Postpartum only 59430

I have a family practice physician in a hospital owned clinic who does ob/gyn care. He saw a patient 4 weeks after her c-section, and wants to code 59430 in addition to 99213. He did not perform the delivery. Is that allowed ever? If so, please help me find a link to the information stating that so that I can justify coding it that way.
Thanks in advance for your help.

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Diabetes and Pressure Ulcer Guidance

I am very confused with this guidance from the Coding Clinic, Third Quarter 2018: "If a patient is diagnosed with a pressure ulcer associated with diabetic neuropathy and diabetic peripheral vascular disease, it is reportable as code I96, Gangrene not elsewhere classified, and code from L89, Pressure ulcer, rather than as a diabetic skin ulcer. Report additional codes to capture the peripheral angiopathy and neurological complications of diabetes. In this instance, do not associate the...

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Flu shots

I am having Humana Medicare and Wellcare Medicare denying flu shots based on lcd/ncd. I am using 99213 -25 with appropriate dx code 90682 and G0008 with z23 as dx code. Humana denial reason 04@/96, I have called and called and all they say is denying for lcd/ncd. I can not figure this out. Any experience with this anyone?

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Gain Practicode experience to get a medical coding/billing job or just move on?

I have earned my CPC-A this past Sept. and have applied to various medical coding and billing positions. It doesn't surprise me that
no one wants to give me a chance, as I'm aware that it is a difficult field to get into with no experience. I was told by a veteran medical
coder to not let the 'experience preferred' get to me and to apply anyway. So, I was thinking maybe I should gain the one year experience by
purchasing Practicode and possibly I may have a better chance...? Should I start...

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2021 Guidelines--Psychometric data

Hi all! It is stated that reviewing psychometric data counts in the data section. Does anyone have examples?

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CPC-A looking for any entry-level coding position. Resume attached.

I live in Hartford, CT. I am seeking an entry-level coding position for anyone who is willing to give me a chance to show that I am a dependable, hard worker.

Saraswathy Sankar
4 Drummond Dr, Rocky Hill, CT 06067
(732) 589-6380, sankarsaraswathy67@gmail.com

Professional Summary:​

Seeking a position where I can utilize my coding skills, experience with patient records, and background in medical terminology to accurately abstract and...

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Postop Diagnosis code?

Hello!
The patient came in for a hysterectomy. The operative report list the diagnosis as:

Preoperative Diagnosis: Carcinoma In-Situ of Exocervix - D06.1
Postoperative Diagnosis: Same

I remember from my education that we should not code the Procedure until the Pathology Report was available. When it was, it listed the diagnosis as: "Invasive Squamous Cell Carcinoma of Ectocervix."
I queried the provider to clarify my choice of Diagnosis was correct, C53.1 (Malignant...

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Billing questions

How do you fight to get paid on a claim if the insurance company's explanation for denial is: Duplicate claim service?

Also, is referral from a PCP the same as pre-authorization?

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HO modifier Behavioral Health

I am billing a therapy service to Medicare Plus Blues of Michigan. The provider has a Master’s degree. I am using modifier HO and it is being denied. It is telehealth services and I’m using the Psychiatrist as the supervising doctor. Can anyone help?

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CCS VS CIC

Hello, I am just starting my CIC course through the AAPC. When I'm looking on Indeed I have notice there are not a lot of certifications for CIC, but there is a lot for the CCS. Are the CIC and CCS comparable but just done through different companies? Im wondering if a job posting which requires a CCS would accept a CIC certifications. Please advise.

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Fowler Tenotomy w/ Release of Retinacular Ligaments?

Hello Everyone,

One of our doctors performed a central slip repair (26426) with release of retinacular ligaments and a Fowler Tenotomy. I know how to code the main procedure, but I'm not sure of how to code the minor procedures involved. I was thinking possibly 26460 for the tenotomy? Let me know what you think! Thank you in advance!

Here is the report:

OPERATIONS PERFORMED:
1. Repair of left long finger central slip.
2. Release of long finger transverse retinacular ligament.
3...

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Inpatient telehealth f/u consultation for Medicare PT

Our pain management doctor did a telehealth consultation with an inpatient patient. I have to check with him if he used both audio and video, or just a telephone call.

1) If he used both audio & video, do I bill G0406-G0408 with POS 2, or 99231-99233 with POS 21, MOD 95?

2) If he only had a phone call to the patient, can I bill 99231-99233 with POS 21, MOD 95? Or bill 99441 - 99443?

Thank you.

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NP billing same day as MD

Request insights... an Orthopedic group is wanting to set up PreOp clinic serviced by PA or NP to provide EKGs, Labs etc then have patient to go MD/Surgeon for consult and scheduling. Can both E/Ms be billed same day? if so, restrictions?

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CPC EXAM

I'm up in 3 weeks for the CPC exam. Anyone have pointers on how to pass?

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Eye codes/EM Codes

I understand that eye codes are used and sometimes identified by some payors as a yearly routine code, but if a patient comes in for yearly CE with concerns of dry eye, the doc uses an eye code. is it wrong to use an eye code if the pt diagnosis turns to dry eye or an additional medical dx that patient warranted at tos during the exam that was scheduled as a yearly complete eye exam? im a little confused.

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Tympanoplasty ossicular chain reconstruction with stapedectomy

Post op dx: left conductive hearing loss with otosclerosis

Procedure performed:
1. Left tympanoplasty
2. Ossicular chain reconstruction
3. Stapedectomy

A posterior tympanomeatal incision was made using the angled Beaver blade, and then the flap was elevated with a round canal knife and middle ear cavity was entered. The middle ear is clear and the chorda tympani nerve was identified. Following that, the ossicular chain was tested using curved Rosen needle. The patient has completely solid...

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L dx codes

Has anyone else had a problems with claims coming back for dx code in the "L"? I work in dermatology and have had several claims coming back with notes that the dx code isn't effective for this DOS.

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Attention Auditors

I am looking for two experienced auditors for a telemedicine company in Dallas, TX working from home. please message me if interested. Thank you!

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changes for 2121

1. Any specifically identifiable procedure or service (ie, identified with a specific CPT code) performed on the date of E/M services may be reported separately.
   The actual performance and/or interpretation of diagnostic tests/studies during a patient encounter are not included in determining the levels of E/M services when reported separately. Physician performance of diagnostic tests/studies for which specific CPT codes are available may be reported separately, in addition to the...

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Coding Overseas

Does anyone know of any companies who hire coders residing outside of the USA? I may be moving to Central America and hope to be able to continue working as an HCC Auditor. Any ideas or suggestions are appreciated.

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BCBS CO spine denials/ requesting I use a different code

I'm looking for opinions on whether my argument is correct and if anyone has seen this as well. No other BCBS in any of my other states have this edit and I am unable to find the policy.

Denial- X-ray of cervical, thoracic, and lumbar are denied as not paid separately. None of the codes are paid. We are being asked to use the entire spine x-rays.

Codes: 72040 for cervical, 72070 for thoracic, 72100 for lumbar. Requesting I use 72081-72084.

My argument- No cci edits and...

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29870 with an open code?

I have an issue that is being debated in our clinic, and am curious what other coders have to say about this.
we have a case where a provider did a diagnostic scope first and then did a lateral release. we ran the NCCI edits and they are not coming up as bundled, but there is that parenthetical with 29870 that says separate procedure. My impression of this parenthetical is that if this is done on the same anatomical area they cannot be billed separately. BUT there is something that I found...

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Cardiovascular Billing for Spinal Fusion

We are having an internal debate on what the appropriate codes would be for a cardiovascular surgeon assisting with a spinal fusion. Would the correct code for the procedure below be 37617? The other provider completed the actual instrumentation.

PREOPERATIVE DIAGNOSIS:
Lumbosacral disk disease.

POSTOPERATIVE DIAGNOSIS:
Lumbosacral disk disease.

OPERATIVE PROCEDURE:
Anterior exposure for L4-L5 anterior lumbar interbody fusion with placement of cage and screws .

INDICATION:
This is a...

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Medicaid denial question

Any advice would be appreciated.
I have an example of a patient that has Humana Medicare Replacement as primary and Medicaid as secondary. Billed amount $2,150. Humana allowed $763.96 and paid $611.17. The coinsurance is $152.79.
Medicaid was billed for the $152.79, but denied. The Medicaid rep. states Medicaid does not pay unless the primary pays 80%. The Medicaid eob says patient responsibility is $0.
Is it correct for Medicaid to deny since Humana didn't pay 80%?
Can the patient be...

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Are there employers in the coding industry who value accuracy more than productivity?

I recently lost my job as a medical coder because I was unable to meet my employer's productivity standards. I know many of my coworkers were struggling with this as well. I've been coding since 2009. My first job was on-site for a privately-owned clinic and my second job was remote for a large healthcare system. I have two certifications - CPC and CEMC. My strength is accuracy but that affects my productivity. I'm very discouraged and starting to wonder if I'm in the wrong industry. I would...

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Experience when apply for job

In October I passed my CPC certification exam...When applying for billing/coding positions, does the billing/coding courses I took count as experience?

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In office Covid testing

We are going to start Covid testing in our office with nasal probe and rapid system for screening our pt's for prior to their surgery in our office. We were informed by McKesson to use CPT code 87426 along with low level office visit and my provider also wants to use U0003 also since we are collecting and doing reading. Which I though U0003 was for Laboratory billing and not sure if this needs to be billed to Medicare instead of 87426? I have looked at a lot of CMS articles and can't find a...

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Locums Tenens

Good Afternoon

I am needing so help with Locums Tenens, we have physicians that wanting to hire a locum tenens physicians to perform Vascular office-based procedures for our dialysis patient. The physician will be out of the office for a few days but once he returns he is wanting the locum physician to continue to perform the procedures and he will be seeing patients in the office and in the hospital. Are we able to bill for the procedures with a Q6 modifier and bill the physician's office...

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CPT codes 99408 & 96127

I am getting denial after denial for CPT codes 99408 & 96127. It doesn't matter if it's billed with a wellness code or an E/M code. I have denials from just about all insurances stating "bundled" Does anyone know of a way to get these codes paid? My provider swears that they should be able to be reimbursed separately.

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DRG list by Specialist

Can anybody knows where can I access a DRG list for hospitals but by Specialist. Thanks for any help!!

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Allograft Templating cpt related to foot

Hello, Can someone assist me in what code to use for the Allograft templating for the attached surgery. Provider has given me 20932 which is not correct. Wondering if unlisted code 27899 is appropriate?

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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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Starting a new EHR system, documentation

Hi, there has been a question regarding if the employer is starting a new EHR system, If the physicians need to start all new history forms for the system for each patient. Who should have to do these, Dr vs nurses...time involved. etc. Its been stated that the established records will pull forward into the visits documentation for that day. I believe the Progress note needs to be able to stand on its own. If its ever pulled for an audit, court etc.
Is it acceptable if the information...

Starting a new EHR system, documentation

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Pre-surgical Covid Testing

Hello. I am in Nebraska and I thought I read somewhere that the commercial plans and Medicare are not going to be covering pre-surgical testing for Covid. Has anyone else heard or read this anywhere?

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RN Billable Services Question

I have searched everywhere online and still couldn't find the answer I was looking for. I work for a mental health organization and we have our NP and two RNs that provide the medical visits to our clients. We have just started using medical billing and none of us really have any good experience or knowledge on how to bill them correctly. We have reguarly use behavorial health codes for years. Now with NP and RNs providing the medical services, that makes it complicate for us.

Our RN...

RN Billable Services Question

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External Fixator Distraction

For certain tibia pilon or tibia plateau fracture presentations, my providers will utilize a uniplane external fixator to distract the knee or ankle joint so that the fracture can be visualized and repaired. The fixator is removed at the end of the same surgery. Some of my providers will attach a 20690 [application of external fixator, uniplane] on the charges for the operation in addition to the open fracture treatment. Has anyone found any documentation as to whether an ex fix can be...

External Fixator Distraction

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bx w/ ed&c

I need help settling a dispute in my office. Our providers sometimes do a bx followed by ed&c if they are clinically suspicious of it being malignant. Typically this is only done on older patients, patients who live far from the clinic, or more recently, due to covid and limiting trips/people in the office. I know that you cannot bill for the both the bx AND the ed&c on the same lesion on the same DOS and that these do need to be help for path. If the lesion comes back showing that it was...

bx w/ ed&c

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cpt codes to use for in home/telehealth palliative care

Does anyone know what is the best cpt codes to use for palliative care delivered in the home and via telehealth? Also is there certain documenation required to be used for Dx code Z51.5 encounter for palliative care?

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cdi-specialist

Hi,
does anyone have or know where I can review and practice with CDI worksheets? Any advice is appreciated. Thanks!

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Blackboard Not Working

I tried taking my ICD-10 test this morning and Blackboard was having issues. It took 2 minutes to go to the next question and after 3 minutes of it not working my internet closed out of the page and reopened. When that happened, Blackboard submitted my test with only 5 questions answered.

Has any one else been having issues with Blackboard today? I emailed aapc as they're not open on the weekends, but I want to know if anyone else had this issue.

*My internet is working perfectly normal...

Blackboard Not Working

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Coding help Please

Hi all!
Needed some help in coding this? Would I code 27310? What about the repair would that be inclusive since it is due to the excision? Thank you .
Procedure Performed: Excisional Biopsy left gouty tophus, left quad tendon with quad repair

...

Coding help Please

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ENT Coding Education

Anyone looking for reasonably priced ENT Coding Education, please note that I and my colleague Jennifer McNamara will be delivering a VIRTUAL course over two days mid-November offering 12 CEUs, covering just about just about everything an Otolaryngology coder would want addressed. We will be covering anatomy, diagnoses and CPT coding education in all areas where an Otolaryngology practice sees, including new technologies, endoscopic sinus surgery, the larynx, mouth and neck, skull base and...

ENT Coding Education

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Coding problom ! How do you codes for AWV, Sick Visit and Risk reduction therapy same day?

I am working at Internal and pulmonary disease and allergy immunology office. Can I bill AWV, Sick visit and risk reduction therapy as same day? Thanks !

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CPC-A Practicum (Practicode)

Has anyone purchased this program and do you recommend it? I am graduating from a Health Records Coding Program next Friday. I interviewed for a position this week and I was given an offer for employment. There was an oversight on HR's part, in the job description it says they require CPC. I am a CPC-A (I passed my CPC exam in early April). I was called yesterday and told that they were very sorry, but they couldn't offer me the position I had accepted, but they could offer...

CPC-A Practicum (Practicode)

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DMERC Denials

I have ran across a patient's claim where DMERC is denying: Benefit maximum for this time period or occurrence has been reached. We billed out 1 unit of L3670-LT-KX this year. Anybody have any suggestions on how to deal with the denial?

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Sub-acute Inpatient Detox and Substance Abuse Treatment Center Billing

Hi All!

I have recently move from Internal Medicine/ Family Practice FQHC Billing to Behavioral Health/ Substance Abuse In-Patient Treatment Facility. I am new to this field and would like to any feed back on where this billing is professional or institutional.
Please advise.

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Temporary Doctor Billing

The specialist office I work at is losing a doctor in less than two months. We have two doctors that see patients at our main office and the one provider who is staying also sees patients at our satellite office. Management is strongly considering hiring a part time, temporary doctor for one or two days a week at the satellite office just so the other provider can be available at the main office more. How long they plan on having the temporary doctor on payroll depends on how soon they hire...

Temporary Doctor Billing

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COVID-19 ON 2020 Exam

Are there questions regarding COVID if you take certification exam this year?

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Referring in same group

Can my doctor ,who is a Cardiologist, refer a patient to an Electrophysiologist within the same group and the Electrophysiologist bill for consult/new patient visit?

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Exam under Anesthesia

Physician performed Exam under Anesthesia (EUA) and a vaginoscopy
Vaginoscopy performed to r/o vaginal septum
CPT codes EUA-57410
vaginoscopy-57130

Per AAPC 57410= An exam under anesthesia is bundled into all procedures as the “look–see” during other procedures that involve the female genital system. This code can only be billed when it is the only service provided. When the exam is performed in the office setting, even if the physician must use moderate sedation or a local anesthetic to...

Exam under Anesthesia

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Encounter for a high risk pulmonary embolism

Hello,

I am trying to find the right encounter code for a patient who is at high risk of a pulmonary embolism/DVT as there is a family history. The patient themselves do not have any active PE or DVT. I have tried billing out Z76.89 but, was denied. Should I just be billing out the code for the family history? Or is there encounter code that I should be billing out as primary? Any help would be greatly appreciated.

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CS MODIFIER

When a patient presents with COVID-19, as a hospitalist, can we use the CS modifier? Also when the patient is COVID-19 recovered but we are using diagnosis codes Z09 and Z86.19 can you use the CS mod with that as well?

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PRICING 99072

Hello!

For those charging for new category 1 CPT 99072, how are you determining your price to report?

Thank you

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CANPC LECTURE EL PASO, TEXAS AAPC LOCAL CHAPTER, 072020

CANPC Anesthesia and Pain Management
Vino C. Mody Jr., COC, CPC, CCS-P, CANPC, CCVTC, CEDC, COPC, 4Med CICP, RMC, REMS, CMAA, CBCS, Medical coding certification (Expert Level), CNPR, CRMC
Local Chapter AAPC Event
El Paso, TX
Anesthesia
General endotracheal anesthesia: Patient is unconscious and has no control of airway; airway is controlled through intubation
MAC (Monitored anesthesia care): Patient cannot be easily aroused but will respond to painful stimuli. Patient is able to control...

CANPC LECTURE EL PASO, TEXAS AAPC LOCAL CHAPTER, 072020

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Medication dose exceeds max. allowable

I am running into a problem with one payer denying claims that have dexamethasone attached. Our providers generally administer 10mg so we charge 40 units of J8540 (.25mg per unit). The payer I'm having trouble with will only pay for 4 units (1mg).
Is there anything I can do to at least get paid for the 4 units instead of having all 40 denied? My 1st idea is to split the charges into separate line items (one with 4 units the other with the remaining 36) so that less are denied but something...

Medication dose exceeds max. allowable

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Injection given in patient's home

The office I work for (outpatient behavioral health) is planning to start having nurses go to patient's homes to administer psychiatric medication injections. Is this billable as "incident to" since the provider is not in the building where the patient is having the injection done? If not, is this billable at all? I have no clue about how home health visits work.

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Any Waystar clearinghouse users?

I'm curious to know what PM system you use and if you have a bi-directional interface? What do you see as pros/cons of your system?

(We use next gen now but not in love at all. I do, however, like waystar.)

* This article was originally published here

VA requiring SSN to submit claims?

Has anyone else recently experienced VA claims bouncing back from their clearing house when the patient's SSN is not used as the member ID number (HCFA box 1a)? We were originally advised to put the VA authorization number in this box for claims going to Optum. However, when we submit them this way they kick back & will only go through if we put the SSN in box 1a, & move the VA auth number to the Prior Authorization Number box (HCFA box 23). Just wanted to reach out to see if this is...

VA requiring SSN to submit claims?

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24515 vs 24430

DX: left humerus shaft fracture nonunion ( injury was in 2019)

Procedure: open reduction, internal fixation of left humeral shaft nonunion. Debridement left humeral fracture.

A longitudinal incision was made, just lateral to the biceps muscle. The bovie was used to cauterize any bleeders. The brachialis muscle was then split to visualize the humeral bone. this incision was carried down to the bone to allow better visualization of the fractures and to excise any necrotic soft tissue and...

24515 vs 24430

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CPT code for excision of bony fragment, subcutaneous tissue, anterior knee

what would be the best code to use for excision of bony fragment, subcutaneous tissue, anterior knee.

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Modifier -59, XE in cardiology

We received a claims analysis letter from Amerigroup, stating that our provider fell outside of average utilization of the ff modifier. -59, XE

I queried our system and found the root cause.

Frequently our provider consults on cases, reads EKGs and echoes, stress test for the same patient, all same day service - so we bill as ff

99223-25
93010-59
93306-26-59
78452-26-XE

Are we overutilizing modifier -59?

What should be the correct way of using modifier -59?

Thanks!

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Difference between modifier 59 and modifier XS

Hello, Can you please differentiate between modifier 59 and modifier XS with reference to gastrointestinal endoscopy. Please illustrate with some examples related to EGD, ERCP, Colonoscopy.

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Hospital Consults for return Patient in Post Op

My Ortho doctor has had a couple patients that he did surgery on for fractures. The patients have had a fall and were admitted back into the Hospital and our ortho was called to to consult the patients who now are needing a second surgery. Is still possible to bill In Patient visit? It is a new fall but still might be considered related to the initial surgery.

* This article was originally published here

telephone visit or face to face

When a provider takes a phone call from a patient and the patient is in the parking lot of the facility would the visit be billed as a face to face or a telephone encounter? We are a FQHC facility.

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Vaccine admin code 90473

Is cpt code 90473 (immunization administered by intranasal or oral route for patients >18 years?

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coding

Hello
Can US guidance 76930 be billed with LHC brachial access or is this bundled into cath.
Thank You
Robin

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Coding Lisfranc Dislocations by Primary Arthrodesis

Good afternoon,
Our practice has recently had several Lisfranc surgeries and I wanted to seek out advice to ensure we were billing them correctly. Any responses to either of my questions for these types of surgeries would be greatly appreciated!

One of the recent surgeries involved a Lisfranc dislocation of all five of the tarsometatarsal joints as well as one of the midtarsal joints. The surgeon treated these injuries by fusing the first TMT joint, fusing the second TMT joint, fusing the...

Coding Lisfranc Dislocations by Primary Arthrodesis

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Neurosurgery Exam

Does anyone have tips on preparing for a Neurosurgery exam?

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Brachial plexus injuries coding help!!!

Hello! Are there any experienced Plastic Surgery coders on here or anyone who is very familiar with coding for brachial plexus injury codes? I am trying to understand not only how to bill these cases, but how to bill the number of units. I get so many denials for exceeding number of units. Any help is appreciated. Some CPT codes that we use often are:
64861
64856
64901
64902

and usually with multiple units on each.

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Second surgery denied even with mod 79

HI. I received a issue from a fellow coworker. She has a patient who had a foot amputation done which has a 90 day global period. Paitent had a sig flex done during the global period. That claim was denied by Medicare Part B as part of the global period. A mod 79 was attached. When she call Medicare to state the mod should be valid, they said it is not and we should be billing with another modifier.

Has anyone else seen this? The sig was not part of staged procedure. Any advise or...

Second surgery denied even with mod 79

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Cardiac cath help

93458 by MD
93454 by coworker
I am unsure.


Indication:
1. Angina pectoris functional class 3-4
2. Baseline abnormal EKG suggestive of anterolateral wall ischemia
3. Elevated coronary artery calcium score
4. Hypercholesterolemia and hypertension
5. Dyspnea upon exertion
6. Angina pectoris functional class 4 during recovery time after Lexiscan nuclear test today at this institution, terminating the test to proceed with cardiac catheterization
7. I explained to the patient the...

Cardiac cath help

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Billing Company Software

Hello - I have a few questions about how third-party billing companies operate.

1. Do most third-party billing companies use a billing software or do they use their client's EHR to submit claims?
2. If they use a software, is billing software usually compatible with most EHRs?
3. I assume all billing software is ran through a clearinghouse, but what about EHRs?

I'm new to all this and trying to figure out how a third-party billing company would operate. Thank you.

* This article was originally published here

Rules for coding ear procedures

Can anyone tell me what the rules are for coding excision of cholesteatoma/polyp with an ear procedure such as a myringoplasty? There are no ncci edits with cpt code 69610 and 69540. But since it is happening in the same ear, I wasn't sure if an excision of a polyp would be included in the myringoplasty procedure. And same for when it is a removal for a cholesteatoma (cpt code 69145). Since there are no ncci edits, it is ok to use either 69540 or 69145 with cpt code 69610? or are codes 69540...

Rules for coding ear procedures

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VCMJR5 Resume0.0001

Vino C. Mody Jr.
Dependable and a strong team player. Extensive Experience and Expertise in Health Administration and Teaching. I always finish my assignments on or before completion schedule.
6154 Black Mallard Place, El Paso, TX 79932

678-427-6511 cell; 915-642-4269 home; vinomodyjr13@gmail.com

Objective
A career in teaching and medical administration - coding, billing, audit, compliance, data management, analysis, and internal training.

Work...​

VCMJR5 Resume0.0001

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Multiple procedures during Bronch

Provider biopsies and brushes the same lesion during bronch. Are both 31625 and 31623 billable since they are the same lesion?

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Coding per insurance- HELP!

I have a new SR. Management team that wants to change the way we bill out therapy codes based on what the insurance would cover so for instance- Medicare would be billed how we always have been in the past but commercial plans would get a different billing structure due to their high volume of denials on certain codes. I am inclined to think that the coding needs to be consistent across the board. Am I right or is it OK to change how things are coded (the codes still absolutely are supported...

Coding per insurance- HELP!

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Loss of credentials???

Curious.....

If you don't renew your membership, you lose your credentials?? I thought you would lose credentials if you did not keep your CEU's up to date!!! I received an email from the AAPC stating otherwise....

WHAT'S THE DEAL???

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Laparoscopic Ovarian cystectomy

I am a little unsure about this.
A D&C of cervix was done first. After that, a physician used a laparoscope and excised an ovarian cyst at its base then the cyst was also removed and the base was cauterized. Cyst was sent to pathology.
Do I code 57800 and 58661? I am not sure if 58661 is removal of the ovarian cyst, it seems that this code is for the removal of the ovary?
Please help.
thank you
Nina

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split thickness graft with closure/repair

Is split thickness considered intermediate or complex closure? Graft with 5 cm 10cm came from patient's own leg to his turbinates or intranasal cavity.
Do I multiply 5 x 10 for total cm?
Is repair for split thickness intermediate or complex?
thank you

* This article was originally published here

E/M training

I am a fairly new coder. I am really struggling reading reports and determining the E/m codes. Is there anything or coarse you might recommend. I just started my first coding job and am struggling. Thank you.

* This article was originally published here

Are there any Proctors that can answer this question?

Hello,
I am taking the CPC Exam online in 3 weeks. I am very nervous for the obvious reasons, but I am also concerned about the notes I have made in my CPT book. I hand wrote my own E/M chart to make it easier and faster to look them up instead of going through the entire E/M code pages or using the E/M chart in the book. I have seen and heard other CPC exam takers say their proctor did not view the handwritten charts as a problem since another version of the same chart technically already...

Are there any Proctors that can answer this question?

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Ophthalmology/Optometry

Are the ophthalmologist and optometrist considered the same speciality if both are memebers of the same group for defining the 3 year rule of new and established pt.?

Thanks you,
Caroline

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CRC Exam Prep Course Advice

I recently purchased the CRC prep course. This is my first time taking a distance learning course for a certification. My CPC and CPMA were both in person training courses. For those who have taken the CRC Online Prep and sat for the exam, what would be your best suggestion/advice for reviewing the content provided? I am trying to see the best way to tackle the chapters. I see that each chapter has reading material, quizzes, lectures and a chapter review exam. Is it best to read the content...

CRC Exam Prep Course Advice

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Adolescent Residential billing for MH and SUD

I need help. I have been billing for adults my whole career, but now have some questions regrading adolescents. This would be for residential care at a residential facility. Primary dx will usually be MH, and I cannot find any specific information on if billing will even change from what I am used to with Adults. I did find a couple modifiers, but that is it... Does anyone have any experience with the adolescent MH/SUD residential billing world that could help???? Should I be using a...

Adolescent Residential billing for MH and SUD

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Billing for Personal Protective Equipment (PPE)

Is there a CPT code that could be used for giving a patient (PPE)?

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Type 1 Osteotomy/Type 1 Schwab Osteotomy

I have a surgeon that performed a L4-L5 type 1 osteotomy. It looks like it's a total facetectomy. Has anyone coded a type 1 osteotomy? I have also seen it called a type 1 Schwab Osteotomy. Not sure of what CPT code to use.

Thanks!

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Op note cloning

Hi does anyone know where I can get some guidelines or information on cloning of the body of the OP note? I have a provider copying surgeries from other notes (that are the same kind of surgery) and just changing the level of the spine that is being operated on. I need to provide him with some kind of guideline or clear information that clearly states this is not allowed. Thank you!!

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OR billing

Can someone please enlighten me about how OR services should be billed for inpatient services.
I am currently conducting inpatient facility audit and I see surgery time listed on the surgical notes as the exact start and end time for anesthesia. ie
if anesthesia bills 3 units the surgery time bills 45 minutes. Is this correct?

Thanks

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Neonatal Jaundice vs Hydration

Hello,

My Question is Can Hydration support medical necessity if patient is suffering from neonatal jaundice.

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Contract Negotiation for a laboratory

Hello all, I was wondering if anyone had a recent opportunity to negotiate a contract with insurances like Aetna & Cigna for a laboratory. I am particularly interested in getting a sense of how much percentage of Medicare rates they are offering. Any insight would be greatly appreciated!

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Molecular Lab Coding Experience

Hello!

I am curious to see if there is anyone out there with molecular lab coding experience. The company I work for is bringing on a new lab. I am curious to see if there is anyone out there with any experience in this area!

Thanks!
Heather

* This article was originally published here

Sequencing

I just want to clarify something because I'm not sure if this is the correct thing to do.
I work for a specialty (cardiology) and I was told by someone higher up to only code that specialty dx's. However, sometimes a pt has renal failure or resp failure which does attribute to why the pt is being seen in the hospital. I was also told that only cardiology should be listed first but sometimes we see them only because of elevated trop.. which is an unspecified abnormal serum testing code...so...

Sequencing

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Billing E&M for a LVN

Can you bill an E&M visit for a LVN utilizing incident-to guidelines?

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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!

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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

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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!

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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!

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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?

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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

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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?

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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

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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.

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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

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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

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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

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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?

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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.

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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

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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?

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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?

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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

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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

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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!

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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

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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

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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?

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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?

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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

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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

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