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Is modifier 95 required on every code furnished via telehealth? After reading “Take the Complexity Out of Behavioral Health Coding” in the June 2022 issue of Healthcare Business Monthly, a reader asked: “If billing 96130, G0396, and 90791, would I use modifier 95 on all three of these procedure codes in addition to the U4?” […]
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Keep an eye out for Medicare-specific rule. As state-specific COVID-19 vaccination mandates start to hit home health and hospice agencies, a federal regulation on vaccination for all companies with more than 100 workers is working its way through the system. What Has Come to Pass In early September, the Biden-Harris administration announced a number of […]
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In my last blog “Special Rules Apply to Endoscopic Sinus Surgeries,” I discussed the change to the Multiple Endoscopy Rule for multiple surgeries when performed within the family of endoscopic sinus codes. How Does the Multiple Endoscopy Rule Affect Payment? Using the multiple endoscopy rule with the base code 31231 Nasal endoscopy, diagnostic, unilateral or […]
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Using 87804 x 2 might result in denial. If you’re performing a test that detects the flu via immunoassay in the office, your provider might test for two strains of the virus. Impact: When you file these claims properly, you’ll be paid for two flu tests rather than one. Read on for a bit of knowledge […]
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OBGYN does 4 different us for a pregnant patient but only does the tc part for each us. which modifier would be the correct one 51 or 59? would the modifier go on all 4 us cpt codes?
Thanks 
"A dorsal curviliner incision was made on the dorsum of the long finger centering over the soft tissue masses. The incision was carried thru the skin and subcutaneous tissue. Hemostasis was achieved with bipolar electrocautery. The skin was gently elevated off the underlying soft tissue mass with a #15 blade knife. The masses were dissected from the surrounding soft tissue with care taken to protect the neurovascular structures and the extensor tendon. Both masses were excised and sent for microscopic pathology. The extensor tendon remains intact."
Note copied below:
Dx given in note as D49.2 and skin tags.
Scissor Snip biopsy
Left axilla x4, Right axilla x3, Groin IFEP. The area was prepped with an alcohol pad, then 1% Lidocaine with epinephrine was injected around the site(s), Scissors and pickups were used to excise the lesion at the skin surface, Monsel’s solution was applied to obtain hemostasis. The patient is instructed to notify the office if the wound site oozes, becomes painful or red. The biopsy specimen was sent to the laboratory for pathological evaluation. Left axilla x4, Right axilla x3, Groin x1
(Path came back as Groin and Left axilla as warts, and the right axilla skin tag.)