http://www.supercoder.com/forum/ Supercoder - Ask an Expert? Forum: Part B Insider - Recent Topics en Sun, 12 Feb 2012 12:28:55 +0000 http://www.supercoder.com/forum/topic/nurse-visit-for-unna-boot#post-11257 Wed, 08 Feb 2012 15:58:53 +0000 Susan Patch 11257@http://www.supercoder.com/forum/ <p>We have a patient coming in several times a week for unna boot changes. Some of these days only a nurse sees him and changes his dressings. If the physician doesn't see the patient, can we charge '29580' or can we only charge '99211'? </p> http://www.supercoder.com/forum/topic/lymphangiography#post-10773 Tue, 24 Jan 2012 02:42:46 +0000 Norma smith 10773@http://www.supercoder.com/forum/ <p>needle is cannulated and a catheter is placed and secured. Additional dye is injected. X-rays are taken by Dr. Tin and then repeated 24 hours later. Dr. Jones then removed the needle and sutured the incision. Select the appropriate code for Dr. Jones's services. </p> http://www.supercoder.com/forum/topic/established-patient-detailed-history-and-exam#post-10774 Tue, 24 Jan 2012 06:55:50 +0000 Norma smith 10774@http://www.supercoder.com/forum/ <p>16. An established patient was seen in her primary physician office. The patient fell at home and came to the office for an exam. Due to the possibility of a concussion, the patient was sent o the hospital to be admitted as an observation patient. A detailed history and exam were performed and the medical decision was low complexity. The patient stayed overnight and was discharge the next afternoon. </p> http://www.supercoder.com/forum/topic/modifier-for-11720-in-global-for-unrelated-procedure#post-10301 Tue, 10 Jan 2012 19:47:48 +0000 Vicki Whitney 10301@http://www.supercoder.com/forum/ <p>What is the appropriate modifier for <code>11720</code>performed in the global for an unrelated procedure? Medicare is primary insurance. </p> http://www.supercoder.com/forum/topic/sequence-of-modifiers#post-10178 Fri, 06 Jan 2012 06:35:52 +0000 Try Super 10178@http://www.supercoder.com/forum/ <p>Wanted to know the concept of sequencing modifiers. </p> http://www.supercoder.com/forum/topic/medicare-rejection-of-j3301#post-8974 Mon, 21 Nov 2011 23:03:57 +0000 margaret mclean 8974@http://www.supercoder.com/forum/ <p>rejection for rational field in erro for j3301 when billing a visit '99214-25','20610','j2001','j3301' </p> http://www.supercoder.com/forum/topic/what-does-rejection-for-relational-field-erro-mean-for-code-j3301#post-8975 Mon, 21 Nov 2011 23:10:56 +0000 margaret mclean 8975@http://www.supercoder.com/forum/ <p>i billed '99214'-25 with'20610' 'j2001','j3301' and medicare denied 'j3301'. Why? </p> http://www.supercoder.com/forum/topic/iv-infusion-coding-in-hospitals#post-8677 Mon, 14 Nov 2011 17:29:12 +0000 Andrew Simmons 8677@http://www.supercoder.com/forum/ <p>Want to know IV infusion coding guidelines for hospital.<br /> How it differs with Office-based Infusion coding? </p> http://www.supercoder.com/forum/topic/modifiers-gv-and-gw#post-7679 Thu, 13 Oct 2011 17:28:46 +0000 Laurie Weiner 7679@http://www.supercoder.com/forum/ <p>A new patient seen in our medical office is in an in-patient rehab center following a brief hospital stay for hip pain. What modifier do I append to the office visit code and I assume I bill the rehab facility? The visit included injections into the bursa/hip. thank you </p> http://www.supercoder.com/forum/topic/g8447-question#post-7476 Thu, 06 Oct 2011 16:22:45 +0000 Sue Baker 7476@http://www.supercoder.com/forum/ <p>We continue to bill G8553 for e-scribe and G8447 for use of the EHR but I thought I read somewhere that the G8447 is no longer required (in 2011) if you have met certain PQRI requirements. Could you help me attain some information about this?</p> <p>Thank you. </p> http://www.supercoder.com/forum/topic/appilgraf#post-6919 Thu, 15 Sep 2011 12:08:51 +0000 Michael Aronson 6919@http://www.supercoder.com/forum/ <p>Is a modifier needed when performing 15340 of 1st 25 sq cm for billing Medicare? </p> http://www.supercoder.com/forum/topic/jones-teno-suspension-lt-first-metatarsal-and-hallux#post-6888 Wed, 14 Sep 2011 14:25:27 +0000 Beth Martin 6888@http://www.supercoder.com/forum/ <p>Fusion IPJ left hallux<br /> Jones teno suspension<br /> plantar fascia release of left foot</p> <p>I cannot find the jones teno suspension procedure code, Help </p> http://www.supercoder.com/forum/topic/medicare-2011-schedule#post-6779 Sat, 10 Sep 2011 09:30:38 +0000 Chen Huang 6779@http://www.supercoder.com/forum/ <p>We are getting ready to bill medicare. But we are befuddled we don't know where to find the latest HCPCs dollar amount. Or does that have something to do with RVU's? Can someone shed a light in this? We are Palmetto GBA J area, but on clicking "fee schedule" so many things pop up I don't even know what I am looking at really!...</p> <p>Thanks!!</p> <p>Chen~ </p> http://www.supercoder.com/forum/topic/medicare-part-a-home-health-code#post-6639 Tue, 06 Sep 2011 19:36:30 +0000 Dr Darwin Lee Stjernholm 6639@http://www.supercoder.com/forum/ <p>my mother was charged $1369.56 for code '1 1ckgs' thru her medicare provider and it was paid. i would like to know what that code pertains to?? thank you </p> http://www.supercoder.com/forum/topic/rvu-1#post-6240 Wed, 17 Aug 2011 15:16:00 +0000 Loredana Chiriac 6240@http://www.supercoder.com/forum/ <p>Do you multiply the RVUs by the units or the CPT code stands by the same RVUs no matter how many units? Do you have something in writting to sustain the answer?</p> <p>Thank you so much. </p> http://www.supercoder.com/forum/topic/e-presciption#post-5205 Thu, 16 Jun 2011 17:17:27 +0000 Michael Aronson 5205@http://www.supercoder.com/forum/ <p>Medicare will start reducing payments if physicians do not use e presciption. I bill fot a surgeon who just specializes in wound care and has no need to write Rx. Does anyone know if there are exemptions to the reduced payments requirement?<br /> Thank you,<br /> Michael Aronson </p> http://www.supercoder.com/forum/topic/correct-modifier-for-np-for-medicare#post-3701 Wed, 09 Mar 2011 15:16:18 +0000 AnnMarie Piscopo 3701@http://www.supercoder.com/forum/ <p>looking for the correct way to code an NP. Have used 99214-AK and the Dr's NPI-commercial ins has paid but medicare denied stating incorrect modifier used. Do I need to bill using the NP's name &amp; NPI for medicare? I cannot find any info on this, please help!<br /> Thank you </p> http://www.supercoder.com/forum/topic/syndrome#post-2550 Tue, 28 Dec 2010 16:56:43 +0000 Regina Parimi 2550@http://www.supercoder.com/forum/ <p>Anytime I try to look up ICD-9s in "Syndrome", the little arrows just keep going around and around and around, but the category never opens. Is there a trick to getting into this one. I also have the same problem with "Disease". </p> http://www.supercoder.com/forum/topic/injection-coding#post-2472 Sat, 18 Dec 2010 04:21:38 +0000 REGINA WILLY 2472@http://www.supercoder.com/forum/ <p>Help!!<br /> I work in an ASC &amp; have a question in regards to coding bilateral injections.<br /> For example:::Pt is seen of a median branch block (lumbar) bilateral L4, L5, S1--Would you code it as 64493-50, 64494-50 or would it be 64493-50, 64494-50, 64495-50?</p> <p>Reg </p> http://www.supercoder.com/forum/topic/tdap-90715#post-2154 Tue, 16 Nov 2010 16:53:14 +0000 sales demo 2154@http://www.supercoder.com/forum/ <p>If a Medicare patient is given a Tdap for an injury which is never covered by Medicare does an ABN have to be signed? I feel the patient should be told about it because a TD is covered for injuries. </p> http://www.supercoder.com/forum/topic/2010-2011-influenza-season-vaccine-includes-three-strains-an-a-h1n1#post-1503 Wed, 25 Aug 2010 13:53:54 +0000 Gisele Curatolo 1503@http://www.supercoder.com/forum/ <p>How is everyone billing Medicare for the Seasonal Flu this season?<br /> The new vaccine includes the regular seasonal flu strain plus the 2009 H1N1 strain and the H3H2 strain. Last year you didn't pay for the H1N1 so were not reimbursed, this year you are purchasing it as<br /> part of the package deal with the Seasonal Flu. </p> <p>Codes G9141 - G9142 don't seem appropriate. </p> <p>Any information you may provide would be greatly appreciated. </p> <p>Thank you! </p> http://www.supercoder.com/forum/topic/opiate#post-1320 Thu, 05 Aug 2010 08:02:16 +0000 Seema Chauhan 1320@http://www.supercoder.com/forum/ <p>what is the Dx for opiate dependence? </p> http://www.supercoder.com/forum/topic/lvn-cpt-codes#post-1077 Sun, 20 Jun 2010 16:16:16 +0000 maryellen reimers 1077@http://www.supercoder.com/forum/ <p>I have an interview Tues-What codes are used for licensed vocational nurses (LVN)? Are they trough a speciality with a modifier? HELP </p> http://www.supercoder.com/forum/topic/medicare-starts-processing-claims-at-28-conversion-factor-1#post-1072 Fri, 18 Jun 2010 18:09:41 +0000 Anonymous 1072@http://www.supercoder.com/forum/ <p>Expect $14 less for 99213, starting June 18.</p> <p>Bemoaning Medicare shortfalls? The situation just got worse.<br /> The Senate failed to pass the American Jobs and Closing Tax Loopholes Act (H.R. 4213) late Thursday night. The clock ran out on the claims hold that expired June 17 that was delaying payment processing at the cut rate.</p> <p>Result: Medicare contractors may start processing claims starting today, June 18, at the -21.3 percent cut. That puts the new conversion factor rate at 28.3868, down from 36.0846.</p> <p>You’ll get almost $14 less per 99213. For 99213, Medicare was paying an unadjusted rate of $65.67, which under the new CF will be reduced to $51.66.</p> <p>The future may be rosier. As in past years, Congress is expected to intervene and repeal the Medicare Physician Fee Schedule cut retroactively to June 1st. In this case, CMS contractors will automatically reprocess all claims with dates of service on June 1, 2010 or later (and thus subject to the fee cut) to capture that additional payment. </p> http://www.supercoder.com/forum/topic/any-biller-had-luck-billing-0161t#post-303 Thu, 04 Feb 2010 21:32:35 +0000 Aimie Benko 303@http://www.supercoder.com/forum/ <br />