What is a telemedicine code that is covered by Medicare? The only codes I am finding are not covered and the ones that are covered, the patient has to be inpatient within the last 7 days. Can someone please help?
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Tag Archives: Covered
Superbills for covered services in a Non-participating FFS practice
Hello,
I work for a non-participating fee for service physician and we used to provide Superbills to submit to their insurance for potential reimbursement. Now they’ve stated they do not have to provide anything but an itemized receipt to submit to their FSA/HSA. Is this correct? I do not believe they can avoid giving a Superbill with appropriate CPT and ICD-10 codes, but they feel otherwise.
If someone has any information and resources to support such information it would be greatly appreciated!
I work for a non-participating fee for service physician and we used to provide Superbills to submit to their insurance for potential reimbursement. Now they’ve stated they do not have to provide anything but an itemized receipt to submit to their FSA/HSA. Is this correct? I do not believe they can avoid giving a Superbill with appropriate CPT and ICD-10 codes, but they feel otherwise.
If someone has any information and resources to support such information it would be greatly appreciated!
I myself see a chiro who doesn’t take insurance and I would be upset if I didn’t have something to turn in at least for a co-pay amount.
Thanks in advance for your time!
K.Lefebvre, CPC
When Non-Covered and Covered Procedures are Performed
There are times when a physician will be performing both covered and non-covered procedures at the same operative session. For example, the surgeon may be performing a septoplasty for a deviated septum (J34.2) and nasal obstruction (J34.89), which is a covered service. The patient wants to have a cosmetic rhinoplasty performed at the same time. […]
AAPC Knowledge Center
both parents covered by insurance
I am having a problem who comes first. Dad or Mom when both are covered by private insurance. Thanks for the help.
96372 when drug is not covered by insurance
can you bill 96372 without billing for the drug component?
Covered ICD codes for CPT 87536 & 87539
B20 Human immunodeficiency virus [HIV] disease
B97.35 Human immunodeficiency virus, type 2 [HIV 2] as the cause of diseases classified elsewhere
O98.411 Viral hepatitis complicating pregnancy, first trimester
O98.412 Viral hepatitis complicating pregnancy, second trimester
O98.413 Viral hepatitis complicating pregnancy, third trimester
O98.419 Viral hepatitis complicating pregnancy, unspecified trimester
O98.42 Viral hepatitis complicating childbirth
O98.43 Viral hepatitis complicating the puerperium
O98.511 Other viral diseases complicating pregnancy, first trimester
O98.512 Other viral diseases complicating pregnancy, second trimester
O98.513 Other viral diseases complicating pregnancy, third trimester
O98.519 Other viral diseases complicating pregnancy, unspecified trimester
O98.52 Other viral diseases complicating childbirth
O98.53 Other viral diseases complicating the puerperium
O98.711 Human immunodeficiency virus [HIV] disease complicating pregnancy, first trimester
O98.712 Human immunodeficiency virus [HIV] disease complicating pregnancy, second trimester
O98.713 Human immunodeficiency virus [HIV] disease complicating pregnancy, third trimester
O98.719 Human immunodeficiency virus [HIV] disease complicating pregnancy, unspecified trimester
O98.72 Human immunodeficiency virus [HIV] disease complicating childbirth
O98.73 Human immunodeficiency virus [HIV] disease complicating the puerperium
R75 Inconclusive laboratory evidence of human immunodeficiency virus [HIV]
Z21 Asymptomatic human immunodeficiency virus [HIV] infection status
Billing a non covered service to secondary payer
If a patient has Medicare and Medicaid, can a preventive exam (9938x-9939x) be performed and billed to Medicaid without billing to Medicare first since it is a non covered service by Medicare?
Are we required to bill Medicare for covered services?
Are we required to bill Medicare for a covered service if we are not billing these services for any patient to any other insurance carrier?
Code J7040 should be covered 100% if billed with colorectal screening G0121
We are getting denial for code J7040 in the facility setting when billing with code G0121 and J2250 for procedure considered to be inclusive to the procedure code. Should we not be getting separate payment for J7040 as we are billing it with G0121 which is 100% covered per the PPACA guidelines for preventive screening.
Non Covered Injectin Drugs
I need some clarification on something that has come up on our office. If the physician orders an injection in the hip and the drug is non covered by the insurance company, can we have the patient pay out of pocket for the drug and bill the insurance carrier for the hip injection? Or should the patient pay for the entire procedure out of pocket after singing an ABN?