http://www.supercoder.com/forum/ Supercoder - Ask an Expert? Forum: Neurology Coding - Recent Topics en Sun, 12 Feb 2012 12:39:33 +0000 http://www.supercoder.com/forum/topic/new-emg-question#post-11324 Fri, 10 Feb 2012 16:10:43 +0000 Try Super 11324@http://www.supercoder.com/forum/ <p>i have been denied claims for emgs we used 95860 or 95861 then 95900*units and 95903*unites and 95904*unites they only pd for 95860 and 95861 how do i resubumit with the new codes95885 and 95886 and 95887 </p> http://www.supercoder.com/forum/topic/cpt-code-for-doppler-laser-imager-flasher#post-11314 Fri, 10 Feb 2012 03:32:06 +0000 Maqbol 11314@http://www.supercoder.com/forum/ <p>what is a CPT code for Doppler Laser Imager Flasher. this procedure is used for evaluation of small fiber neuropathy. I could not find it in the search on this site. </p> http://www.supercoder.com/forum/topic/new-emg-codes-958859588695887#post-11077 Wed, 01 Feb 2012 04:41:32 +0000 ELI LEHRMANN 11077@http://www.supercoder.com/forum/ <p>Need some guidance please.</p> <p>Billed the following, with the following denials:</p> <p>95903 x2 units Denied for needing a Mod<br /> 95904 x2 units Denied for needing a Mod<br /> 95868 m59 x2 units Denied for max 1 unit/day<br /> 95869 m59 x1 units Allowed and Paid<br /> 95886 x1 units Denied for Global/Qualifying Service Missing/Not Identified</p> <p>Why do the NCS codes (95903/95904) need a Mod?<br /> What service does 95886 need as a qualifying service?<br /> Why can the Doc only do 1xunit of 95868?<br /> What should the correct coding be?</p> <p>Thanks!<br /> Eli </p> http://www.supercoder.com/forum/topic/how-do-you-code-the-reprogrammingmaintance-on-a-baclofen-pump#post-11262 Wed, 08 Feb 2012 17:49:09 +0000 Renita Bowman 11262@http://www.supercoder.com/forum/ <p>How do you code when a patient is seen by a physician and all he does is the reprogramming/maintance of the patients baclofen pump, which code do I use? Also how do you code if the physician does a reprogram and refill of the pump?</p> <p>Thanks for you help. </p> http://www.supercoder.com/forum/topic/j3030#post-11188 Sun, 05 Feb 2012 17:28:53 +0000 BARBARA PRATER 11188@http://www.supercoder.com/forum/ <p>Can anyone tell me what the medicare allowable fee is for the J3030? I am in Florida. thanks </p> http://www.supercoder.com/forum/topic/new-codes-95938-95939-primary-for-95920#post-11159 Fri, 03 Feb 2012 18:00:57 +0000 Diane Welsh 11159@http://www.supercoder.com/forum/ <p>It seems logical that <code>95938</code> would be reported as a primary procedure for add-on code <code>95920</code> since <code>95938</code> is a combination of <code>95925</code> and <code>95926</code> which are both primary procedures for <code>95920</code>. Unfortunately CPT doesn't include <code>95938</code> or <code>95939</code> in the note following +<code>95920</code>.<br /> "Use 95920 in conjunction with the study performed, 92585, 95822, 95860, 95861, 95867, 95868, 95870, 95900, 95904, 95925-95937".<br /> Is this an oversight? Does the AMA intend to correct CPT? </p> http://www.supercoder.com/forum/topic/simple-vs-complex-brain-neurostimulator-coding-changes-2012#post-10941 Fri, 27 Jan 2012 17:20:42 +0000 Amy Allen 10941@http://www.supercoder.com/forum/ <p>In 2012, CPT changed the definition of a simple vs. complex neurostimulator. Instead of being defined based on what parameters the stimulators are CAPABLE of changing, they are instead based on how many are ACTUALLY CHANGED during the programming. (3 or less = simple, more than 3 = complex).</p> <p>There are simple reprogramming code options for spinal cord and peripheral neruostimulators, but not cranial. The only programming option available for cranial is complex. </p> <p>So my question is....how do I code the procedure if 3 or less parameters are changed on a cranial nerve neurostimulator (like VNS)? </p> http://www.supercoder.com/forum/topic/intraoperative-monitoring#post-11136 Thu, 02 Feb 2012 21:26:58 +0000 Marina Daviti 11136@http://www.supercoder.com/forum/ <p>superbill received:<br /> 95961 X 12<br /> 95925 x 12<br /> 95926 x 12<br /> 95920 x 12<br /> As per my understanding, only 95920 is billed per hour. Baseline intraoperative procedures can be reported only once.<br /> What code should we use for electrodes(37 were used during operation ). </p> http://www.supercoder.com/forum/topic/inpatient-consultation-consultation-requested-by-members-of-the-same-group#post-10584 Tue, 17 Jan 2012 20:53:02 +0000 Luz 10584@http://www.supercoder.com/forum/ <p>We are a group of Neurologist,with 13 diffferent subspecialty (for example Epilepsy vs NeuroOncogist) and they all bill under the same group number as neurologist. My question is if one of the physician admit the patient then ask another physician of the same group but different subspecialty-to see the patient in consultation (same date of service) because of a problem related to his/her subspecialty, would both of the service billable? Or how would you advise to code these services.</p> <p> The same scenario as described above but two consultation services. Each subspecialty medical expertice is beyond the requesting professional knowledge of each other. </p> http://www.supercoder.com/forum/topic/x-code-for-neuropsych-testing#post-9449 Fri, 09 Dec 2011 20:20:20 +0000 Kim Mchaffie 9449@http://www.supercoder.com/forum/ <p>The code we usually bill is 96118 for any kind of insurances. However, the CCS (California Children's Medical Services)program only accepts the code- X9514 (Test Administration, includes pre-interview one complete hour). We tried to bill X code based on total hours completed as indicated in Medi-Cal website (eg. X9524 for six hour complete hours), but the X9524 won't be authorized by CCS. Therefore, we billed X9514 with total hours on unit. Unfortunately, they only paid 1 unit on X9514. I'm looking for any advices about X code for neuropsych testing. Thanks </p> http://www.supercoder.com/forum/topic/therapeutic-injection-for-cts#post-10534 Mon, 16 Jan 2012 18:58:16 +0000 Patti Koski 10534@http://www.supercoder.com/forum/ <p>Dr. wants to know what the best code is for a therapeutic injection for carpal tunnel and cubital tunnel. He says it is not a nerve block. So is '20526' the correct code? </p> http://www.supercoder.com/forum/topic/need-dx-code-1#post-9961 Thu, 29 Dec 2011 18:18:07 +0000 Heather Jackson 9961@http://www.supercoder.com/forum/ <p>NEED DX CODE FOR SOFT TISSUE HYPERSENSITIVITY </p> http://www.supercoder.com/forum/topic/dx-for-spastic-hemiplegia-due-to-an-intrauterine-stroke#post-9802 Wed, 21 Dec 2011 19:29:29 +0000 Lynne Gardner 9802@http://www.supercoder.com/forum/ <p>Patient is 54 years old.<br /> We've had different opinions in the office on how to code this. Use the 'late effects - 438' code? Use 343.4 ? (Even if 'cerebral palsy' is not stated) </p> http://www.supercoder.com/forum/topic/arterial-doppler-study#post-9571 Wed, 14 Dec 2011 16:29:55 +0000 Heather Jackson 9571@http://www.supercoder.com/forum/ <p>WHAT IS THE PROPER CPT CODE FOR ARTERIAL DOPPLER STUDY OF BILATERAL EXTREMITY? </p> http://www.supercoder.com/forum/topic/sumavil#post-9419 Thu, 08 Dec 2011 17:58:07 +0000 BARBARA PRATER 9419@http://www.supercoder.com/forum/ <p>My Neurologist gives Toradol injections using 64613. Can I bill for sumavil with a 93672 on the same day? </p> http://www.supercoder.com/forum/topic/radiofrequency-ablation-of-ventral-hernia-incisional-neuroma#post-9299 Mon, 05 Dec 2011 18:19:36 +0000 Supercoder Supercoder 9299@http://www.supercoder.com/forum/ <p>I'm at a loss as to what CPT code would best fit the following procedure; Radiofrequency ablation of ventral hernia incisional neuroma under IV sedation. \64640\ or \64999\ were suggested? </p> http://www.supercoder.com/forum/topic/eeg-study-in-the-hospital#post-9132 Wed, 30 Nov 2011 00:16:04 +0000 Gisele Curatolo 9132@http://www.supercoder.com/forum/ <p>Based on this report, how would you code this?<br /> I'm not sure if this is a sleep study or EEG, nor the elements or hours.</p> <p>EEG NUMBER:012-2011<br /> DATE OF STUDY:11/18/2011<br /> AGE:63<br /> SEX:Male</p> <p>ATTENDING PHYSICIAN: Admitting MD</p> <p>TECHNIQUE: A 16 channels of EEG and one channel of EKG were recorded<br /> utilizing the International 10-20 system.</p> <p>CLINICAL DATA: A 63-year-old gentleman with altered mental status was<br /> referred for EEG evaluation for the evidence of seizure disorder.</p> <p>BACKGROUND ACTIVITY: There was significant technique difficulty in this<br /> recording and significant amount of electrode effects were seen throughout the<br /> recording. This record did not capture and activity that is consistent with<br /> electrographic seizure or epileptiform discharge.</p> <p>ACTIVATION:</p> <p>HYPERVENTILATION: Not done.</p> <p>PHOTIC STIMULATION: No photoconvulsive responses.</p> <p>SLEEP: EEG technician noticed physical sleep during this recording.</p> <p>IMPRESSION: This is an inadequate EEG study. No evidence of<br /> electrographic seizure or epileptiform discharge was captured during this<br /> recording. Please correlate clinically and I strongly suggest consider<br /> repeat EEG if clinically indicated to rule out seizure disorder.</p> <p>Signed by Neurologist </p> http://www.supercoder.com/forum/topic/place-of-service-code-for-cpt-code-37195#post-8914 Fri, 18 Nov 2011 18:40:01 +0000 Marina Daviti 8914@http://www.supercoder.com/forum/ <p>What place of service is appropriate to bill for CPT code <code>37195</code>? </p> http://www.supercoder.com/forum/topic/split-nite-polysomnography95811#post-8908 Fri, 18 Nov 2011 15:24:03 +0000 Amy Allen 8908@http://www.supercoder.com/forum/ <p>This is the code that we are using for split nite polysomnograhy. Our techs are indicating that this involves alot of work on there part and are wondering if we can add any modifier to indicate the extra work and time involved on there part. The only modifier I can think of is 22. Is this allowable with this code? </p> http://www.supercoder.com/forum/topic/coding-sympton#post-6239 Wed, 17 Aug 2011 14:27:14 +0000 Heather Jackson 6239@http://www.supercoder.com/forum/ <p>PT COMES INTO OFFICE WITH MIGRAINES AND NECK PAIN. NO OTHER COMPLAINTS. BY PHYSICIAN IS WANTING TO DO A TRANSCRANIAL DOPPLER. HER INSURANCE DOES NOT COVER DX CODE OF SYMPTOMS ABOVE. CAN I CODE "REASON FOR TEST" AS DIAGNOSIS? </p> http://www.supercoder.com/forum/topic/video-eeg#post-8605 Fri, 11 Nov 2011 17:47:54 +0000 Heather Jackson 8605@http://www.supercoder.com/forum/ <p>Does anyone know if it is a "guideline" that when we do video EEG's, do we have to be able to access the computer/video that is actually monitoring the patient from a remote site? </p> http://www.supercoder.com/forum/topic/eeg#post-8332 Thu, 03 Nov 2011 17:17:29 +0000 Heather Jackson 8332@http://www.supercoder.com/forum/ <p>Does anyone know (or know where I can find) the guidelines on doing a video eeg in the office? Im needing to know specifics on doing these in office. We are being told that one of the guidelines is being able to log onto the PC performing the video? WHERE CAN I FIND THIS INFORMATION?!?! Help!! </p> http://www.supercoder.com/forum/topic/video-eeg-in-office#post-6677 Wed, 07 Sep 2011 18:35:03 +0000 Heather Jackson 6677@http://www.supercoder.com/forum/ <p>Is there a way to code a video eeg less than 12 hours done in the office?? </p> http://www.supercoder.com/forum/topic/neurology-office-charge-ticket-and-procedure-charge-ticket#post-8254 Tue, 01 Nov 2011 21:37:31 +0000 Gisele Curatolo 8254@http://www.supercoder.com/forum/ <p>Hello,<br /> I am looking for a Neurology template for a Neurology Consult,<br /> as well as a charge ticket for Office and Procedures.</p> <p>If any one could direct me to a resource or share, it would be greatly appreciated. </p> <p>This is a new specialty to our multi-specialty medical group.</p> <p>Thanks so much,<br /> Giselle </p> http://www.supercoder.com/forum/topic/occiptial-nerve-block#post-7809 Tue, 18 Oct 2011 14:26:46 +0000 Heather Jackson 7809@http://www.supercoder.com/forum/ <p>IS THERE A CPT CODE FOR HYDRODISSECTION OF THE GREATER OCCIPTIAL NERVE? </p> http://www.supercoder.com/forum/topic/two-visits-in-one-day#post-7562 Tue, 11 Oct 2011 15:29:28 +0000 Heather Jackson 7562@http://www.supercoder.com/forum/ <p>My physician saw a patient for Vertigo, had the patient come back in the afternoon for a test (in our office) and seen her again to go over results and options. How would i code this? </p> http://www.supercoder.com/forum/topic/64612-with-modifier-50#post-7474 Thu, 06 Oct 2011 15:58:32 +0000 Mabel Lopez 7474@http://www.supercoder.com/forum/ <p>We are getting denials recently for claims using code '64612' with modifier '50' as not being an appropriate modifier for the CPT code. I can't find any documentation that verifies this. On the contrary, I believe the documentation supports our use of the modifier with the CPT code. Is there something I'm missing? Please help.</p> <p>Thank you,<br /> Jeanne </p> http://www.supercoder.com/forum/topic/video-eeg-in-office-1#post-7444 Wed, 05 Oct 2011 15:53:33 +0000 Heather Jackson 7444@http://www.supercoder.com/forum/ <p>How do you code for routine video eeg when done 1.2 hours? </p> http://www.supercoder.com/forum/topic/emgncv#post-7433 Tue, 04 Oct 2011 21:58:57 +0000 Dannell Anchcuetz 7433@http://www.supercoder.com/forum/ <p>Can I bill for both an upper NCV and a lower NCV on same day of service? If so, how would I bill for it? </p> http://www.supercoder.com/forum/topic/billing-for-prolonged-headache-consultation-and-preventative-services#post-7320 Thu, 29 Sep 2011 19:00:47 +0000 dr sabo 7320@http://www.supercoder.com/forum/ <p>HI.<br /> I AM A HEADACHE SPECIALIST AND I TYPICLALY SPEND 2 HOURS OR MORE WITH A PATEINT. WE REVIEW PERTINENT HEALTH WELLNESS AREAS" DIET/STRESS/NUTRITION/SOCIAL.</p> <p>I ALSO TAKE ABOUT 30 MIN TO PREPARE NOT AND SEND TO REFERRING DOCTOR.<br /> I AM CONSIDERING BILLING PROCEDURES:<br /> 99245 OR 99245<br /> PLUS<br /> 99354<br /> plus 99355<br /> plus99358<br /> plus97803 or 96101 or 98960</p> <p>What are your thoughts?<br /> Also-<br /> I have wellness studio with yoga, meditation , dance therapy, etc.<br /> Can those be billed under 97110, 97112, 97124, 97139, 97804</p> <p>please advise </p>