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Tag Archives: additional

Using Lab Reports for additional / secondary codes

Posted on by
Hello,

I’m using E86.0 Dyhydration, notation states, Use additional code(s) for any associated disorders of electrolyte and acid-base balance (E87.-).
Provider did not state anything in his notes however, lab report shows K is high, do I code for E87.5 Hyperkalemia?

I’m torn on this because guideline states that I (the coder) cannot interpret a diagnosis using lab reports.

Your thoughts are very much appreciated.

Marissa

Medical Billing and Coding Forum

Oct 1 2017 change to L57.0 code-needs additional code??? HELP

Posted on by
Hi we are in Pennsylvania we regularly treat and bill L57.0 code under the 17000/17003/17004… I saw in the proposed changes and deletions upcoming is one that states that you need to use an additional code to identify the source of the ultraviolet radiation? We have never had to do that ever in the past claims have always been paid by all companies. If this is something new it’s news to us and I will need to get my doctors onto this asap!!! Where do I find these additional codes? what am I looking for here is what the bulletin had on it

L57.0 Revise from Use Additional code to identify the source of ultraviolet radiation (W89, X32)
L57.0 Revise to Use Additional code to identify the source of ultraviolet radiation (W89)

Medical Billing and Coding Forum

Correct modifier for additional stains

Posted on by
Hi, I’m wondering if modifier XE (separate encounter) is appropriate to bill additional IHC stains (88341) on cases. Example, initially 3 stains done (88342 x1, 88341×2) then referring doctor ordered additional stains (88341×2). Is it appropriate to bill these 2 additional units with a XE modifier? Since the stains were performed separately from the initial diagnosis ..but will have the same date of service. Of is XU more appropriate? Thank you.

Medical Billing and Coding Forum

How to bill a TF with additional levels for Humana

Posted on by
Humana requires all levels to have a location modifier. For example if my provider preformed the following injections:
right L2-L3, left L4-L5 and bilateral L3-L4 Transforaminal ESI
we would bill most carriers as follows

64483-50 / 64484 2 units

but Humana wants the additional levels to have a location modifier, so how would this be billed to Humana?

64483-50 / 64484-50 ?
I know that the additional levels are not on the same location but it was done RT/LT. If it was LT/LT or RT/RT I know we would do 2 units but since it is not I feel my only option is 50 for bilateral. I am correct in thinking this? our would we bill:
64483-50 / 64484-RT / 64484-LT?

Medical Billing & Coding Forum | AAPC