http://www.supercoder.com/forum/ Supercoder - Ask an Expert? Forum: Internal Medicine Coding - Recent Topics en Sun, 12 Feb 2012 20:01:19 +0000 http://www.supercoder.com/forum/topic/new-pft-code-for-2012#post-11275 Wed, 08 Feb 2012 20:45:41 +0000 LINDA HISCOCK 11275@http://www.supercoder.com/forum/ <p>I'M LOOKING FOR THE CORRECT CODE FOR THE PFT FOR 2012 THAT REPLACE CODE 94240.<br /> I'VE BEEN READING IT'S JUST ONE CODE BUT FROM A FEW OF THE ANSWERS ON HERE IT LOOKS LIKE 3-4 CODES COULD BE USED.<br /> THX'S </p> http://www.supercoder.com/forum/topic/cpt-code-suture-removal#post-5977 Fri, 05 Aug 2011 15:45:08 +0000 Joel Stern 5977@http://www.supercoder.com/forum/ <p>IS THERE ANY CPT CODE FOR SUTURE REMOVAL?</p> <p>LOOKING FORWARD.</p> <p>THANKS </p> http://www.supercoder.com/forum/topic/can-you-code-same-date-em-critical-care#post-11252 Wed, 08 Feb 2012 14:15:32 +0000 Wendy Clark 11252@http://www.supercoder.com/forum/ <p>99231-99233 same date w/ 99291 </p> http://www.supercoder.com/forum/topic/cpt-code-for-ekg-pft#post-11126 Thu, 02 Feb 2012 18:31:16 +0000 Zakari Tata 11126@http://www.supercoder.com/forum/ <p>How do I bill office visit, EKG and PFT together? Thank you </p> http://www.supercoder.com/forum/topic/v700-and-v7231#post-11074 Wed, 01 Feb 2012 00:37:24 +0000 Suhel Siddiqui 11074@http://www.supercoder.com/forum/ <p>My doctor did a physical, pap and EKG and addressed specific medical issues, all in the same visit. Can i use both, V70.0 and V72.31, along with other dx codes for the medical issues, to bill for this visit? The cpt codes i want to use are 99204-25, 99396, 93000.<br /> Thanks in advance for any help. </p> http://www.supercoder.com/forum/topic/how-to-bill-em-for-2-8hour-sessions-of-95180-rapid-desensitization#post-10803 Tue, 24 Jan 2012 20:04:22 +0000 Bonnie Bussell 10803@http://www.supercoder.com/forum/ <p>What is the best way to bill for this? It is rapid desensitization for two days, 8 hours each, one 94010 every hour, with a nurse. The doctor checked in on him every 15-20 minutes all day long each day. Any advice is appreciated. </p> http://www.supercoder.com/forum/topic/medicare-advantage-hmo-ppo-wellness-visits#post-10733 Mon, 23 Jan 2012 14:52:06 +0000 Caroline DeLaCruz 10733@http://www.supercoder.com/forum/ <p>Hi<br /> Are any of the Medicare advantage plans in the NY area paying for wellness exam<br /> (G0402,G0438 &amp; G0439)?</p> <p>Thank you,<br /> Caroline </p> http://www.supercoder.com/forum/topic/trochanteric-bursitis#post-10740 Mon, 23 Jan 2012 17:09:56 +0000 Vangie Becenti 10740@http://www.supercoder.com/forum/ <p>Patient came into Internal Medicine Clinic.</p> <p>Dx: Trochanteric bursitis.</p> <p>Procedure: the right trochanteric bursa was injected with 80 mg kenaolog and 1 mL of 1% Xylocaine. He got prompt relief of his hip discomfort.</p> <p>I coded this as follows:</p> <p>20610/RT<br /> J3301</p> <p>Xylocaine??</p> <p>Please advise.</p> <p>thank you. </p> http://www.supercoder.com/forum/topic/counseling-and-prolonged-services#post-10716 Fri, 20 Jan 2012 22:48:30 +0000 Beth Sant 10716@http://www.supercoder.com/forum/ <p>Can physician bill in addition to hospital vist code for "family conference" time? Is this under prolonged services in addition the the E&amp;M code? </p> http://www.supercoder.com/forum/topic/icd-9-code-needed#post-10691 Thu, 19 Jan 2012 22:57:31 +0000 Carolyn Carroll 10691@http://www.supercoder.com/forum/ <p>what is the correct icd-9 code for nocturnal hypoglycemia and nocturnal hypoglycemia awareness </p> http://www.supercoder.com/forum/topic/e-code-icd9#post-10528 Mon, 16 Jan 2012 17:26:47 +0000 sherry lyons 10528@http://www.supercoder.com/forum/ <p>PT HAD AN INDUSTIRAL ACCIDENT AND HIS HAND WAS CRUSHED WHEN IT WAS CAUGHT IN A CONVEYER BET. I FOUND THE CRUSH INJURY TO THE HAND BUT AM TORN ON THE E CODE I WAS GOING TO GO WITH E919.8. E918 DOES SAY CRUSHED BUT THE DOCTOR DID SPEICIFY IT WAS INDUSTRIAL AND E919 DOES SAY MACHINERY .<br /> THANK YOU </p> http://www.supercoder.com/forum/topic/icd9-code-for-septic-prepatellar-bursitis#post-10392 Thu, 12 Jan 2012 14:10:31 +0000 sherry lyons 10392@http://www.supercoder.com/forum/ <p>septic prepatellar bursitis I looked at 727.2 but it does not idicate that it is septic? </p> http://www.supercoder.com/forum/topic/2012-aridol-mannitol-bronchial-challenge-j7665#post-10487 Fri, 13 Jan 2012 19:35:54 +0000 Try Super 10487@http://www.supercoder.com/forum/ <p>Does anyone know what the Medicare B LCD is for this new code? And since the J7665 = 5mg, and the kit contains (for use) up to 635mg (which cannot be saved for another patient), how do I bill for this? Maybe J7655 x 127 units? </p> http://www.supercoder.com/forum/topic/np-ekg#post-10431 Thu, 12 Jan 2012 20:52:16 +0000 Melanie Larrison 10431@http://www.supercoder.com/forum/ <p>When the NP does an EKG in the office but the Doctor is the one who will be billing for the service because the NP can't, what CPT code should the Doctor be billing, 93000 or 93010?</p> <p>Thank you. </p> http://www.supercoder.com/forum/topic/can-4719-be-used-to-support-aspirin-desensitization-95180#post-10309 Tue, 10 Jan 2012 21:23:38 +0000 Try Super 10309@http://www.supercoder.com/forum/ <p>Per BCBS NC, pt was told he has no benefits for 95180 under his personal policy, but then was told they would allow it if a diagnosis code of 471.9 was used. I have been unable to confirm that this can be used. -Bonnie </p> http://www.supercoder.com/forum/topic/cpt-code-for-joint-injection-and-aspiration#post-10241 Mon, 09 Jan 2012 16:17:54 +0000 Zakari Tata 10241@http://www.supercoder.com/forum/ <p>How do I bill for joint injection and aspiration rt shoulder in an office? Also given Depot Medrol 20mg. Is it 99214 with modifer 25 ,20610, J1030 and 96372?<br /> Thank you. </p> http://www.supercoder.com/forum/topic/medicare-counseling-family-member#post-10276 Tue, 10 Jan 2012 15:09:50 +0000 Karen Scholtz 10276@http://www.supercoder.com/forum/ <p>If a team conference was perfromed 25 minutes - with the care giver, GIM MD, Neurolgy MD &amp; social worker. Can we bill for an office visit - if a time statement is added. The patient was not present (Medicare patient) Patient has cerbral pulsy - CPT book says to use regular e/m if MD performs visit of less than 30minutes. </p> http://www.supercoder.com/forum/topic/icd9-code-for-3#post-10275 Tue, 10 Jan 2012 14:56:15 +0000 sherry lyons 10275@http://www.supercoder.com/forum/ <p>septic prepatellar bursitis I looked at 727.2 but it does not idicate that it is septic? </p> http://www.supercoder.com/forum/topic/follow-up-codes#post-10251 Mon, 09 Jan 2012 18:03:30 +0000 Sandra Garcia 10251@http://www.supercoder.com/forum/ <p>When using follow up codes such as v67.9 or v67.59 would the follow up code be first followed by the dx code? What if the dx has been resolved? Is there a code for follow up on labs? I have a claim that the ins has paid for the b12 shot and injection but included the office visit. Received notes and documentation supports the E/M. Are there any other options I can take? Maybe adding a modifier to the E/M </p> http://www.supercoder.com/forum/topic/new-vs-established-pt#post-10137 Thu, 05 Jan 2012 15:21:05 +0000 Eileen Mullen 10137@http://www.supercoder.com/forum/ <p>Established pt was seen by Internal Medicine in a satellite clinic in August 2011. Patient self referred to another Internal Med provider at the main clinic in September 2011 (patient wished to change to a female provider). The first visit (at the satellite clinic) was billed 99214. The second visit (at the main clinic) was billed 99202.</p> <p>Should the second visit have been billed established patient since it was same specialty and patient self referred? </p> http://www.supercoder.com/forum/topic/92270-billed-twice#post-10161 Thu, 05 Jan 2012 20:19:05 +0000 Try Super 10161@http://www.supercoder.com/forum/ <p>can cpt '92270' be billed twice? i bill it as follows: one line '92270' with a 59 modifier. on next line '92270' with a 59 and 76 modifier </p> http://www.supercoder.com/forum/topic/facility-vs-non-facility#post-10107 Wed, 04 Jan 2012 21:53:09 +0000 Shirley Traviss 10107@http://www.supercoder.com/forum/ <p>is an individual practice non-facility or facility on the fee schedule </p> http://www.supercoder.com/forum/topic/cpt-code-for-tetanus#post-10095 Wed, 04 Jan 2012 18:45:50 +0000 Zakari Tata 10095@http://www.supercoder.com/forum/ <p>What is the cpt code for tetanus inj. in an office? Do I bill 96372 together with the office visit and the tenanus inj. or should be separate for 96372?<br /> Thank you </p> http://www.supercoder.com/forum/topic/billing-office-visits-for-hospice-patients#post-9924 Wed, 28 Dec 2011 17:31:42 +0000 L Hodel 9924@http://www.supercoder.com/forum/ <p>What is the proper way to bill when a hospice patient presents to the physician's office for treatment for a medical conditiion other than the terminal diagnosis?<br /> (Example: patient with esophageal cancer seen for hospital follow up for emphysema)? </p> http://www.supercoder.com/forum/topic/nuclear-stress-test-in-office#post-9753 Tue, 20 Dec 2011 21:10:03 +0000 Kelly 9753@http://www.supercoder.com/forum/ <p>When we do a stress test in our office with our own equipment are we billing correctly? We use cardiolite.</p> <p>Nuclear Stress Test with Rest/Stress Pictures with injections before and after exercise<br /> '78452'<br /> '93015'<br /> 'A9500'x2</p> <p>If it is a rest only with where the patient is only being injected once and getting pictures but no exercise is done we bill-<br /> '78451'<br /> 'A9500'x1</p> <p>If it is a stress only with 1 injection and exercise, no rest pictures we would bill-<br /> '78451'<br /> '93015'<br /> 'A9500'x1</p> <p>Does this sound correct? Thank you! </p> http://www.supercoder.com/forum/topic/billing-for-a-patient-seen-a-senior-living-facility#post-9307 Mon, 05 Dec 2011 21:51:07 +0000 Suhel Siddiqui 9307@http://www.supercoder.com/forum/ <p>Would the place of service be # 13? Then i would have to put the name and address of the facility in box # 32 of the CMS claim form. But this facility does not have a NPI #. Will Medicare accept a claim without the NPI #? </p> http://www.supercoder.com/forum/topic/cpt-code-for-b12#post-9533 Tue, 13 Dec 2011 16:23:59 +0000 Zakari Tata 9533@http://www.supercoder.com/forum/ <p>how do I bill office visit , B12 shot and toradol inj together? Is it 99213 with modifier 25 and 96372, J1885 and J3420?<br /> Thank you </p> http://www.supercoder.com/forum/topic/cpt-code-3#post-9482 Mon, 12 Dec 2011 16:08:21 +0000 sherry lyons 9482@http://www.supercoder.com/forum/ <p>I AM HAVING A MONDAY PT IS ESTABLISHED AND ADMITTED TO HOSPITAL MY ANOTHER MD. MY DOCTOR DID A VISIT THE CODE SHOULD BE 99231-99233???? AS PT'S INSURANCE CODE DOES NOT ALLOW 99251-99255<br /> IS THAT CORRECT? </p> http://www.supercoder.com/forum/topic/icd9-code-for-2#post-9473 Mon, 12 Dec 2011 14:50:46 +0000 sherry lyons 9473@http://www.supercoder.com/forum/ <p>Hi I need two dx codes one healed left groin wound and ischemic of toes on r foot?<br /> Thanks </p> http://www.supercoder.com/forum/topic/need-icd9-code-tb-lymphadenitis-mediastinal#post-9407 Thu, 08 Dec 2011 14:03:47 +0000 sherry lyons 9407@http://www.supercoder.com/forum/ <p>Need icd9 code for 1. tuberculous lymphadenitis, mediastinal and hilar. 2. biapical scarring on ct scan<br /> thank you </p>