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| Articles by Erin Articles |
111. Gasteroenterology coding:74270 is for barium enema as well as water-soluble contrast
April 20, 2011
Recently, my gastroenterologist ordered barium enema for a four-year old male patient with a history of encopresis and constipation. Therefore, I am billing the procedure for my radiologist. How should you report the procedure if the radiologist writes the following text in her notes:
<...
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112. Report 44180 with unlisted code 58999
April 19, 2011
Here's a procedure that my ob-gyn documented: Excision granulation tissue vaginal cuff. Laparoscopy, extensive lysis of adhesions of the sigmoid colon to posterior cul-de-sac. Scissors used to cut it. Uterosacral stitch (out of peritoneum). Inspection pointed to connection of the granulation tiss...
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113. Cardiology coding: No Medicare pay for 99360
April 19, 2011
My physicians stand by for the cardiologist during a pacemaker placement case they need to place epicardial leads. They want to code for their time, and I’ve found code 99360 for this. Is it necessary that they dictate something so that I can charge for this?
CMS and many other payers ...
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114. 66984: Coordinate with surgeon to ensure proper payments
April 18, 2011
Clue: Take a look at the original coding before you report 366.10 every time.
When more than one physician is involved in a patient's cataract care, see to it that diagnosis and procedure codes match up or you will land a denial. Here are two pointers to help you get your p...
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115. Pathology coding: Do not miss pay for second flu testing
April 15, 2011
So which code for influenza – A or B? If your lab test aids you in answering the A/B question, you might be able to report two units of the test code. Watch out: Missing the second test could cost your lab up to $27 in lost revenue.
Here are some tips that can help you get your flu coding...
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116. BMI: New code choices could support higher coding, but don't assume you need -22
April 15, 2011
This year's just-in fifth-digit diagnosis codes for BMI help you document a patient's condition better, especially when the patient's BMI might lead to more complex risk factors for the anesthesiologist to handle. However, having documentation of a high BMI does not automatically lead to mo...
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117. 96402 Is No More An Option For Lupron Depot Admin
April 14, 2011
Does your practice sees patients with Part B coverage through Noridian? If so, you will need to take note of a new drug administration rule from this Medicare Administrative Contractor (MAC). Being well-versed with all the recent happenings will help you report gonadotropinreleasing hormone...
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118. Medicare Fee schedule: Bilateral surgery indicator for 77071 changes from 3 to 2
April 14, 2011
A small status-indicator change could cost you $46 per claim.
It's difficult to fathom what each quarter will unravel in the form of Medicare updates. As such, this month (April) you need to stay in tune with the latest on physician fee schedule news.
New: The bil...
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119. Coding fundus photos bilaterally for Medicare? It's a no no
April 13, 2011
While coding for your ophthalmology practice, you may sometimes find yourself bowled over by questions such as these:
Question: Our just-new program guides us to add modifier 50 to code 92250; but then I wanted to be doubly sure. Is it proper to use modifier 50?
Answer: M...
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120. Lab requisition physician signature reprieve
April 13, 2011
The Centers for Medicare and Medicaid to stop April implementation
The just-in requirement for physician signatures on lab test requisitions won't happen after all, as per a CMS statement to lab groups that lobbied to stop the change.
Initially it was the January 1, then...
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Author: Erin Articles
