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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

Asthma and smoking for Pediatrics

We are now getting denials from the Medicaid’s requesting an additional code for "exposure to smoking". We have patients that are not exposed to smoking and still have asthma. We have to appeal each one of these claims with office notes. Does anyone know of a code we can use for "no exposure to smoking" so we can get the claim paid without all the extra appeals, etc?

Thanks in advance!

Medical Billing and Coding Forum

E/M Data Box for MDM question – pediatrics

I have already asked this question once and got good information from one coder, but I need more to support my position (or change my mind).

Pediatric coders – do you give credit in the "data box" for "history obtained from other than the patient" if the provider documents well that the history is obtained from the parent when the patient is too young to give good information?

If you have any sources I can reference that would be so helpful as well.

Medical Billing and Coding Forum

Telehealth In Pediatrics

Has anyone used Telehealth technology in their pediatric practice? We think it would be of great use for our quarterly med check patients who are away at school and need refills. If you have used it for this application what has been your experience with reimbursements for commercial insurances? Not really concerned about Medicaid at all. I know services need a modifier 95 and the POS is 02. I know you can’t bill telehealth for the first visit of a diagnosis. Anything else I should know?

Medical Billing and Coding Forum

Psychotherapy codes in Pediatrics

Hello all- I am new to the pediatric coding arena. I have a physician and NP who do a lot of ADHD/ADD, Anxiety and Depression management. They are inquiring if the can bill psychotherapy codes 90832-80838 in addition to their E/M codes. Has anyone had experience in do this or are these codes limited to psych only? Currently I have advised them to bill their E/M with any prolonged services codes if necessary. Thanks for the help!

Medical Billing and Coding Forum