Month: January 2018

Defining Non-Compounded Sclerotherapy
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Defining Non-Compounded Sclerotherapy

January 4, 2018 Question: I’m not sure I understand the new vein surgery codes in the 2018 CPT manual. Can you explain what “non- compounded” means? Answer: The new 2018 coded, 36465, 36466 describe injection(s) of a non-compounded foam sclerosant into an extremity truncal vein (eg, great saphenous vein, accessory saphenous using ultrasound-guided compression of...

Billing an Appendectomy with Another Surgery
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Billing an Appendectomy with Another Surgery

January 4, 2018 Question: Is an appendectomy separately reported when done with another abdominal procedure? Answer: If the appendectomy is performed for a medically indicated purpose, for example the appendix was involved in the disease process, it can be reported with an add-on code, +44955. See the description of this code below. No modifier would...

Billing “Incident to”
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Billing “Incident to”

January 4, 2018 Question: 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? Answer: No, when billing “Incident to,” bill under the NPI...

Epistaxis Control
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Epistaxis Control

January 4, 2018 Question: Can you explain when to use 30901 and 31231 rather than 31238? I’m confused. Answer: Sure! We discuss these codes in our national ENT coding workshop series (click here for future course dates/locations).  CPT 30901/30903 are used when you control epistaxis via means such as cautery but an endoscope is not...

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