I got hired!

Hey, all. I embarked on this career path in April of this year. August marked 6 months of being unemployed for me. As of a couple weeks ago I completed my billing/coding course. I knew from the start finding a job could be incredibly difficult. I also knew the job market in my smaller city could be a problem. As it turns out, it was.

After a few weeks of checking multiple times a day for the position I wanted it was just never there or they wanted more than I could give them, so I expanded...

I got hired!

* This article was originally published here

Passed my CPC

Hi everyone!
So I recently just passed my CPC exam! YAY!! A real sigh of relief, for a moment, because we all know that this isn't the end. I noticed that on my profile I have an A for apprentice. I just purchased a course to help me gain knowledge of real life situations to get up to CPC-P. I wasn't sure who would hire a newly certified coder, so I took matters into my own hands and decided that this is best for the next step.
So, what I was wanting to ask, was if anyone knew of companies...

Passed my CPC

* This article was originally published here

Medicare Reimbursement for NTAP (New Technology Add-on Payment)

I'm seeking someone with experience billing an NTAP (a New Technology Add-on Payment) for a Fee-for-service Medicare inpatient procedure.
How is the NTAP reimbursed by a Medicare Administrative Contractor, please -- is it a lump-sum payment, one time per ICD-10-PCS code?

Thank you

* This article was originally published here

Billing 96127 & 99406

Good Morning!

I have previously billed 96127 and 99406 together on same day with E/M, and only 1 was paid. I put 25 modifier on E/M. I also put the appropriate dx on each one. Should these both be paid on the same day as E/M? If they are, what modifier on which? if not, can you point me in the direction as to where it says they can not be billed together? I have tried every way I can think of and no insurance has paid for this in the past. I would appreciate any help! Thanks in advance!

* This article was originally published here

ICD 10 Coding trouble

Does anybody know what this ICD 10 diagnosis code would be?

This was taken directly from the hospital records: BLE weeping venous stasis dermatitis/ulcer R >L: suspect hypoalbuminemia and may have had more clot burden prior to initiation of Eliquis for Afib. Suspect thigh edema is due to displacement from lower extremities.

Any help would be appreciated!

* This article was originally published here

87426 Rapid COVID Lab

Has anyone heard when (date) Medicare will be processing/releasing COVID rapid lab test 87426 that was released on 06/25/2020 for reimbursement?

* This article was originally published here

CPT code 99232, 99233 being bundled with 99239 back in January 2020

Hi,

There was a bundling edit when using CPT code 99232 and 99233 with 99239 back in January of 2020. However, if you enter today's date and enter these codes there is no longer any bundling edits. We however are still getting denials in using 99232 with 99239, or 99233 with 99239. Am not sure why the edit is no longer there on AAPCs website when entering these codes as they are being still denied.

Please respond ASAP as I have sent 2 emails previously to this thread as I was told...

CPT code 99232, 99233 being bundled with 99239 back in January 2020

* This article was originally published here

Monobloc osteotomy

Hi-

I work for a craniofacial surgeon and he is going to perform a monobloc osteotomy with facial bipartition along with other procedures. I'm having no luck finding codes for the monobloc. It is closely related to a Lefort but it's different, so I'm not sure where to go. If anyone has any ideas or suggestions, I would truly appreciate the help.

Thanks so much- Denise G.

* This article was originally published here

EEG CODING

CAN CPT CODE 95816 BE PERFORMED IN CONJUNCTION WITH CPT CODE 95715 ON THE SAME DAY?

* This article was originally published here

29806 - Superior Capsular Reconstruction

Hi, the surgeon wants me to code this surgery with 29806 and I don't think the documentation justifies that. Help!

Description of Procedure(s):

Patient was taken the operating the supine position after excellent general anesthetic patient was placed in semisitting position right upper extremity clearly shoulder was prepped and draped in usual sterile fashion. Shoulder was placed through passive full range of motion there is no instability. Right shoulder was arthroscoped with a 25 degree...

29806 - Superior Capsular Reconstruction

* This article was originally published here

Would CPB help open doors for would-be coders?

I am not CPC certified, but with difficulty finding coding employment even with certification, has anyone tried to take the medical billing course to help with finding employment just to get foot in the door? Thanks.

* This article was originally published here

Periprosthetic fracture with ORIF

is this 27236? the fracture is in the shaft

POSTOPERATIVE DIAGNOSIS: Right hip periprosthetic fracture. PROCEDURE PERFORMED: 1. Right total hip arthroplasty revision. 2. Open reduction and internal fixation, right femur. IMPLANTS USED: 1. Stryker MDM liner to fit 54 mm cup. 2. Stryker restoration modular cone/conical construct with 15 x 155 conical stem and 23+0 proximal body. 3. A 28 mm Biolox +4 femoral head with X3 outer...

Periprosthetic fracture with ORIF

* This article was originally published here

11983 vs 20704, 20705

Patient has problems with infection in his knee - provider did an arthrotomy and put in a static antibiotic spacer. Now he is taking the spacer out and putting a new one in and doing a temporary knee fusion. Was going to bill 20705 for removal and 20704 for the new one with the knee fusion code. They do not bundle in vitalware but per CPT book the fusion code is not listed as a CPT code to be used with the 20704/20705 codes. Would you use the old code of 11983 for removal and reinsertion...

11983 vs 20704, 20705

* This article was originally published here

CCM - Chronic Care Management questions

Hello all,
Our office would like to start billing for CCM and in looking at all the information out there, I still have some questions that I hope someone may be able to answer or direct me to help get the correct answer(s). In the questions below, let's assume we do have the patient's verbal or written consent, the patient does have 2 or more chronic conditions documented, these are Medicare patients and we would have a Chronic Care Management Coordinator that would call these patients to...

CCM - Chronic Care Management questions

* This article was originally published here

CPC exam results 2020

I took the CPC certification exam on August 1st and I still haven't heard if I've passed or not and today is August 17th. Does anyone know how long grading is taking due to COVID-19?

* This article was originally published here

What does "comma" in an index entry mean?

Hypothyroidism has a subentry for subclinical, iodine-deficiency related. Thrombocytosis, essential is an entry. Do the terms after the comma need to be documented/part of the diagnostic statement? I haven't found an official ICD-10 convention for this. AAPC seems to think the terms should be documented.

* This article was originally published here

Open Thrombectomy--2 times one session

Pt has a open thrombectomy of Popliteal, AT and PT. Pretty normal procedure. Surgery complete and patient is closed.

Before they leave the room, it is noticed the signal is completely gone.
Pt had to be reintubated, re-prepped, re-opened and the same procedure repeated. Again Thrombectomy of POP, AT and PT.

Can this second procedure be coded?

* This article was originally published here

ORIF distal radius fracture malunion

Hi everyone! I'm coding a "ORIF distal radius fracture malunion." Would this be 25400 (repair radius malunion) or 25607 (ORIF extra-articular radius fracture)? There are also no NCCI edits for these two codes, so could they theoretically be billed together?

Thanks

* This article was originally published here

92134 Denial

Our office is getting denied for CPT 92134 the only insurance that is denying this is Humana Medicare Adv. I have looked at the LCA's and LCD's to make sure the dx code I am linking to the CPT code is payable and they still continue to deny. Is anyone else having this issue? I'm not sure how to get them to pay?

* This article was originally published here

Copays for claims denied for timely filing?

I have searched and cannot find a straight answer on this. Any help would be greatly appreciated. I have worked in places that do both but I am hoping to find documentation that clearly states what is correct:
When a provider collects a copay at the time of service but the claim isn't submitted within the timely filing deadlines and gets denied; can the provider keep the copay or does it have to be refunded (or remain a credit on the patient's account)?
For providers that currently keep...

Copays for claims denied for timely filing?

* This article was originally published here

Removal of voice prosthesis

Procedure(s) Performed: Debulking Granulation ball and removal of indwelling voice prosthesis

Diagnosis: airway obstruction due to granulation tissue mass and indwelling voice prostheses partial extrusion

Description of Procedure(s):
Pt to OR - Positioned and draped - time outs performed - Pt s/p laryngectomy stomal airway 85% obstructed with extruding prostheses and granuloma ball - With trach collar an iv sedation and lidocaine in airway - the granulation ball and prosthesis was removed...

Removal of voice prosthesis

* This article was originally published here

Data Points/Independent Vis/Test billed profee on same day

Hello from California

Cardiology MD billed: 99214 + 93000.

List of lab results in side-header of clinic note - no mention in note of "I reviewed...".
Previously performed echo reviewed in chart, but not documented whether this MD performed/billed that previous echo or not. (would query)
EKG performed in clinic that day, read and billed by same MD.

4+ stable chronic diagnoses addressed, and nothing ordered other than the EKG which was performed and billed by MD same DOS, with...

Data Points/Independent Vis/Test billed profee on same day

* This article was originally published here

31020?

I've attached a redacted operative report, if someone can tell me if you would use 31020 for the underlined area on page 2. Thank you!

* This article was originally published here

Looking for a medical coding position OR a chance to get more coding experience

I have been looking for opportunities to use my education and acquire experience.

* This article was originally published here

Redo ORIF 5th metatarsal base

Good morning, I need help in coding both CPT and ICD-10 codes. I have a patient that had a non union of her 5th metatarsal base. I did an ORIF on it, 2 weeks after surgery she didn't listen to me concerning her non weight bearing status, she fell and broke the entire repair apart.

I need advice on what code I should use, what diagnosis as well as any modifiers needed to redo and re-bill this procedure.

Thanks Dr Buccilli

* This article was originally published here

Ethmoidectomy with frontal sinus exploration

DX: right chronic sinusitis

Procedure:
1. right ethmoidectomy with frontal sinus exploration
2. right maxillary antrostomy with tissue removal

Using a 0-degree endoscope, bilateral nasal cavity was examined and purulence was noted to emanate from the right maxillary ostia. Approximately 10 cc of lidocaine with epinephrine was injected into the uncinate area on the right. Using a Cottle knife, an uncinectomy incision was made and the uncinate bone was taken down using a straight...

Ethmoidectomy with frontal sinus exploration

* This article was originally published here

Online exam - failed

Hi everybody!
I took exam on Sunday night and Monday morning.
This is my fault, I knew, I was not fully prepared. I was taking practice exams through CCO, and was getting 65% and less. I just decided to take exam anyway. Honestly felt tired to be all the time in a phase of preparing to the exam.
So, my first part of exam was on Sunday, at 8pm. Before exam starts proctor reads rules, reminder - you cannot leave room, you have to have external cameras, no one allowed to enter the room, etc. I...

Online exam - failed

* This article was originally published here

Billing Secondary Insurance

When billing to secondary insurance, if the CPT code originally billed to primary is not recognized by the secondary can you change the CPT code?

* This article was originally published here

Need help on information about billing for case management, waiver and easy steps

I need help finding information on easy steps, waiver and case management billing? Need codes and websites please?

* This article was originally published here

Hi

Hi iam not able to edit my personnel information like mail id and phone number wt to do
And also iam not getting any mails from aapc

* This article was originally published here

flouroscopic guidance denial

Hi there, I am not very familiar with billing in pain management procedures and we received a denial I am unsure about. We billed in this order:
77002-59 ( all with G58.8)
64420-RT
64421-RT
J1020

The denial states "the related or qualifying claim/service was not identified on this claim"
I have looked everywhere, but don't see any exclusions on billing these codes together. Can anyone offer any insight?

Thank you

* This article was originally published here