User id : 18104 on "45393 not recognized by Medicare- Now bill 45378 & G6021?"
Hello, I just finished reading an article saying Medicare will not pay 45393. Instead I am now to report 45378 & G6021, see article http://gi.or
View ArticleSuperCoder on "45393 not recognized by Medicare- Now bill 45378 & G6021?"
I am not getting anywhere that medicare will not pay CPT 45393. CPT 45393 is effective from 1st Jan. 2015. But it cannot be billed with CPT 45378. Als
View ArticleUser id : 18104 on "45393 not recognized by Medicare- Now bill 45378 & G6021?"
When I check the fees on your website for my area (rest of Pennsylvania 99) there is no reimbursement for this CPT code. Any help?
View ArticleSuperCoder on "45393 not recognized by Medicare- Now bill 45378 & G6021?"
CMS has not provided the facility/non-facility and Work RVU. Kindly confirm it with medicare or your insurance carrier.
View ArticleUser id : 15406 on "What constitutes a Modifier 33?"
What findings during a screening colonoscopy warrant a modifier 33 or for Medicare a modifier PT? Specifically, does the finding of hemorrhoids and th
View ArticleUser id : 10697 on "Crohn's ICD 10"
For ICD 10 if the patient has Crohn's of small intestine with rectal bleeding, intestinal obstruction, and fistula would I report K50.011, K50.012, &a
View ArticleSuperCoder on "Crohn's ICD 10"
We will use K50.011, K50.012, K50.013 codes for the scenario. We will use K50.018 code only when the complication that is other specified.
View ArticleSuperCoder on "What constitutes a Modifier 33?"
Well, use modifier 33 when the primary purpose of the service is the delivery of an evidence based service in accordance with a US Preventive Services
View ArticleUser id : 23222 on "Incomplete ERCP"
If physician is doing ERCP but cannot cannulate the ampullary orifice unable to access biliary and pancreatic ducts but takes a biopsy of the ampulla.
View ArticleUser id : 23222 on "Colonoscopy w/history of polyps"
If patient as history of polyps, but has had 2 colons done w/out finding more polyps in 10 years should this still be coded V12.72 for a screening col
View ArticleSuperCoder on "Incomplete ERCP"
As provider initiated the ERCP procedure and discontinued due to some reason. So you should bill -53 modifier (Discontinued services) with ERCP proced
View ArticleSuperCoder on "Colonoscopy w/history of polyps"
Well, thanks for your question. Yes, this visit still be coded with V12.72 (Personal history of colon polyps) because patient's other two screening co
View ArticleUser id : 30421 on "Endoscopy with strictureplasty"
I need to know what the CPT code is for the above procedure ? it is done endoscopic not surgical its also not a dilation endoscopy
View ArticleUser id : 10697 on "45382-53"
Patient presents to hospital with hematochezia, status post colonoscopy w/polypectomy. Dr performs colonoscopy & identifies polypectomy site &
View ArticleUser id : 27684 on "EGD with BICAP ablation of telangiectasis and biopsies"
Filed Medicare insurance in following order and Medicare denied the 43255 and paid on the 43239. 99223 43255 43239-59 What modifier should have been u
View ArticleSuperCoder on "EGD with BICAP ablation of telangiectasis and biopsies"
Well, with the initial hospital care service (99223), there is CCI edit relationship between CPT 43255 and 43239. Code 43255 is a column 2 code for 43
View ArticleSuperCoder on "45382-53"
Well, CPT 45382-53 is appropriate code to bill for the scenario. Modifier 78 can be use for unplanned return to the operating room. Hope it helps!
View ArticleSuperCoder on "Endoscopy with strictureplasty"
Well, as it is done laproscopically, CPT 44238 (unlisted code) is appropriate code to bill. Make sure to attach the operative report with the claim to
View ArticleUser id : 27684 on "second opinion on Gi coding"
Coded a claim in following order, please advise if correct. 43270-59 EGD w/ablation Tumor/mucosal lesion 43239 - EGD with biopsies Would modifier be a
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