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

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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

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

COVID-19 Specimen Collection and Testing

How to code Medicare Part B claims for reimbursement. These past few months have been a whirlwind for everyone, but it’s fair to say medical coders have been hit with a category 5 hurricane. New codes and revised guidelines have been whirring about, making our heads spin. And now we have another new CPT® code […]

The post COVID-19 Specimen Collection and Testing appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

COVID-19 Specimen Collection Codes

Clinical diagnostic laboratories can identify specimen collection for COVID-19 testing using two new HCPCS Level II codes, effective March 1, 2020. Check Patient Location Before Coding Medicare posted these new specimen collection codes in a March 31, 2020, special edition MLN Connects and in a last-minute revision to the April 2020 HCPCS Level II quarterly […]

The post COVID-19 Specimen Collection Codes appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

COVID-19 Specimen Collection Codes Now Available for Labs

Clinical diagnostic laboratories can identify specimen collection for COVID-19 testing using two new HCPCS Level II codes, effective March 1, 2020. Check Patient Location Before Coding Medicare posted these new specimen collection codes in a March 31, 2020, special edition MLN Connects and in a last-minute revision to the April 2020 HCPCS Level II quarterly […]

The post COVID-19 Specimen Collection Codes Now Available for Labs appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Lawyers – collection defense

Is there a subsection for lawyers/paralegals who belong to the AAPC? I’d like to start a section if that is possible. This would not focus on compliance or legal advice for practices, but rather on the application of coding and reimbursement principals in lawsuits related to damages, collections, collection defense and insurance.

Medical Billing and Coding Forum

CPT Q0091 pap collection

Hi!

Can anyone provide some advice on billing Q0091 for pap collection & specimen handling?

Do you have to add a modifier to the code when you bill it with the Preventive Annual Exam code? For instance, 99396 with Q0091. My understanding was that the Q code was not able to be billed separately. (?)

Experience with reimbursement? I know this is typically used for Medicare; what about commercial payers?

Thanks so much!

Medical Billing and Coding Forum

Travel allowance for collection of specimens


CMS revises the payment of travel allowances when billed on a per mileage basis using Health Care Common Procedure Coding System (HCPCS) code P9603 and when billed on a flat-rate basis using HCPCS code P9604 for 2018.

The travel codes allow for payment either on a per mileage basis for code P9603 or on a flat rate per trip basis for P9604. Payment of the travel allowance is made only if a specimen collection fee is also payable. The travel allowance is intended to cover the estimated travel costs of collecting a specimen including the laboratory technician’s salary and travel expenses.

Under either method, when one trip is made for multiple specimen collections (for example, at a nursing home), the travel payment component is prorated based on the number of specimens collected on that trip, for both Medicare and non-Medicare patients, either at the time the claim is submitted by the laboratory or when the flat rate is set by the MAC.

The per mile travel allowance (P9603) is to be used in situations where the average trip to the patients’ homes is longer than 20 miles round trip, and is to be prorated in situations where specimens are drawn from non-Medicare patients in the same trip.

Please note:  Your MAC has the discretion to choose either a mileage basis or a flat rate, and how to set each type of allowance. Many MACs established local policy to pay based on a flat rate basis only. 

See Fee rates for P9603 and P9604


Coding Ahead