User id : 79557 on "comparison code for an unlisted procedure"
The doctor did a percutaneous decompression of the humeral head and would like a comparison code, I could only find 62287 do you have any suggestions?
View ArticleSuperCoder on "billing"
Thanks for your question. G0434; Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test,
View ArticleSuperCoder on "comparison code for an unlisted procedure"
There is one S code for almost similar procedure on hip. S2325 - Hip core decompression. Some payers do not recognize S code. See if your can use it y
View ArticleUser id : 15080 on "cpt code 27766 with 27768"
when is it okay for these to be billed together? Our doc did ORIF for medial malleous fracture and closed manipulative reduction for posterior malleo
View ArticleUser id : 79557 on "Failed ACL reconstruction surgery"
The surgery that was done was an arthroscopically assisted femoral and tibial tunnel dowel allograft. Where the doctor removes the previous ACL graft
View ArticleUser id : 28709 on ""26055""
SO THE MODIFIERS ARE CORRECT ON THE OFFICE VISIT SINCE WE ARE BILLING THE 26055? THANKS, CINDY
View ArticleSuperCoder on "Failed ACL reconstruction surgery"
You would not use either code as they are open procedure codes and you are stating that this is a arthroscopic procedure. There is not an arthroscopi
View ArticleSuperCoder on ""26055""
Yes, Since 20550 bundles with 26055, you have correctly appended modifier 59 with 20550. No modifier needed with 26055. However, you need to check if
View ArticleSuperCoder on ""26055""
Yes, Since 20550 bundles with 26055, you have correctly appended modifier 59 with 20550. No modifier needed with 26055. However, you need to check if
View ArticleSuperCoder on "cpt code 27766 with 27768"
Thanks for your query. With the limited documentation provided in your query, according to NCCI edits, code 27768 bundles in 27766 and should not be
View ArticleUser id : 29720 on "BILLING FOR HOSPITAL DISCHARGE SERVICES"
I just read the article on billing for the Doctor's time during the patient discharge. If my Doctor did surgery on a patient, and they are there for
View ArticleSuperCoder on "BILLING FOR HOSPITAL DISCHARGE SERVICES"
No, you may not bill for discharge service, the post operative E/M or discharge care management that occurs within the designated global period and ar
View ArticleUser id : 18140 on "Code for arthroscopic wafer procedure"
Dx: Nutritional Type 2 TFCC tear. Proc: Arthroscopic debridement of TFCC tear (29846) & arthroscopic wafer procedure. What is the CPT code for the
View ArticleSuperCoder on "Code for arthroscopic wafer procedure"
There is no code for the arthroscopic wafer procedure therefore you will have to use the code 29999 (unlisted procedure arthroscopy). Hope this helps.
View ArticleUser id : 74622 on "Different Physician Partner, Post Op Period, Same Problem"
We have a patient in post op period having continued issue. Primary Surgeon does not know what else he can do for her and has referred her to a partn
View ArticleSuperCoder on "Different Physician Partner, Post Op Period, Same Problem"
If they are in the same practice and of the same specialty you cannot bill an E/M code during the post op period by any physician in the group. For
View ArticleUser id : 19175 on "modifier for code 97760"
I am getting a denial for a brace fitting/training code 97760 for missing modifier from Tufts Health plan. Is there a modifier that needs to be billed
View ArticleSuperCoder on "modifier for code 97760"
The allowed modifiers for the code 97760 are as follows. You should only assign a modifier if it is appropriate. I am not sure if any of these are app
View ArticleUser id : 74622 on "Thoracic Spinous Process Injection"
need help with this injection. One coder says 20552 the other says 62310....thanks
View ArticleSuperCoder on "Thoracic Spinous Process Injection"
You will need to determine where the injection was given. 62310 would be used when the provider injects a diagnostic or a therapeutic substance in t
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