User id : 10697 on "Remicade Infusions"
An RN does Remicade infusions at our office. We report the J code for the drug, 96413 for the 1st hour, and 96415 for additional time. My question is
View ArticleUser id : 13296 on "Endoscopic suture repair of gastric fistula"
My provider did an endoscopic suture repair of a gastro-gastric fistula using the Apollo overstitch suturing system. He also used an ERBE laser to ro
View ArticleSuperCoder on "OPERATIONS: Resect gastrojejunostomy, perform...
Thank you for your question. We are researching on your query, will answer back very shortly. Thank you.
View ArticleSuperCoder on "Control of bleeding"
Thanks for your question. If endoclips were unsuccessfully applied, you should not bill for them, only fully successful procedure should be coded here
View ArticleSuperCoder on "Remicade Infusions"
Greetings for the day! Yes, you can bill 96415 for additional 30 minutes of Remicade infusion. As per CPT® time rules, you report +96415 “for infus
View ArticleUser id : 10697 on "Remicade Infusions"
The time spent in the infusion was 90 minutes total. The additional time was only 30 minutes beyond that first hour. Can I use +96415 for just those 3
View ArticleSuperCoder on "Endoscopic suture repair of gastric fistula"
There is no listed code for Endoscopic suture repair of gastric fistula, you will have to use unlisted code 43999, Unlisted procedure, stomach. Thanks
View ArticleSuperCoder on "Remicade Infusions"
For total infusion time of 90 minute, you may not report 96415 in addition to 96413. Thanks !!
View ArticleUser id : 35049 on "Coding 43270 and 43255"
Can you code 43270 and 43255 together with a modifier?
View ArticleSuperCoder on "Coding 43270 and 43255"
Thank you for your question. Yes, they may be billed together with the appropriate modifier (ie. -59) 43270 Esophagogastroduodenoscopy, flexible, tran
View ArticleSuperCoder on "OPERATIONS: Resect gastrojejunostomy, perform...
Which two codes you were planning to code? We believe that resection of gastrojejunostomy will be considered as inclusive to performance of esophagoje
View ArticleUser id : 35049 on "Coding 45385, 45383, 45380 and 45380"
Coding 45385, 45383, 45380 and 45380 can all of these be on a claim with a modifier?
View ArticleSuperCoder on "Coding 45385, 45383, 45380 and 45380"
Thanks for your question. Yes you can bill all of these codes on a claim at one time. You would not bill 45380 twice on a claim in any circumstance.
View ArticleUser id : 35049 on "Coding 45385, 45383, 45380 and 45380"
Sorry about the two 45380. One of them was supposed to be 45381
View ArticleSuperCoder on "Coding 45385, 45383, 45380 and 45380"
It is possible for these procedure codes to be billed together during the same encounter. Your documentation should support the need for billing each
View ArticleUser id : 35049 on "Cahaba Medicare is denying claim"
Medicare is denying claim with the coding V18.51 as the primary DX. Is that not one of the high risk codes that they will pay for? Thanks.
View ArticleSuperCoder on "Cahaba Medicare is denying claim"
Thanks for your question. Medicare outlines six characteristics that can classify an individual as high-risk: 1) having a close relative (sibling, par
View ArticleUser id : 35049 on "V18.51"
Medicare patient. Colonoscopy was performed on patient with a V18.51. The physician did a BX on the patient. I coded the claim with V18.51 as prima
View ArticleUser id : 35049 on "Cahaba Medicare is denying claim"
In house edits are stopping this before it gets to Medicare.
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