User id : 34267 on "Capsule placement"
When an EGD is performed for the purpose of placing a capsule in the duodemun how should it be coded? The capsule was swallowed earlier in the office
View ArticleSuperCoder on "Capsule placement"
Thanks for the question, As per my understanding use modifier 78 (Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qual
View ArticleUser id : 83704 on "Colonoscopy with banding"
What is the proper way to code colonoscopy with banding for a Medicare patient?
View ArticleSuperCoder on "Colonoscopy with banding"
Appropriate codes for this scenario would be: CPT 2015 45398 CMS CY 2015 Crosswalk for Medicare Plans 45378, G6021 It is important to note that u
View ArticleUser id : 30421 on "CPT Fecal tranplant capsule"
Need CPT code for Fecal tranplant capsule . Pateint swallowed capsule would I just use the FMT prep code
View ArticleSuperCoder on "CPT Fecal tranplant capsule"
You are right, appropriate code for this scenario would be- 44705, Preparation of fecal microbiota for instillation, including assessment of donor spe
View ArticleUser id : 27684 on "GI CPT question"
Our Gi physician did an EGD with pyloric stenosis balloon dil. Patient presented for dysphagia, nausea and vomiting and doctor found recurrent pylori
View ArticleUser id : 27684 on "GI CPT question"
when I click on latest reply to receive your answer it will not come up.Thanks
View ArticleSuperCoder on "GI CPT question"
Thanks for the Query I would suggest cpt 43245 (Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, b
View ArticleUser id : 23222 on "Launching a"
is there a procedure code for launching a capsule pill during an EGD instead of patient swallowing to visualize the intestine?
View ArticleSuperCoder on "Launching a"
Hi, There is no separate procedure code for launching a capsule pill during an EGD.
View ArticleUser id : 10697 on "87077-QW denied by Medicare"
Medicare is denying 87077-QW. Remittance advice says denying for missing/invalid/incomplete HCPCS. Our CLIA number is included on the claim. We are bi
View ArticleSuperCoder on "87077-QW denied by Medicare"
It seems like you are doing it properly. Kindly touch base with medicare for detailed explanation of denial.
View ArticleUser id : 10697 on "Non covered service"
For MO MCD we have been told that 43249 is a non-covered service for ASCs. We wouldn't be able to just bill 43235 and leave off the dilation by chance
View ArticleSuperCoder on "Non covered service"
Please check your payer's policy for the specific code. Please refer to sections 10.2 (Ambulatory Surgical Center Services on ASC List) and 40.5 (Paym
View ArticleUser id : 30421 on "ICD10 codes"
We are being told by insurance co that K92.0 and R14.0 can not be reported together because the two conditions cannot occur together . I'm I missing
View ArticleUser id : 27684 on "CPT code place of service"
We are billing CPT code 88305-TC which is done in our office and normally we would use POS 11 but my understanding is we should bill Medicare insuranc
View ArticleSuperCoder on "ICD10 codes"
The coding guidelines says that code for Sign & Symptoms (R00-R99) should not be used with the definitive diagnosis, if they are associated routi
View ArticleSuperCoder on "CPT code place of service"
The only question that rises is that the service was performed in the office , not in the hospital. The scenario has to be analyzed in the context tha
View ArticleUser id : 27684 on "CPT code place of service"
When I spoke with CMS today I was told POS 22. I am confused and don't want to commit Medicare Fraud. Colonoscopy done in hospital outpatient setting
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