Need your help, please! 36556 billed twice on the same day by two different specialty Doctors, denied as duplicate, do you think a modifier is needed?
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Tag Archives: Billed
Can Q9969 be billed in the office setting?
Does anyone know if you can bill for hcps code Q9969 for a non-heu TC-99M isotope when billing the MPI or NUC 78452 in the office setting?
36556 billed twice by different Providers
Need your help, please – two 36556 services were billed on the same day by different specialty providers, denied for duplicate. Do you think a modifier is needed?
Billed DX’s vs. chart note for visit
I have a provider who does not think that each DX used on a claim has to be documented in the chart note. Does anyone know of something in writing that could help me clarify?
Thank you in advance.
Thank you in advance.
FQHC Chiropractic Services billed to Medicare
We are an FQHC located in Ohio and recently added Chiropractic Services. Medicare’s FQHC guidelines state the Chiropractic is covered however, it does not have CPT’S 98940 or 98941 listed as "Qualified visit" attached to a "G" code.
Can an FHQC get reimbursed for Chiropractic services rendered to a Medicare patient?
Any guidance will be greatly appreciated.
Thank You!
Patty Leber
can CPT 22212 and 22214 be billed together? Ostetomy crossing areas
Hi, I need some clarification on osteotomy coding. I’ve got 2 questions, please see below.
I have a record that reflects Smith-Petersen osteotomies taking place at T10-T11, T11-T12, T12-L1, L1-L2. So I have 5 vertebra, 4 interspaces. The CPT description reflects "Vertebral segment", so I’m thinking that I should have a total of 5 units billed total. (T10, T11, T12, L1, and L2)
22214 has an RVU of 43.10.
22212 has an RVU of 42.94.
FIRST QUESTION:
*22214 has the higher RVU, so should the coding reflect 22214 x 1 then 22216 (add-on) x 4?
*Or is it 22214 x 1, 22212-59 x 1, 22216 x 3?
SECOND QUESTION:
Am I correct in 5 units total or is it only counted based on interspaces, even though the code descriptor shows vertebral segment?
Thanks in advance, and if you have anything (links, etc) to support your response I’d greatly appreciate it!
Can well child visits be billed without administering immunizations?
I work for an FQHC. We no longer have VFC’s for immunizations. Can we bill for well child visits without doing the immunizations? We were trying to see if we can perform the well child visit and send the patients to the health department for immunizations? Please Help!
Hemorrhoid Banding billed by PA or NP
Has anyone billed hemorrhoid banding in an office setting under the NPI of a PA or NP and been paid for it? I understand it would be a reduced reimbursement amount.
22633 and 22612 billed together
I code for a neurosurgeon that wants to submit 22633 and 22612 during the same surgical session. Is it appropriate to bill these 2 primary procedures together? I was thinking no and that each additional level without an interbody fusion would be 22614.
For example:
Right L4-5 TLIF
L3 to L5 posterolateral arthrodesis
I would submit this as:
22633
22614
Should I be using: 22633 and 22612??
Please help!! I appreciate your time.
HSA pymnt on billed services.
Pt has an HSA account thru primary carrier… Claim was applied towards deductible. Pt has Secondary coverage. Primary Carrier HSA came and paid in full. The question is.. Do I bill secondary ? and if secondary makes any payment does the refund go back to HSA or patient