Would a follow up for prostate cancer status post XRT in 2014 with normal PSA on this DOS be Z08 & Z85.46?
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Tag Archives: follow
Post Op Vs Follow up
Hello,
I work for an ENT specialty. We recently discovered that BCBS will not pay for our 69440 when billed with the 69801. We usually bill them out as such:
69801
69440-59
69433-59
I work for an ENT specialty. We recently discovered that BCBS will not pay for our 69440 when billed with the 69801. We usually bill them out as such:
69801
69440-59
69433-59
However, BCBSTX doesn’t like this & will only pay for the 69801.
My provider has now requested that I go back and change the zero charge Post Op visits to follow up visits, since the charge with the global period (69440 has a 90 day global) was denied. So any visits afterward should have been regularly billed.
Are there any ethics or constraints against this? I have searched and cannot find anything, but it doesn’t seem like this should be appropriate, especially if our documentation states it is for a Post Op visit.
Any guidance would be greatly appreciated.
tic bite follow up
hi
patient removed tic by himself then came to primary care to follow up(Dr didnt query patient where the bite was located). Dr advised to come back in 2 weeks for blood work. which ICD10 code would i use besides the W57.XXXA
patient removed tic by himself then came to primary care to follow up(Dr didnt query patient where the bite was located). Dr advised to come back in 2 weeks for blood work. which ICD10 code would i use besides the W57.XXXA
May MAYnia Follow Up!
We goofed! We’d like to report that Little Rock Arkansas had the most non-AAPC attendees at a chapter seminar for their May MAYnia event! We originally reported that Augusta Georgia had the most, but thanks to Augusta’s president, Jennifer Deal, who contacted us to say our stats did not look correct to her, we are […]
AAPC Knowledge Center
Cloned notes-determining follow up levels
I have a Hospitalists that clones (copies and pastes) all his notes despite being told about this. I’m having a battle with myself on how to codes his follow ups. My Managers says to code per documentation which I do. Since his notes are cloned and his template is set for a COMPREHENSIVE exam each time (whether medically necessary or not), his follow ups are scored as level 3’s. But what happens when he adds a paragraph to the top of the cloned note stating patient is improved and goes into detail about that? He then adjusts time spent from 35 or 40 minutes down to 25 or 30 minutes. All of this indicates to me a reduced level. I really struggle as these should be coded as level 2’s even though the rest of the note scores a level 3!
I’m trying to justify scoring these as level 2’s because the E/M guidelines are just that…guidelines. The Medical Necessity just isn’t there to ethically score any higher. But yet………when you have 20 pages cloned from when the patient was in ICU……….what does one do?
I’d surely appreciate any guidance in this.
Thank you.
Coding Failure to thrive follow up
If a PT is seen for failure to thrive and then comes back 2 weeks later and is doing well. Failure to thrive Resolved. Can i Code a z09 with a Z86.3 – personal history of endocring, nutrional and metabolic disease?
Follow Up on Unpaid Claims
Secure payment and see fewer claim losses to gain revenue for your practice. Submitting claims to insurance companies is the easiest part of billing. The bigger problem is securing payment. Knowing what the hold up is may be half your battle. Keep Your Eye on the Clock If you filed claims back in January and, come November, […]
AAPC Knowledge Center
Follow up appointment after discharge from ER Visit/Admission
One of my providers just asked me a question and I wasn’t really sure about the answer…looking for some help!
If we see a patient in the office for a f/u from either a discharge from the ER or an admission, would that be considered a new problem to us or an established problem?
Thank you for your help!
If we see a patient in the office for a f/u from either a discharge from the ER or an admission, would that be considered a new problem to us or an established problem?
Thank you for your help!
Diagnosis Code for 1 Year Follow Up On TKA
Good morning!
I received a denial from a commercial payer for an x-ray and E/M charge we billed stating that the diagnosis code is not a payable diagnosis. The patient was seen in the clinic as a one year follow up after having a total knee replacement. There were no complaints and no new problems, just simply checking that the prosthesis was properly fitted and no loosening was present.
I had billed the primary diagnosis of Z96.652 for presence of left knee prosthesis. I have billed this many times before and not received denials, however, now that I received a denial I need help finding a payable primary diagnosis for the visit. Since the patient has no new complaints and the problem of osteoarthritis has resolved, it wouldn’t be appropriate to use that code for the visit.
Does anyone have any ideas or suggestions on what I might be able to change without committing any kind of fraudulent billing? There really was no problem found so it was a simple follow up with x-ray.
Thank you!
Z00.00 for every follow up
Hi,
I work at a clinic and there are a couple of providers that, during a follow-up appointment, will review that vaccines, basic labs and screenings are up to date, and document it similar to this:
Adult health examination – Basic labs: 11/6/17
Colonoscopy: 2/2014, 2 polyps and mild diverticulosis; repeat in 2019
Vaccinations:
Tdap: 2013
Pneumovax: 3/2014
Flu: 10/13/17
HepB, C, and HIV screening: neg
However, they consistently choose Z00.00 as the diagnosis for this part of the visit but I know should only be coded to a Preventive CPT code. Does anyone have any advice as to what other DX codes I can use? Or would this be okay if the problem DXs are listed first and then Z00.00 listed after?