Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

Practice Exam

2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Billing of Moderate Sedation Alone?

Can you bill for Moderate Sedation in the ED when NO procedure is billed?

Example: PT comes in to the ED with a fracture, the fracture is reduced, but then the PT is taken to the OR by one of our facility’s Dr.’s to have surgery. We do not code our reduction in the ED because the surgery is the primary repair. So could we still code for the Moderate Sedation that was given for the reduction in the ED?

Medical Billing and Coding Forum

Does every progress note stand alone

Does every progress need to stand alone ? I was taught that was the case but ,now I am being told that I can go anywhere in the patients chart to pull the information. For instance the patient is following up for an injury. The first vist is very detailed but the follow ups are not as detailed to assign the most specific ICD10 code. Can I use the details in the first note for a more specific code selection on my date of service ?

Medical Billing and Coding Forum

Bill diagnostic test for TC alone from outside referral?

We have outside physicians refer patients to our clinic for the sole purpose of using our diagnostic equipment. Can we bill for the TC of the test(s) performed? If so, a technician is the one that performs the service (with no interpretation), who would we list as the rendering provider on our claims? Any insight is appreciated!

Medical Billing and Coding Forum

Psychiatrist coding when prescribing/renewing script and psychotherapy? E/M alone?

I code for family practice however we have recently added a psychiatrist/MD. He performs psychotherapy with meds/med management, most of his patients
are on medications. From reading the CPT manual I was thinking that I use the time based psychotherapy codes with a 90863 however I have just come across some information that states 90863 is not to be used for Psychiatrists prescribing meds, that an E/M code should be used instead.

Do I use an E/M code in conjunction with the add on psychotherapy code or only the E/M code based on his time?? Most of his patients are 30 minute visits.

The information I am finding is not very clear!

Thank you for any advice!!

Medical Billing and Coding Forum

ASC billing separately 77003 with a TC modifier as a stand alone code???

I audit medical claims for a payer, and there is some confusion as to a imaging facility billing CPT code 77003 with a modifier TC. (ASC facility)
Initially, I denied the claim because it is billed with CPT code 72275 and according to AMA guidelines, 77003 is included. Then they submitted a corrected claim, with only 77003-TC. I denied it again, because that is an add-on code that cannot be billed alone. (This is the original reason why they billed it with 72275 even though I was told they did not perform that service.)
The billing facility is telling me that they are only providing the fluoroscopy, and this is the reason they are billing.
I was looking at CPT code 76000 but it is driven more towards a diagnostic imaging service.

Any insight?

Medical Billing and Coding Forum