I’m confused. Should I use 61548 vs 61580 & 61600 to bill an endoscopic transnasal approach to remove a pituitary tumor? Or is this an unlisted code (64999)?
Month: March 2017
Whose NPI number do we bill under when a PA sees the patient in the office under the “incident to” rules for Medicare? We bill under the NPI number of the physician who is assigned to the PA. Is that correct?
In my office, we use a PA as a scribe for new patient office visits for our doctors. We have an electronic medical record and the scribe signs in under her own name when she begins notating for the doctor. What is the correct way to notate in the medical record that the PA is only acting as a scribe and not performing the service personally?
We are seeing payers ask for payment back when we use Modifier 80 for assistant surgeon. Is there a reason why they would take the payment back?
When reporting an epidural percutaneous implantation of a neurostimulator electrode my physician wants to bill fluoro. Can we bill separately for fluoroscopic guidance?
We are confused on which code to use for a milia destruction, Is it 10040 or 17110?
If a Medicare patient has been admitted to the hospital as an inpatient and the patient is transferred to my care in the ED before they are moved to an inpatient bed, do I bill an ED visit or an initial hospital care code when surgery is not planned?
I read with interest your coding coach related to the following scenario: The surgeon documented a right shoulder injection with US guidance (CPT code 20611) and a left knee injection without US guidance (20610). Your explanation of when to use the RT/LT and explanation of why modifiers 50, 59 and 76 were incorrect was fantastic. But of course, I have a question about another scenario. What if the surgeon documented the same procedures but the shoulder and knee injections were on the same side? We love receiving the coding coaches and fantastic information that is provided.
My physician performed a sacral nerve destruction at S1, S2, S3 and S4. I am not certain how to code this. Should I report 64640 only once?
I have a question after a recent coding/billing seminar with Teri Romano (which was excellent!). I use the 1997 Physical Exam Rules and am trying to figure out the required elements for a comprehensive exam. Most information says you need 2 bullets from each of 9 organ systems. While this is easy to understand, I noticed the guidelines also says: