Coding Mirena

How would I code insertation of the mirena? Not sure about the Diagnosis can someone help me please?
99213-25
53000
J7298
99000
81025

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Can you perform an allergy test every year?

My provider is wanting to test some of his patients again but I am not finding information on how often this service can be provided. Can anyone help?

Thank you

Denise

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CT Cystogram

How would you code a CT Cystogram? It doesn't seem like you would code 51600 with 74430, since the exam was performed by CT.
I am questioning if 51600 and 72192 should be coded?
72192=Computed tomography, pelvis; without contrast material
51600=

Injection procedure for cystography or voiding urethrocystography

74430=

Cystography, minimum of 3 views, radiological supervision and interpretation

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Outpatient dialysis on an inpatient

Hello. We are a CAH and have an outpatient dialysis department. One of our patients is now an inpatient (not Covid related) and needs his dialysis. We cannot transfer right now because of Covid and hospital overcrowding. I have always been told that we cannot perform outpatient dialysis on an inpatient and that it was because it is a licensing issue. Does anyone know if there are any exceptions to that rule or even if it was a rule to begin with. I think our CEO is okay with providing...

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Career change from Veterinary Medicine to CPC-A

I have been a veterinary technician for 16 yrs and have recently received my CPC-A certification . I am looking for a coding position or a position that will utilize my newfound coding skills. I am located in central New Jersey. I have attached my resume.

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Cheat sheet help for coding spine surgeries in CPT format ? (ACDF, etc)

Hi,

I've searched all over the internet and I cannot locate a spine coding cheat sheet. Does anyone have one by chance?

I don't need the ICD-10 information, as I'm mainly looking for the CPT only side. I've seen several threads where people are requesting them via fax from other people, but the original posts are several years old. (So I'm not sure if those people are still active on here. )

Does anyone have one that could help with 22551/22552/22554/63075/63081 type stuff? (fusions...

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99211 modifier

Does 99211 require modifier -25 when 36416 (capillary blood specimen collection) is done?

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Unilateral screening mammogram

Hello, colleagues!
What is the appropriate way to code for a unilateral screening mammogram (post-mastectomy). I am aware that the provider can perform diagnostic mammograms for patients with history of breast cancer, but at this stage in the patient's remission the provider deems it is more clinically appropriate to do a screening. The 77067 screening mammogram code is bilateral by definition, and there does not exist a unilateral screening code. Is there any official position from CMS as...

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Exam in transit

I took the CPC exam on Saturday 9/15, and since Sunday night, it has been saying in transit to the AAPC. I know they said it could take up to 10 days to get the results, but how long will it generally say in transit? The waiting is driving me crazy. Pass or fail, I just want to know. Has anyone else had it say in transit for what seems like forever? Thanks.

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No Shows

When billing for fee for a no-show or late visit cancellation, which ICD 10 would youu use? This patient as never been seen at the office and therefore there is no valid diagnosis. Thanks.

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RE: CPCO resources

I am prepping for the 2019 CPCO exam and wonder if anyone who has taken it recently knows exactly what is allowed for the exam? It references OIG regulations under books but does not appear to list coding manuals and it does not say if you may print and bring items from the recommended resource list. I believe this was allowed in the past, but I am trying to determine if that is still allowed. I would appreciate any feedback. Thanks!

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G8730 & G9622

Our doctor always bill E/M with G8730 $ G9622 for Medicare claims. There are no payment for those G codes and I don't think we need to bill them. When I called Medicare, they don't know why those G codes are on the claim either. Anybody know if we need those 2 G codes on the E/M claims? Thank you.

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Question in regards to the 'A' in my certification

Hello!

I just passed my certification exam on 11/13/2020! I somehow missed the whole apprentice part of things. I am reading now that I need two years experience as a coder (with reccomendation letters) or 80 hours of CEU's in order to drop the -A from my certification. Do the classes that I took for obtaining my AA for coding count at all towards the CEUs that would be required?

Another question, when you get you CPC-A certification how do you find coding jobs when most positions...

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Help!!! Ambetter denials

I am suddenly getting denials from Ambetter where they are denying the physical cpt and paying the admin. I used 99395 =25, 90662 and 90471. They denied for bundling. Can someone help me please??

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Laparoscopic excision of mesenteric mass and peritoneal calcifation

Good morning,
I have a physician who performed a laparoscopy and laparoscopic excision of mesenteric mass along with an excision of peritoneal calcification. These were both removed laparoscopically through the same incision cite. Everything I am finding is directing me to CPT code 49203, but this says it is an open procedure. Do you know of any codes that might be a good option. I am also considering 49329, what do you think?

Thank you.

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CPB through AAPC or CPB through CCO

What are the Pro's and Con's of either program? Which is better?

CPB through AAPC
CPB through CCO, Certification Coaching, Org.

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CPC-A is looking for internship/job training

Hello, I am seeking a career in Healthcare Information Technology and highly motivated to become an asset to your team. I possess knowledge regarding CPT, ICD-10-CM, and HCPCS manuals, as well as familiarity with anatomy and physiology, medical terminology, and exposure to the billing process. I am currently working as QA in IT, but willing to change a path and get into the medical field. Please, see my resume below. Thank you!

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Balance Billing

I have been fighting with UHC since January regarding a back brace (L0650) dispensed to a patient. The patient signed for and received the brace then UHC denied for 'not medically necessary'. We've been going back and forth regarding documentation. The most recent appeal was sent in October 2020 citing LCD L33790. We then received a letter offering peer to peer to which the UHC Medical Director advised that she wouldn't determine the brace as not medically necessary but that we 'could...

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Certified Coder looking for remote position.

Hello,

My name is Genesy I am a certified coder with 4 years of experience.
I am looking for a full time or part time remote position.

Thank you

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Endovascular repair of descending thoracic aorta not involving coverage of left subclavian

This is completely new to me and I would appreciate any help or insights. I cannot find much info coding what i think is a TEVAR. Thanks so much in advance!

The codes i came up with are:

36200 50 (cath placements)
37252 (IVUS)
33881 62 (endovascular repair...no subclavian coverage)
75957 26 (imaging...not involving coverage of subclavian)
34812 (large bore femoral access)



CO-SURGEON PERFORMING PROCEDURE:

PROCEDURES PERFORMED:
1. Large bore femoral access.
2. Nonselective...

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Billing for a portable ultrasound

Hi I need some assistance. A friend of mine is an ultrasound tech who is leasing a portable U/S machine. She brings the machine to various doctors offices who are planning on billing for the technical portion. My questions is twofold.... 1) since the tech leases the machine and the doctor doesn't own it, can the doctor bill for the technical portion and get paid by all carriers and 2) can the doctor bill an office visit with the ultrasound and get paid for both?

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IP CONSULT SAME DAY AS OR PROCEDURE

Hi. Anesthesia coder brand new to E/M coding. We recently started billing for a Plastic surgeon who sometimes has an inpatient consult on the same day as a surgery. Is the consult billable if it's on the same day as the surgery? I understand that Medicare and some commercials don't accept the consult codes and he has to meet the 3 R's. If billable and payor doesn't accept the consult code is it appropriate to bill 99221-99223 with -57 modifier in addition to the surgical CPT? Any...

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License required for everyone that uses CPT codes?

Looking for anyone that has heard from their software vendor that every user in the organization (providers, coders, data entry staff, front desk, nursing staff, etc) who use any of the CPT codes is required to have a license from the AMA. We've been told that AMA requires everyone to have a license if they have anything to do with any CPT code - all the way from picking a code for billing, to submitting the claims, to ordering tests/procedures, to running reports using the CPT codes. Is...

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Independent Laboratory-POS Question

I work for an independent laboratory, and recently we have been receiving numerous denials and requests for medical records. They are stating that we should not be billing POS 81 unless we are the ones collecting the specimen, otherwise we have to bill place of service according to where the specimen was obtained? I am completely confused by this because we are processing the specimen that has been sent to us by surgery centers or office visits, so i would assume we use 81(independent...

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Instent Laser Atherectomy

Physician would like to bill 37799 unlisted procedure, vascular surgery for the laser atherectomy of Instent along with 37221, 36200, 37252, 36140, 75625, 76937. Any suggestions?


Indication for Surgery
Patient is a 89 Years F who has a complex vascular surgical history with a left iliol femoral artery bypass and crossover femoral-femoral artery bypass done in the past. Patient presents to the office with severe lifestyle limiting claudication and a CT angiogram was performed which showed...

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Monitoring of Past Cancer - Level of MDM?

Hello,

If a patient is being monitored for recurrence of a past cancer and no evidence of recurrence is documented, how are you treating this in terms of medical decision making?

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CPT 20611

Hi,

Does anyone know if Medicare has guidelines for CPT 20611?

I am trying to find a list of covered diagnosis since some payers that are following Medicare's guidelines are denying this code but I cant seem to find anything on the CMS website.

Any help would be appreciated!

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Apprentice Removal letter

Hi All,
I have question regarding Apprentice removal for CPC. I have send relieving letter of my previous organization (worked 3 years back) and got a reply that I need to send a co-worker recommendation letter about my responsibilities in the company. Do I need send HR letter to verify or any colleague's letter.

P.S HR has changed to new organization.

Regards

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Coding from Op note Post DX or H and P

Hello,
I work under Practice Management for Facility in Central New York. We code the Pro Fee side for our Providers while RI codes the facility side. There has been much debate over where you code for our surgeries.
On the Pro fee side, we are stating that you code from the Post Op dx, Procedure, Indication, and the Body of the Op note along with Path and findings. RI is telling us to code from the History and Physical which can be done 30 days ahead of the surgery. This is not...

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Amputation clarification needed

I've tried researching it, but I am still not clear on what "partial" traumatic amputation actually means. Does it mean a PART of a body part, toe for example, has been completely removed? Or does it mean that any part, (or all) of the toe has been "partially" cut off but still attached by some tissue?
If I see a photo in a note that shows half of a toe is GONE, is that a partial amputation? Or complete?
Thanks.

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