Month: April 2018

Telehealth Billing
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Telehealth Billing

April 19, 2018 Question: We want to offer telehealth in our office as an added service line to our patients.  How do we indicate to the insurance company that the visit was a telehealth visit? Answer: There are a few ways that your claim form will tell a payor that the visit was performed remotely. ...

Incident-to Billing
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Incident-to Billing

April 19, 2018 Question: We have added a PA to the practice and want to make sure we are using him to the fullest capacity.  We were told that he can see Medicare patients and we can bill it under our physician and get paid at the full fee schedule rate.  Is this true? Answer:...

Thrombectomy and Thrombolysis (3)
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Thrombectomy and Thrombolysis (3)

April 19, 2018 Question: Can a completion angiogram be reported with a transcatheter thrombectomy, for example 75894? Answer: No, completion imaging is included in the thrombectomy code and never separately reported. *This response is based on the best information available as of 04/19/18.

Evacuation of Cervical Epidural Hematoma
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Evacuation of Cervical Epidural Hematoma

April 19, 2018 Question: How do I code a cervical laminectomy with extradural epidural hematoma evacuation?  I was thinking about using 63265 but my co-worker said this code is for a tumor removal and not for a hematoma. Answer: Sorry, but your co-worker is incorrect.  The code series, 63265-63268, is for laminectomy procedures to remove...

69801 and Tympanostomy Tube Placement
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69801 and Tympanostomy Tube Placement

April 19, 2018 Question: If a collar button tube is placed AFTER the 69801 transtympanic injection to keep the hole open for future injections, can I also report 69433 (insertion of tympanostomy tube under local anesthesia)? Answer: No, CPT clearly states that any myringotomy or tympanostomy tube placement at the time 69801 is performed is...

Diagnostic Ultrasound and Ultrasound Guided Injections
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Diagnostic Ultrasound and Ultrasound Guided Injections

April 19, 2018 Question: Our sports medicine physicians are reporting diagnostic ultrasounds (76881) and ultrasound guided injections at the same session, same joint. We are receiving denials as inclusive and are not understanding why they are being denied. Answer: Thanks for your inquiry. The ultrasound guided injections (20604, 20606 and 20611) include ultrasound image guidance...

Removal of Mandibular Implant
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Removal of Mandibular Implant

April 19, 2018 Question: We are removing old plates from the right and left mandible. It is ok to use 20680 x 2? Answer: There was just a CPT Assistant about this in January 2018. CPT 20680 (Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)) may be reported...

5 Qualities of Superstar Practice Managers
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5 Qualities of Superstar Practice Managers

5 Qualities of Superstar Practice Managers Physicians Practice – April 2018 There is a significant opportunity in the U.S. for business-minded professionals to have a rewarding career in healthcare as practice managers. As in any profession, there are average managers who do an adequate job. And then there are the superstars—the managers who care deeply,...

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Coding Trigger Point Injections for Pain Management

Articles Coding Trigger Point Injections for Pain Management Deborah Grider ICD10 Monitor – April 2018 Review your payer policies when performing these services. Pain management coding can be tricky.  Trigger point injection therapy is a common procedure performed by pain management specialists, orthopedic surgeons, physical medicine and rehab and other specialties. Trigger point injection therapy...

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