User id : 27684 on "GI question"
Physician performed an EGD with esophageal balloon dilation, biopsies and bougie dilation at same setting and I am unsure how to code CPT for Medicare
View ArticleUser id : 27684 on "Gastroenterology"
Physician performed EGD w/ablation Tumor/mucosal lesion and would following be correct in filing insurance for Medicare. CPT 43270 43239-59 as s
View ArticleSuperCoder on "GI question"
Hi, CPT code 43239 (Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple) and 43249 [Esophagogastroduodenoscopy, flexible,
View ArticleSuperCoder on "Gastroenterology"
Hi, For the above mentioned CPT codes 43270, 43239-59 seems appropriate, if biopsy is also done along with the procedure.
View ArticleUser id : 27684 on "Patient enrolled in hospice"
Physician saw a patient in the office for a follow up and we did not know he was enrolled in hospice care. Medicare denied claim stating that he was
View ArticleSuperCoder on "Patient enrolled in hospice"
Two modifiers can be used with the hospice care Modifier GW can be used when a physician is the attending physician for a hospice patient and not asso
View ArticleUser id : 13296 on "Office Billing for Screening Colonoscopy"
If the patient is coming in to the office because they are planning on having a screening colonoscopy, typically the diagnosis code Z12.11 is billed.
View ArticleSuperCoder on "Office Billing for Screening Colonoscopy"
Yes Z01.818 can be used if your payer is denying Z12.11. Thanks
View ArticleUser id : 32292 on "Diverticula with colon screenings"
Hello, If a patient has diverticulosis and family hx of col ca documented on previous colonoscopy reports (2008 and 2003), are we still able to bill a
View ArticleSuperCoder on "Diverticula with colon screenings"
Hi, Yes, you can bill G code and screening dx to Medicare as beneficiaries at high risk for developing colorectal cancer are eligible once every 24 mo
View ArticleUser id : 27684 on "Medicare yearly eval"
As a courtesy to a patient our physician knows he performs his yearly evaluation in the office. He had a normal exam and we billed Medicare with CPT 9
View ArticleSuperCoder on "Medicare yearly eval"
Hi, The CPT wellness codes are located in the following series: 99381-99387, new patient 99391-99397, established patient. And, code For Medicare pati
View ArticleUser id : 13296 on "Endoscopic Exam w/ Suture Ligation of Bleeder"
The patient had a procedure for ligation of hemorrhoids. The patient is now experiencing passing of blood and some clots. The doctor performed an Ano
View ArticleSuperCoder on "Endoscopic Exam w/ Suture Ligation of Bleeder"
Hi, The most appropriate code for the above mentioned condition seems to be 44614. Please check your documentation before billing. Thanks
View ArticleUser id : 13296 on "Endoscopic Exam w/ Suture Ligation of Bleeder"
The CPT suggested 44614 is not a valid code. Can you please confirm the code that was suggested.
View ArticleSuperCoder on "Endoscopic Exam w/ Suture Ligation of Bleeder"
HI, The correct code is 46614. I hope this will be helpful. Thanks.
View ArticleUser id : 34267 on "EGD coding"
EGD was performed on a patient who claimed he needed to have anethesia at local hospital and not conscious sedaation at ASC. Is there a code to report
View ArticleUser id : 34267 on "EGD coding"
I need to add the patient states he needed this because he becomes combative under conscious sedation.
View ArticleSuperCoder on "EGD coding"
According to CMS, a physician is not paid separately if he performs local or minimal sedation. You may find this link helpful https://www.cms.gov/Outr
View ArticleUser id : 30892 on "Billing Dept"
How many units ahould be billed for SIBO test interpretation, CPT 91065 with 26 mod. Its 10 specimen test, do we bill for 10 units or 1? Thank you
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