Month: June 2019

Give the Financial Policy a Tune-Up
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Give the Financial Policy a Tune-Up

June 26, 2019 As deductibles continue to climb, many practices are shifting from billing after insurance pays to collecting patient financial responsibilities up front and prior to surgery. If yours is one of these, review your financial policy to be sure it is keeping pace with these changes. Here are 8 things to do: 1....

Colorectal Surgery Coding and Reimbursement
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Colorectal Surgery Coding and Reimbursement

Colorectal Surgery Coding and Reimbursement (Module 1 and 2 Bundle) Presented by: Teri Romano Buy Now $249 Coding for complex colorectal procedures? Scratching your head when trying to figure out which codes fit which procedures?  You’re not alone. Colorectal coding requires knowledge of the anatomy involved as well as specific terminology that describes the procedures...

Subscapularis and Supraspinatus Repair
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Subscapularis and Supraspinatus Repair

June 20, 2019 Question: I perform an arthroscopic repair of the supraspinatus and subscapularis tendons through separate incisions/portals.   May I report CPT code 29827 twice? Answer: CPT code 29827, arthroscopic rotator cuff repair is reported one time regardless of whether one or all four tendons are repaired.  Consider adding modifier 22 for the additional complexity...

Prescription Refill Visits
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Prescription Refill Visits

June 20, 2019 Question: We get calls from patients to renew their medications.  When the patient comes to office to pick up prescription, can we bill for a nurse visit with 99211? Answer: No.  CPT makes it very clear that picking up a prescription does not constitute a billable E/M service. *This response is based...

Coding TCAR
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Coding TCAR

June 20, 2019 Question: What is TCAR and how is it coded? Answer: TCAR stands for Transcarotid Artery Revascularization.  It is essentially an open carotid stent procedure. A small incision is made just above the collar bone to expose the common carotid artery. A sheath is placed directly into the carotid artery and connected to...

E/M with Procedure
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E/M with Procedure

June 20, 2019 Question: Can you provide the CPT code for this procedure? Also can I report an E/M service for this patient encounter? Patient is a pleasant 60 year-old gentleman who presents in our office for a follow-up visit for left knee pain. He continues to have some left sided knee pain. We drained...

Modifier 59
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Modifier 59

June 20, 2019 Question: I destroyed 8 AKs and 3 SKs on a patient and also took a shave biopsy of another site.  My codes are 17000, 17003 X 7, 17110, and 11102.  Do I use modifier 51 or 59?  I get confused on this issue. Answer: Since there are bundling edits for the codes...

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