http://www.supercoder.com/forum/ Supercoder - Ask an Expert? Forum: Pulmonology Coding - Recent Topics en Sun, 12 Feb 2012 12:49:40 +0000 http://www.supercoder.com/forum/topic/pulmonary#post-11331 Fri, 10 Feb 2012 18:31:45 +0000 Sue Baker 11331@http://www.supercoder.com/forum/ <p>Our doctor bills for a 99214-25, 94640 and 94060. Medicare says that 94640 bundles with 94060 but a modifier may be used to unbundle the code for reimbursement. Do you know what modifier I would attach to 94640? </p> http://www.supercoder.com/forum/topic/sleep-study-plus-oxygen#post-11286 Thu, 09 Feb 2012 15:11:44 +0000 yides fuchs 11286@http://www.supercoder.com/forum/ <p>I wonder if you can help me with this Question- -A Patient had to have Oxygen during a Sleep Study can the provider bill for the Oxygen? and if yes which code? </p> http://www.supercoder.com/forum/topic/can-a-provider-bill-for-31622-twice-in-the-same-24-hour-period#post-10772 Tue, 24 Jan 2012 01:56:38 +0000 robin yaeger 10772@http://www.supercoder.com/forum/ <p>ONe of the doctors in our practice is insisting on billing for a 31622 done two times in the same day. how can we do this </p> http://www.supercoder.com/forum/topic/94729-1#post-10606 Wed, 18 Jan 2012 14:52:45 +0000 Gerri Brunow 10606@http://www.supercoder.com/forum/ <p>I know that CPT 94729 is an add-on code and CPT sggests that it is most commonly performed in addition to other procedures and to code first 94010,94060,94070,94375,94726-94728 but, can it reported by itself. We do perform these with nothing else from time to ime?</p> <p>Thanks ! </p> http://www.supercoder.com/forum/topic/pft-coding-2012#post-10723 Mon, 23 Jan 2012 03:22:02 +0000 Faisal Fakih 10723@http://www.supercoder.com/forum/ <p>what codes should be used for complete pft with bronchodilators? We have a body box with our pft machine, so i want to receive the correct reimbursement. </p> http://www.supercoder.com/forum/topic/pulmonary-pt#post-10787 Tue, 24 Jan 2012 16:49:32 +0000 Annette Taylor 10787@http://www.supercoder.com/forum/ <p>We have a pulmonary pt that has a trach but the doctor has decided to remove the trach and let the patient die. The term that the nurses are using is Decannulation or De-escalation of care for the patient and went to know what cpt code we could use to code this. </p> http://www.supercoder.com/forum/topic/pulmonary-codes#post-10567 Tue, 17 Jan 2012 16:47:27 +0000 Anne Killcoyne 10567@http://www.supercoder.com/forum/ <p>I checked the CCI edit for billing <code>94060</code>, <code>94726</code>, <code>94727</code> and <code>94729</code> together and the edit says it fine to bill with a 59 mod. of the <code>94727</code>. In the CPT book it states; Do not report <code>94726</code> in conjunction with <code>94727</code>, <code>94728</code>. My Pulmonology department is asking what to bill. </p> http://www.supercoder.com/forum/topic/code-for-respiratory-failure#post-10708 Fri, 20 Jan 2012 17:32:54 +0000 imran haq 10708@http://www.supercoder.com/forum/ <p>code for tracheal stenosis and respiratory failure please? </p> http://www.supercoder.com/forum/topic/what-codes-should-i-use-to-bill-a-flu-shot-and-pneumonia-shot-to-blue-cross#post-10577 Tue, 17 Jan 2012 19:24:37 +0000 Deborah Landon 10577@http://www.supercoder.com/forum/ <p>Blue Cross does not like G0008 and G0009 </p> http://www.supercoder.com/forum/topic/albuterolpulmicort-combination#post-10665 Thu, 19 Jan 2012 17:38:19 +0000 Lisa Lott 10665@http://www.supercoder.com/forum/ <p>One of our physicians gave a combination albuterol/pulmicort inhalation treatment. They would like to know if they can bill only 1 code or if they have to bill 2 separate HCPCS codes. I am unsure of what to tell them.<br /> Thank you in advance for your help. </p> http://www.supercoder.com/forum/topic/cpt-94780-and-94781-clarification#post-10558 Tue, 17 Jan 2012 14:44:28 +0000 Gerri Brunow 10558@http://www.supercoder.com/forum/ <p>I just attended a webinar through the AAPC in which the speaker stated that these two codes were to be used in an office setting only. I did not get that from reading the descriptions. Can you clarify?</p> <p>Thanks! </p> http://www.supercoder.com/forum/topic/pft-2012-updates#post-10524 Mon, 16 Jan 2012 14:31:38 +0000 Sue Baker 10524@http://www.supercoder.com/forum/ <p>CPT codes 94240 and 94260 have been deleted in 2012 and replaced with codes 94726 and 94727. Does 94726 replace 94240 and 94727 replace 94260? </p> http://www.supercoder.com/forum/topic/cpts-94780-and-94781#post-10158 Thu, 05 Jan 2012 19:53:00 +0000 Gerri Brunow 10158@http://www.supercoder.com/forum/ <p>Does anyone know what UB/REV code we shuld assign to these two new CPT's? I haven't received my 2012 update the the Uniform Billing Editor yet. </p> <p>Thanks ! </p> http://www.supercoder.com/forum/topic/can-you-code-31631-stent-and-alloderm-patch-31899-in-the-same-fistula#post-9831 Thu, 22 Dec 2011 15:25:01 +0000 Martha Johnson 9831@http://www.supercoder.com/forum/ <p><code>31631</code> <code>31899</code> </p> http://www.supercoder.com/forum/topic/prio-authorizations#post-9746 Tue, 20 Dec 2011 20:09:34 +0000 Try Super 9746@http://www.supercoder.com/forum/ <p>I would like to know if there is a code or charge that could possibly be used to code for the time spent on prior-authorizations, patient questions via phone call (very lengthy), checking on insurance coverage prior to any diagnostic testing? etc...</p> <p>Thank you </p> http://www.supercoder.com/forum/topic/facility-charges-for-withdrawing-blood-sample-from-existing-arterial-line#post-9552 Tue, 13 Dec 2011 21:10:27 +0000 Try Super 9552@http://www.supercoder.com/forum/ <p>'36600' is used when billing for arterial puncture and '36620' is used for arterial cannulation for sampling. Is sampling from an already existing art line separately billable? </p> http://www.supercoder.com/forum/topic/coding-for-bronchoscopically-monitored-aortopexy-and-pulmonary-artery-pexy#post-9494 Mon, 12 Dec 2011 18:57:50 +0000 Try Super 9494@http://www.supercoder.com/forum/ <p>The coding problem involves a 3 hour surgical session for bronchoscopically monitored aortopexy and pulmonary artery-pexy for a 5 year old patient. A cardiothoracic surgeon performed the aortopexy and pulmonary artery-pexy. The pulmonologist performed a bronchoscopy before, during and after the surgical procedures to monitor the patient's condition and the effectiveness of the surgery. The pulmonologist was present for the entire 3 hour period. How should the pulmonologist's services be coded? Thank you. </p> http://www.supercoder.com/forum/topic/hyperbaric-oxygen-therapy#post-9381 Thu, 08 Dec 2011 02:43:13 +0000 Carol Buchmann RN CPC 9381@http://www.supercoder.com/forum/ <p>Ohio Worker's comp does not recognize C1300 and yet does recognize the 99183. Any code that might fill the bill for the facility to get reimbursed for this therapy? This is probably a question for those whose expertise is in wound care but here's hoping.... </p> http://www.supercoder.com/forum/topic/pulmonary-function-test-1#post-9146 Wed, 30 Nov 2011 15:26:51 +0000 cherie welch 9146@http://www.supercoder.com/forum/ <p>Also, have you read the new coding for 2012 pft's? </p> http://www.supercoder.com/forum/topic/pulmonary-function-test#post-9145 Wed, 30 Nov 2011 15:04:27 +0000 cherie welch 9145@http://www.supercoder.com/forum/ <p>When billing for a pft, are you having to use a 25 modifier on the ov and a 59 with the 94060? I never have used any modifiers, I always billed 99213 94060 94240 94720. Never have used a modifier. All the sudden I get a letter from Medicare, taking money back, saying I have not used correct modifiers. I have now been told by other billers, the use the 25 and 59 modifier. Anyone else had this problem? Anyone else use modifiers w pft? </p> http://www.supercoder.com/forum/topic/frequency-of-billing-94762-overnight-oximetry#post-8986 Tue, 22 Nov 2011 13:14:26 +0000 Sue Baker 8986@http://www.supercoder.com/forum/ <p>Are there any guidelines for how frequent an overnight oximetry (94762) can be billed?</p> <p>We have several patients who are billed 94762 (on home air) and 94762 (with oral appliance) within the same 30 day period. </p> http://www.supercoder.com/forum/topic/overnight-oximetry-code#post-8958 Mon, 21 Nov 2011 17:14:04 +0000 Suzanne Centrella 8958@http://www.supercoder.com/forum/ <p>Please tell me what the CPT code(s) would be used for an overnight oximetry with oral appliance devise and an overnight oximetry without oral appliance. Thank you. </p> http://www.supercoder.com/forum/topic/how-do-you-code-a-pneumonectomy-and-lymphadenectomy-with-thoracoscopic-approach#post-8930 Sat, 19 Nov 2011 15:14:39 +0000 cathy barrett 8930@http://www.supercoder.com/forum/ <p>How do you code a pneumonectomy and lymphadenectomy with thoracoscopic approach? </p> http://www.supercoder.com/forum/topic/icd-9-2012-code-for-multiple-pulmonary-nodules#post-8823 Wed, 16 Nov 2011 21:13:32 +0000 Sue Shive 8823@http://www.supercoder.com/forum/ <p><code>793.11</code> </p> http://www.supercoder.com/forum/topic/postoperative-medical-care#post-8301 Wed, 02 Nov 2011 20:12:10 +0000 Kamlesh Pandya 8301@http://www.supercoder.com/forum/ <p>Our hospital is a trauma center. The surgeons would like to assign their patients to us for total medical/critical care if needed after major surgery. Can you please tell me which ICD-9 code should I bill as primary dx? </p> <p>Thank you. </p> http://www.supercoder.com/forum/topic/aspergillious-skin-test#post-8042 Wed, 26 Oct 2011 01:17:26 +0000 Deborah Whitted 8042@http://www.supercoder.com/forum/ <p>What is the correct CPT code for an Aspergillious Extract skin test. I am told the Aspergillious antigen is placed on the forearm much like the TB skin test. Then they see the patient within 48 hours to see if there is a reaction to the antigen. Thank you. </p> http://www.supercoder.com/forum/topic/xolair#post-5059 Wed, 08 Jun 2011 20:32:31 +0000 Nancy Smith 5059@http://www.supercoder.com/forum/ <p>What is the correct administrative code when giving a Xolair injection? I am receiving multiple answers. Thanks </p> http://www.supercoder.com/forum/topic/billing-albuterol-inhalation-solution#post-7601 Wed, 12 Oct 2011 13:46:33 +0000 JEAN HURWITZ 7601@http://www.supercoder.com/forum/ <p>Does anyone bill for Albuterol inhalation solution administered (J7613) if so are you having any issues with the insurance. </p> http://www.supercoder.com/forum/topic/pulse-oximetry#post-7268 Wed, 28 Sep 2011 20:35:40 +0000 Colleen Faulstich 7268@http://www.supercoder.com/forum/ <p>We are billing an evaluation and management code along with a pulse oximetry 94760 or 94761 and these codes are being bundled. There is no cci edit for these codes. These are being done in the office, does anyone know why these are being bundled? We have tried to put a modifier 25 on the E&amp;M and a modifier 59 on the 94760 but still are bundled. </p> http://www.supercoder.com/forum/topic/sleep-studies#post-7313 Thu, 29 Sep 2011 17:55:44 +0000 Sue Baker 7313@http://www.supercoder.com/forum/ <p>Can anyone tell me the difference between billing G0398 and 95806 for a home sleep study in 2011? Is one code used for Medicare patients and the other for commmercial carriers? </p>