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The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on June 17 that would base prescription drug payments on patient outcomes.
The post CMS Proposes to Allow Patient Outcomes to Be the Standard for Negotiating Prescription Drug Costs appeared first on AAPC Knowledge Center.
Medicare’s Part D prescription drug model changes 2020, and it’s going to affect medical coders. The current reimbursement and payment model system for Part D creates incentives for Part D plans to push patients to the “catastrophic phase” of the plan. Once the patient reaches the “donut hole, Medicare is responsible for 80 percent if […]
The post Medicare’s New Part D Prescription Drug Model Changes 2020 appeared first on AAPC Knowledge Center.
To give a little back ground: PT is coming in before camping to get a RX for an Epi-pen. The PT has never had an anaphylactic experience, only local reaction. Not currently experiencing any signs or symptoms.
What is the appropriate ICD-10 to assign in this situation? the provider did prescribe the medication…
It did find a T78.49X, that is as generic a code I could find for Allergy, because anything associated with bee sting seems to point to current reactions or anaphylaxis. But I don’t really like that code either. Would an administrative Z code be better?
Also with the T code… because it isn’t an current issue would that make the 7th character need to be a D or S?
What would be the correct code for this procedure? Should we be billing an E/M service with a -25 modifier also?
Can anyone provide clarification on the difference between 92310 and 92314? Specifically – What is the definition of "independent technician?" A technician is not allowed to prescribe contact lenses, so this is perplexing.
Thank you.
Thanks