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Oncology/Stem Cell Transplant - Consenting Visits

If anyone out there codes for these, please write me:  edwinasprow@gmail.comThank you,Edwina Sprow, CPC, CHONC

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Infusion Management

Patients often get infusions at the infusion center - chemotherapy for cancer, IVIG or other meds for autoimmune diseases, iron for anemia, etc.  Of course, the hospital bills insurance a facility fee...

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What's the future business model of professional services.?

Hello,Can anyone please share some research, or thought leadership on the future business model and value proposition of professional services such as management consulting, accounting, in specific....

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Survey: What do you think of Medicare's new Quality Payment Program?

Take our three-minute survey to let us know. You'll see a tally of results once you complete the survey and you'll have a chance to win one of three free MIPS Answers books from DecisionHealth. The...

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Chest Tube placed via Seldinger Technique

Please advise, is there a new CPT code specific to a Chest Tube placed via the Seldinger Technique? What CPT code do most use for this procedure?  32556 and 32557?

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Non Face to Face Charge Billable

Physician A receives a telephone call from physician B from another hospital regarding the potential transfer of a patient to physician A's hospital. The phone conversation was 30 minutes long. Is...

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Patient Refuse Exam

A physician sees a patient for a subsequent hospital visit. Patient with multiple chronic conditions which are uncontrolled due to noncompliance. Patient also with MH issues - patient refuses exam. MD...

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New 2018 HCPCS codes

I need assistance with the following questions.....We reached out to our Medicare carrier regarding the new 2018 HCPCS codes with no response:G9933-G9937 & G9912-G9913 & G9945. Are these codes...

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99243 vs 99204/99203 (non-medicare patients)

Our office uses 99243 for new patients (not medicare) if referred by a doctor and 99204 or 99203 for new patients (not medicare) if self referred.  Is this correct?  Or when it is appropriate and best...

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Wound care

Is anyone using Epifix or Amniofil powders to treat wounds? These can be hydrated and injected into the wound. Our wound care center would like to start using these products and I wonder how to bill...

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New FESS codes

Does anyone know if the AMA has issued guidance for the new FESS codes for coding combinations when all 4 sinuses are operated on the same side?  31253 & 31259 do not bundle per CCI but both codes...

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Urgent Care Medical Decision Making: Presenting Problem

Good Evening, Question regarding presenting problem  for established patient. Established patient to examiner: stable, improved.Established patient to examiner: worsening.Unfortunately I'm a little...

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Correct CPT Code for Application of an Ulnar Gutter Cast

Should the application of an ulnar gutter cast be coded as a short arm cast 29075 or gauntlet cast 29085?

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XLIF

I'm trying to figure out the correct coding for a XLIF.  I was told to use 22533 and 22534 for add'l levels.  Any input on this would be greatly appreciated.  Thank you

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ILIF Spine Fusion Coding Question

My doctor is calling this procedure an ILIF –interlaminar instrumented fusion but is coding it as 22612 Posterior Fusion, 20931 for structural allograft, and 22840 for the placement of instrumentation....

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Quadratus Lumborum Pain block denials

Hello-We are getting Quadratus Lumborum post-op pain blocks denied by Medicare (CPT 64999). Anyone else have this happening? Any suggestions on how to get these paid? We've sent documentation and noted...

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documentation requirements for ultrasound-guided joint injections

I am looking for resources to show what documentation requirements are needed to bill for ultrasound guided injections.  there is a disagreement in our office as to whether a SEPARATE, STAND ALONE NOTE...

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Use of G31.1 in Hospice as Primary Terminal Diagnosis

Does anyone have thoughts regarding the use of G31.1 Senile Degeneration of the Brain as a primary code for hospice and is anyone aware of any updated regulations regarding the use of this code for...

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Chimney Endovascular Aortic Repair?

Hello, anyone knows the cpt code for Chimney Endovascular Aortic Repair?thanks, 

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Assistant Surgeon

When either a physician or NP/PA assists in surgery, should the lead provider have to document what the assistant surgeon performed?  I cannot find anything on any Medicare or CMS website that this is...

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