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Approved Telehealth Platforms

Approved Telehealth Platforms

April 2, 2020 Question: Now that we aren’t limited to HIPAA compliant software, can we use any app or platform to conduct a telemedicine visit? Answer: You may use any…
Billing Telehealth by Time

Billing Telehealth by Time

April 2, 2020 Question: Can we bill telehealth visits by time alone? Answer: Yes, if indicated by the code billed. Telemedicine visits have the same documentation requirements as any face-to-face…
Documenting Time for Telehealth

Documenting Time for Telehealth

April 2, 2020 Question: Do we have to use start and stop times or can we use minutes when billing by time for telemedicine visit? Answer: Exact minutes documented within…
Approved Telehealth Platforms

Approved Telehealth Platforms

April 2, 2020 Question: Now that we aren’t limited to HIPAA compliant software, can we use any app or platform to conduct a telemedicine visit? Answer: You may use any…
Waiving Medicare Cost-share for Telehealth Visits

Waiving Medicare Cost-share for Telehealth Visits

April 2, 2020 Question: I heard that Medicare patients don’t have to pay their deductible or coinsurance if they have a telemedicine visit. Is this true? Answer: Medicare is not…
Waiving Medicare Cost-share for Telehealth Visits

Waiving Medicare Cost-share for Telehealth Visits

April 2, 2020 Question: I heard that Medicare patients don’t have to pay their deductible or coinsurance if they have a telemedicine visit. Is this true? Answer: Medicare is not…
Billing Telehealth by Time

Billing Telehealth by Time

April 2, 2020 Question: Can we bill telehealth visits by time alone? Answer: Yes, if indicated by the code billed. Telemedicine visits have the same documentation requirements as any face-to-face…
PT Codes for Online Digital Visits

PT Codes for Online Digital Visits

April 2, 2020 Question: I am a PT with an NPI. Since I can bill under my name which codes do I use for Online Digital Visits? Answer: Physical therapists…
E/M and ICD-10-CM for Fracture Patient Treated Prior to Physician Encounter

E/M and ICD-10-CM for Fracture Patient Treated Prior to Physician Encounter

March 19, 2020 Question: I am looking forward to attending a 2020 KZA National Coding Course. I had schedule conflicts in 2019, but have been told these courses are a…
Yeast Dermatitis

Yeast Dermatitis

March 19, 2020 Question: What diagnosis code is reported for yeast dermatitis? Answer: You would report B36.8 (Other specified superficial mycoses) for yeast dermatitis. *This response is based on the…
Billing for Fluoroscopy for Nerve Block

Billing for Fluoroscopy for Nerve Block

March 19, 2020 Question: Can I bill fluoroscopy with 64505 for nerve block of the sphenopalatine ganglion, as imaging guidance is not separately billable for other nerve blocks? Answer: While…
Billing code 36200 with EVAR

Billing code 36200 with EVAR

March 19, 2020 Question: I’m confused about how to code the catheterization with the new EVAR codes. We still do a bilateral catheterization of the aorta. Can we code 36200…
Are Pre-Op Visits Billable?

Are Pre-Op Visits Billable?

March 19, 2020 Question: For patients that are having surgery that day, I’ve been doing pre-op visits that morning (coming in earlier), and not doing a pre-op visit in clinic…
E/M Code with Allergy Testing

E/M Code with Allergy Testing

March 19, 2020 Question: At a recent KZA coding course, you discussed being able to charge an office visit after an allergy test if a plan for immunotherapy treatment was…
Breast Biopsy

Breast Biopsy

March 19, 2020 Question: I did a biopsy of the breast defect before doing the reconstruction. Can I also code for the breast biopsy? Answer: A biopsy from the same…
LCDs and Vein Procedures: Should We Know About These?

LCDs and Vein Procedures: Should We Know About These?

March 19, 2020 Question: We have an office-based vein center and have heard that something called LCDs should be followed before a procedure is performed. We’re not sure what these…
PA Performing Joint Injections

PA Performing Joint Injections

March 5, 2020 Question: Can our PA perform joint injections for Medicare patients Incident-to the physician? Answer: This depends on the scope of practice for the PA in your state…
LCDs and Vein Procedures: Should We Know About These?

LCDs and Vein Procedures: Should We Know About These?

March 5, 2020 Question: We have an office-based vein center and have hears that something called LCDs should be followed before a procedure is performed. We’re not sure what these…
Dysplastic Nevus

Dysplastic Nevus

March 5, 2020 Question: Would I code a melanocytic nevi of the right shoulder with ICD-10-CM code D48.5? Answer: No, you would not use D48.5 which is neoplasm of uncertain…
Binocular Microscopy (92504)

Binocular Microscopy (92504)

March 5, 2020 Question: One of our major payors will not pay a 92504. They state that it is included in the office visit. Any suggestions on how we can…
Overreading a Diagnostic Imaging Study

Overreading a Diagnostic Imaging Study

March 5, 2020 Question: I sent a patient out to the hospital for a CT scan and the patient brought in the actual images and the radiologist’s report for me…
Meniscal Repair and Meniscectomy

Meniscal Repair and Meniscectomy

March 5, 2020 Question: Can I bill for a medial meniscus repair and a lateral meniscus meniscectomy done on the same knee? I see CMS has an NCCI edit between…
Wound Vac Billing

Wound Vac Billing

March 5, 2020 Question: I’m a general surgeon. Some of my team are reporting the negative pressure wound therapy codes 97605 and 97606 when applying wound vacs after closing at…
Modifier 58 and Fat Grafting

Modifier 58 and Fat Grafting

March 5, 2020 Question: We have a patient who is a year status post breast reconstruction and not we are going to do fat grafting to her right breast. We…
Are Pre-Op Visits Billable?

Are Pre-Op Visits Billable?

February 20, 2020 Question: For patients that are having surgery that day, I’ve been doing pre-op visits that morning (coming in earlier), and not doing a preop visit in clinic…
Total Thyroidectomy with Re-Implant of a Parathyroid Gland

Total Thyroidectomy with Re-Implant of a Parathyroid Gland

February 20, 2020 Question: In the past, when I did a total thyroidectomy and I needed to re-implant a parathyroid gland I would also code 60512.  I am now being…
Diagnosis Code for Skin Cancer Screening

Diagnosis Code for Skin Cancer Screening

February 20, 2020 Question: My physician sees a patient for a skin cancer screening. What diagnosis code should I use for a screening? Answer: The diagnosis code for skin cancer…
Overreading a Diagnostic Imaging Study

Overreading a Diagnostic Imaging Study

February 20, 2020 Question: I sent a patient out to the hospital for a CT scan and the patient brought in the actual images and the radiologist’s report for me…
Intraoperative ICG Dye Angiography

Intraoperative ICG Dye Angiography

February 20, 2020 Question: Can we bill the 92242 for the indocyanine green injection intraoperatively, for example to assess perfusion after a colectomy or other abdominal procedure?  Can we bill…
Placement of Cervical Collar after Cervical Spine Surgery

Placement of Cervical Collar after Cervical Spine Surgery

February 20, 2020 Question: A couple of doctors asked me if they can bill for the cervical collar at the end of surgery. I thought that was bundled into the…
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Coding Coaches