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the Centers for Medicare & Medicaid Services (CMS) has launched a new application in the Apple App Store and Google Play Store for Medicare Part B beneficiaries. This application, called What’s Covered, is part of CMS’ developing eMedicare program. The goal of the eMedicare program is to give beneficiaries easier access to costs and coverage […]
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I would like confirmation/suggestions on how to bill this visit. There are sufficient elements in the encounter notes to bill a 99212; but since the ultrasound was not read by a radiologist and a report was not generated, my question is whether or not I can bill for a "limited" thyroid ultrasound by adding a -52 modifier to the thyroid ultrasound code 76536?
Thanks.
Thanks in advance….
Could someone please validate that I have a basic understanding of the Limited/Extensive definitions for Electrophysiologic Procedureo s.
(pg 208 if you’re utilizing a 2018 CPT by AMA)
I’ve read them through a couple times but sadly, I’m not grasping the concept as well as I like.
I understand it as
Limited- Surgical isolation of triggers of supraventricular dysrhythmias by op ablation that isolates the pulmonary veins or other anatomically defined triggers in the left or right atrium.
Extensive- (Which includes Limited) PLUS additional ablation of atrial tissue. This includes all that is said in Limited PLUS the atrial septum as well correct?
So, if I understand this correctly, if a Physician wants to use the Extensive Documentation he Must document that the septum was also involved?
It’s so confusing! If someone could please shed some light or may have an example that they’ve come across that would help me understand this better by all means, PLEASE let me know!
The cardiology coding struggle is quite real.
I’ll be able to understand it better if I had someone layman it down for me :3
Thanks! :rolleyes:
For instance I see: LV diastolic function could not be assessed due to the presence of atrial fibrillation during the study.
since the provider tried to get a reading and could not are they able to get credit for that or is this a modifier 52 situation?
thank you!!
I remember hearing somewhere that this area 38562-38564 Limited Lymphadenectomy for staging (separate procedure); pelvic and para-aortic retroperitoneal (aortic and/or Splenic) was only to be used for sampling to see the extent of the cancer in that area. Does anyone have any definitive information on this?
Would you count this as a self limited minor problem or New problem because of RX given under "presenting problems"?
Diaper dermatitis
Erythematous, irritated located on left buttock and right buttock
Medical Decision Making: Diaper dermatitis , observe
POC: Nystatin 100,000 units/g topical powder [nystatin 100,000 units/g topical powder] Apply BID on
buttocks , clotrimazole 1% topical cream [clotrimazole 1% topical cream] Apply BID on affected area on
buttocks
Recommendation is Explained that symptoms are caused by moisture/humidity from wearing diaper. Pt
can use clotrimazole cream BID for itch and use nystatin powder to help reduce moisture.
In 2015, the CPT® codebook deleted breast ultrasound code and replaced it with two, more precise codes: 76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete 76642 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited Code 76641 describes a complete examination of all four quadrants […]
AAPC Knowledge Center
Question: What is the distinction between “limited” and “extensive” debridement as described in CPT® codes 29822 Arthroscopy, shoulder, surgical; debridement, limited and 29823 …extensive, and 29837 Arthroscopy, elbow, surgical; debridement, limited and 29833 …extensive? Answer: CPT®/AMA guidelines are little use in distinguishing limited versus extensive debridement. To give providers and coders direction, the American Academy […]
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