http://www.supercoder.com/forum/ Supercoder - Ask an Expert? Forum: Ed Coding - Recent Topics en Sun, 12 Feb 2012 11:50:13 +0000 http://www.supercoder.com/forum/topic/10060-100601-vs-26010-26011#post-11349 Fri, 10 Feb 2012 22:23:49 +0000 Maiu Reismann 11349@http://www.supercoder.com/forum/ <p>Should drainage of finger abscess be billed using 10060-10061 or 26010-26011? </p> http://www.supercoder.com/forum/topic/er-ng-tube-inssertion#post-11084 Wed, 01 Feb 2012 17:18:36 +0000 Paula K Turner 11084@http://www.supercoder.com/forum/ <p>If the nurse inserts the NG tube in the ER, what CPT code would you recomment for technical side? </p> http://www.supercoder.com/forum/topic/medicare-and-90715#post-11010 Mon, 30 Jan 2012 19:06:17 +0000 Try Super 11010@http://www.supercoder.com/forum/ <p>We are an Urgent Care facility with clinics across the US. We see many Medicare patients and treat open wounds, abbrasions, burns, etc.<br /> Medicare guidelines state the with a valid accident code the 90715 and other vaccines are covered. However, this code continually denies and has to be appealed. The 90718 is payable and we have no issues with it. The 90715 from my understanding should be paid without having to appeal every one. We are talking about hundreds of these procedures across the country every year. Is there any other codes or modifiers that can be added to get this code paid the first time? </p> http://www.supercoder.com/forum/topic/sling#post-10947 Fri, 27 Jan 2012 19:05:33 +0000 Maiu Reismann 10947@http://www.supercoder.com/forum/ <p>Can sling be billed separately? </p> http://www.supercoder.com/forum/topic/73562-and-51#post-10914 Fri, 27 Jan 2012 10:02:10 +0000 Maiu Reismann 10914@http://www.supercoder.com/forum/ <p>If '73562' Radiologic examination, knee; 3 views is performed on LT and RT knee, what is the proper way to bill? Is 51 added to the second code?</p> <p>73562 RT<br /> 73562 LT 51 </p> <p>or 73562 RT/LT billed with modifier 50? </p> http://www.supercoder.com/forum/topic/splint-billing-in-er#post-10874 Thu, 26 Jan 2012 14:29:22 +0000 Mary Murkerson 10874@http://www.supercoder.com/forum/ <p>We had a splint applied in the ER by the nurse not the provider- can we bill for this procedure on the facility side and not the pro fee? </p> http://www.supercoder.com/forum/topic/99204-1#post-10870 Thu, 26 Jan 2012 09:09:15 +0000 Maiu Reismann 10870@http://www.supercoder.com/forum/ <p>Can E/M code 99204 be assigned if History is Comprehensive, PE is Detailed and Medical decision making is Low and patient has pneumonia? </p> http://www.supercoder.com/forum/topic/ligation-of-a-ruptured-vericose-vein#post-9059 Fri, 25 Nov 2011 14:16:37 +0000 Maiu Reismann 9059@http://www.supercoder.com/forum/ <p>What CPT should be used for ligation of a ruptured vericose vein on lower extremity? I would have used a code 35226. </p> http://www.supercoder.com/forum/topic/26010-1#post-10653 Thu, 19 Jan 2012 15:31:28 +0000 Maiu Reismann 10653@http://www.supercoder.com/forum/ <p>Does '26010' Drainage of finger abscess include splint/strapping or can it be billed separately? </p> http://www.supercoder.com/forum/topic/patient-balance-time-limit#post-10313 Tue, 10 Jan 2012 22:28:18 +0000 TANYA PEREZ 10313@http://www.supercoder.com/forum/ <p>Is there a time frame to be allowed to bill a patient for their balance due after the insurance company processes the claim? Say after two-three years, if the patient still owes a balance(according to insurance's allowed charges) are we be able to still bill the patient? </p> http://www.supercoder.com/forum/topic/foreign-body-removal-2#post-10526 Mon, 16 Jan 2012 15:24:55 +0000 Maiu Reismann 10526@http://www.supercoder.com/forum/ <p>Does infected embedded earring removal qualify for 10120? </p> http://www.supercoder.com/forum/topic/12001-1#post-10538 Mon, 16 Jan 2012 20:07:36 +0000 Maiu Reismann 10538@http://www.supercoder.com/forum/ <p>CPT code '12001' has a 0 day global period as per Medicare. In this case, would suture removal be billed as a separate visit or is it included? I would think that 0 day global would allow to bill separately for the follow up visit. Yet I have heard that suture removal is always included in the surgical procedure. </p> http://www.supercoder.com/forum/topic/10021-vs-10160#post-10378 Thu, 12 Jan 2012 05:41:12 +0000 Maiu Reismann 10378@http://www.supercoder.com/forum/ <p>What is the difference between codes 10021 and 10160? </p> http://www.supercoder.com/forum/topic/multiple-visits-on-the-same-day#post-10317 Tue, 10 Jan 2012 23:25:54 +0000 Brenda Dumont 10317@http://www.supercoder.com/forum/ <p>We bill for a hospital/clinic in bush Alaska. They have outpatient clinics in addition to a full service hospital. We had a patient come in to the clinic for e/m service at 14:05, then returned to the ER at 19:15 the same day. The insurance is denying the second visit as included in the 1st visit. The diagnosis was the same, but different places of service and different physicians. We applied modifier 27 to the ER visit. Is this the correct way to bill this? </p> http://www.supercoder.com/forum/topic/10060-1#post-10086 Wed, 04 Jan 2012 16:10:56 +0000 Maiu Reismann 10086@http://www.supercoder.com/forum/ <p>Can 10060 be used if no pus was drained? </p> http://www.supercoder.com/forum/topic/walk-in-bath#post-9996 Fri, 30 Dec 2011 19:13:56 +0000 Try Super 9996@http://www.supercoder.com/forum/ <p>What is the CPT code for walk in bathtubs? </p> http://www.supercoder.com/forum/topic/incision-and-drainage-of-pilonidal-cyst#post-9719 Tue, 20 Dec 2011 13:50:29 +0000 Maiu Reismann 9719@http://www.supercoder.com/forum/ <p>Can 18001 be used for Incision and drainage of pilonidal cyst with packing? </p> http://www.supercoder.com/forum/topic/urgent-care-billing-codes-for-bcbs#post-9679 Sun, 18 Dec 2011 21:56:17 +0000 SOLOMON LEBOVITS 9679@http://www.supercoder.com/forum/ <p>I was denied payment from BCBS for Urgent Care billing code S9083. </p> http://www.supercoder.com/forum/topic/modifier-25-27#post-9588 Wed, 14 Dec 2011 20:47:16 +0000 Paula K Turner 9588@http://www.supercoder.com/forum/ <p>Should you use modifier 25 on an E/M level in the ER on the professional side if an EKG or X-ray is performed. </p> http://www.supercoder.com/forum/topic/96365-1#post-9394 Thu, 08 Dec 2011 11:17:13 +0000 Maiu Reismann 9394@http://www.supercoder.com/forum/ <p>Can 96365 Intravenous infusion be billed if it lasts for 15 min? </p> http://www.supercoder.com/forum/topic/10060-vs-10061#post-9392 Thu, 08 Dec 2011 10:46:10 +0000 Maiu Reismann 9392@http://www.supercoder.com/forum/ <p>Is 10060 for abscess drainage without packing and 10061 for abscess drainage with packing, or what is the main difference between those codes? </p> <p>Can 10061 be used for rib abscess drainage with iodoform packing? </p> http://www.supercoder.com/forum/topic/peritonsillar-abscess#post-9391 Thu, 08 Dec 2011 09:46:59 +0000 Maiu Reismann 9391@http://www.supercoder.com/forum/ <p>Is 42700 the right code for peritonsillar abscess drainage using a needle? No incision was done. </p> http://www.supercoder.com/forum/topic/adding-diagnosis-to-a-medical-chart#post-9301 Mon, 05 Dec 2011 19:12:53 +0000 Maiu Reismann 9301@http://www.supercoder.com/forum/ <p>Are coders allowed to add diagnosis codes based on the medical record or is a doctor the only person allowed to add a diagnosis to a medical chart? </p> http://www.supercoder.com/forum/topic/20605-1#post-9344 Tue, 06 Dec 2011 19:29:30 +0000 Maiu Reismann 9344@http://www.supercoder.com/forum/ <p>Can 20605 be billed with strapping or is strapping already included in the code? </p> http://www.supercoder.com/forum/topic/avulsion-fracture-and-sutures#post-9303 Mon, 05 Dec 2011 19:45:54 +0000 Maiu Reismann 9303@http://www.supercoder.com/forum/ <p>How to code avulsion fracture and sutures at the same place? </p> http://www.supercoder.com/forum/topic/open-fracture#post-9285 Sun, 04 Dec 2011 16:15:44 +0000 Maiu Reismann 9285@http://www.supercoder.com/forum/ <p>If patient has a nose fracture and a wound at the same place, is it considered an open fracture? </p> http://www.supercoder.com/forum/topic/97597-2#post-9184 Thu, 01 Dec 2011 09:29:56 +0000 Maiu Reismann 9184@http://www.supercoder.com/forum/ <p>Can 97597 be billed if the procedure was carried out by ed physician? </p> http://www.supercoder.com/forum/topic/29130-application-of-finger-splint#post-9198 Thu, 01 Dec 2011 16:30:46 +0000 Maiu Reismann 9198@http://www.supercoder.com/forum/ <p>Can 29130 be billed tree times during one visit if splint was applied to thee different fingers? Is there a modifier to be used? </p> http://www.supercoder.com/forum/topic/16020-1#post-9183 Thu, 01 Dec 2011 08:16:30 +0000 Maiu Reismann 9183@http://www.supercoder.com/forum/ <p>Is 16020 always used for second degree burn? </p> http://www.supercoder.com/forum/topic/wound-tear-right-hand-er-coding#post-9143 Wed, 30 Nov 2011 14:46:14 +0000 Paula K Turner 9143@http://www.supercoder.com/forum/ <p>Sites of bleeding identified at the right hand and anesthetized with 1% lidocaine. After anesthesia acheived the 3 bleeding vessels at 3 different sites were tied off with 6.0 chromic. Bleeding controlled after placement of 6 total sutures at 3 different bleeding sites. Sterile dressing with Adaptic and abdominal absorbable pads placed. No further bleeding noted and pt. still with good perfusion to the extremity. </p>