an excision by shave method? 11300-11313 vs. 11400-11646.
medical billingwikishaveremovalcoding
https://www.aapc.com/discuss/threads/immigration-physical.6154/
Does anyone have any information (documentation guidelines or coding guidelines) for "immigration physicals". Our hospital-based physician offices see...
immigration physicalmedical billingwikicodingforum
https://www.aapc.com/discuss/threads/fyi-global-period-for-er.14263/
In addition, this modifier is not required with CPT codes 99281-99285. These codes are also automatically excluded from the global surgery package. This...
medical billingwikifyiglobalperiod
https://www.aapc.com/discuss/threads/epoetin.5387/
Is anyone having trouble with the Epoetin labs J0885 and J2916? Primarily with MCR. Please let me know it would be a great help. Thanks, Stephanie You can...
medical billingwikiepoetincodingforum
https://www.aapc.com/discuss/threads/anticoagulant-management.14249/
I am needing more specific information on CPT codes 99363 & 99364. Can ancillary staff bill for these codes or are they specific to a physician or NPP? If...
medical billingwikianticoagulantmanagementcoding
https://www.aapc.com/discuss/threads/open-repair-of-tfcc.5416/
:confused: My doc performed an ORIF of ulnar styloid fracture and repair of TFCC...can anyone help with the coding of this? Would you code 25652-22 or is...
medical billingwikiopenrepairtfcc
https://www.aapc.com/discuss/threads/physician-orders.14835/
Here is my issue. The primary md I work for receives a ton of orders to sign daily. Some patients are receiving care from a Home Health agency and others...
medical billingwikiphysicianorderscoding
https://www.aapc.com/discuss/threads/vitals-signs.76888/
Dear friends,can we consider vitals signs(its mentioned in seperate column) as a ROS bullet point in Constitutional column, please clarify
medical billingwikivitalssignscoding
https://www.aapc.com/discuss/threads/need-aapc-position-on-coding-for-antenal-screeing.74736/
Need feedback on coding for antenal screeing Our OBGYN business office manager was told by BCBSMN to only use V22.0 - V23.9 codes on our routine antenal...
wikineedaapcpositioncoding
https://www.aapc.com/discuss/threads/copd.9090/
Hi everybody i need some clrification regarding ICD-9 cm selection COPD and emphysema please . Thanks
medical billingwikicopdcodingforum
https://www.aapc.com/discuss/threads/exploratory-laparoscopy.5963/
I'm having trouble finding appropriate code for exploratory laparoscopy with evacuation of hematoma following a laparoscopic cholecystectomy done 2 days...
medical billingwikiexploratorylaparoscopycoding
https://www.aapc.com/discuss/threads/coding-colonoscopies-egds.1348/
I have a situation. I am still new at this coding thing...so bare with me. I work for a Gastroenterologist and he wants me to code a Colonoscopy with biopsy...
medical billingwikicodingcolonoscopiesegd
https://www.aapc.com/discuss/threads/lap-gastric-bypass-and-lap-hiatal-hernia-repair.74250/
Does anyone bill both Gastric Bypass (43644) and Hiatal Hernia Repair (43281) together? If so, do you use a -52 on the hernia repair? Thank you...
gastric bypasshiatal herniawikilaprepair
https://www.aapc.com/discuss/threads/regional-conference-kansas-city-sept-25-27-2008.2415/
:D I have exciting information to share with all of you. This information will be available under the Conference Link sometime in April, but I wanted to...
regional conferencekansas citywikiseptmedical
https://www.aapc.com/discuss/threads/exploratory-laparotomy.12507/
provider did an abdominal hysterectomy and now he had to go back to the OR and do an exploratory laparotomy with evacuation of a pelvic hemorrhage. i am...
exploratory laparotomymedical billingwikicodingforum
https://www.aapc.com/discuss/threads/zubco.18634/
We are fairly new to orthopaedics coding and billing. One of our providers has indicated he can bill a consult and fracture care and has indicated this...
medical billingwikicodingforumaapc
https://www.aapc.com/discuss/threads/lat-effects.14044/
I am having a little trouble understanding how to code late effects. Can anyone put into simple terms how to code for late effects? For instance, how would...
medical billingwikilateffectscoding
https://www.aapc.com/discuss/threads/aortic-valve-mass.16668/
How do you code for removal/debridement of an aortic valve mass. These were done during other heart surgeries. "Aortic Valve debridement of papillary...
aortic valvemass medicalwikibillingcoding
https://www.aapc.com/discuss/threads/93295-and-93296-check-their-defibrillator.19017/
We have two patients that we have to check their defibrillator every day for 6 weeks while they are receiving radiation. They are receiving the radiation...
medical billingwikicheckdefibrillator
https://www.aapc.com/discuss/threads/radiology-coding-and-coderyte.10669/
Is there anyone working in radiology coding who also uses CodeRyte? We currently use CodeRyte for emergency medicine coding but would like to talk with...
medical billingwikiradiologycodingforum
https://www.aapc.com/discuss/threads/induction-of-delivery-for-19wk-fetal-demise.131286/
If a delivery was induced at 19wks for an intrauterine fetal demise, is the delivery coded 59400? Thank you.
fetal demisemedical billingwikiinductiondelivery
https://www.aapc.com/discuss/threads/or-fluoro-charge.17259/
When using the c-arm for a surgery case in the OR. There is a code for fluoro over and under one hr. Do you charge for the amount of time the tech is in the...
medical billingwikifluorochargecoding
https://www.aapc.com/discuss/threads/aaa-ultrasounds.2537/
Our office is doing AAA Ultrasounds and were under the impression that we needed to bill Michigan Medicare for a G0389 for a screening code and using the...
medical billingwikiaaaultrasoundscoding
https://www.aapc.com/discuss/threads/primary-care-coder-needed-birmingham-alabama.70549/
Prepare bills or invoices, and record amount due for medical procedures and services. Contact patients in order to obtain or relay account information...
primary carebirmingham alabamamedical billingwikicoder
https://www.aapc.com/discuss/threads/can-anesthesiologist-bill-for-critical-care.9959/
Here is the senario. The patient is in for a repeat c-section and starts to hemorrage. The baby is delivered by 2 OB-GYN Dr's and the patient had a...
critical caremedical billingwikianesthesiologist
https://www.aapc.com/discuss/threads/93237-vs-93228-cardiac-monitoring.15319/
Does anyone have any guidance for billing for cardiac monitoring code 93237 ? What about code 93228? Sandy Rieckman Grand Rapids Michigan
cardiac monitoringmedical billingwikivscoding
https://www.aapc.com/discuss/threads/insurance-reimbursement.13426/
Just saw a couple of eob's from a southern california surgery center. They had billed Knee Scope, Hammertoe, and ENT procedure. Reimbursement on scope was...
insurance reimbursementmedical billingwikicodingforum
https://www.aapc.com/discuss/threads/fish-hook-removal.10142/
I work for an urgent care center and we had a patient come in with a fish hook in his finger. The physician gave the patient a digital block and then used...
fish hookmedical billingwikiremovalcoding
https://www.aapc.com/discuss/threads/spirometry-pulse-ox-and-demo.4587/
We are having trouble consistenely getting CPT 94010, 94664 and 94760 paid whether we use a modifier(s) or not. What is the best/correct way to get these...
medical billing codingpulse oxwikispirometrydemo
https://www.aapc.com/discuss/threads/expert-coder-needed-ft-lauderdale-florida.18599/
Note: The following project was submitted by a non-member. Contact details are located below the project description if you are qualified and interested...
ft lauderdalemedical billingwikiexpertcoder