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Call on AAPC Coder and NCCI code pair edits for support. Many procedures in the CPT® code book are designated “separate procedures,” but that doesn’t mean you can report those procedures separately in every case. First, you must consider other procedures performed during the same encounter. “Separate” Might Not Mean What You Think It Does […]
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I have a few claims from particularly Premera and Amerigroup – but they are denying CPT codes 11102 & 11103 when billed together, even with no office visit or other procedure. I called in to ask and I am told there is a CCI edit but I find no edits between these two codes. Is anyone else having this issue?
Thank you
Insurance is Humana and the patient is a 26 year old female.
The following was billed.
99395, 80050, 93000, 83036-QW all with diagnosis code Z00.00.
All were paid except the EKG 93000. It states "The procedure code is inconsistent with the patient’s age."
Any advice would be greatly appreciated. Thank you.
CPT® add-on codes, such as +10004 Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately in addition to code for primary procedure), describe procedures always provided “in addition to” a more extensive, primary procedure code (there is one exception). Often, a parenthetical note will identify the primary code(s) with which the add-on code […]
The post Add-on to What? Finding Primary Procedure Codes appeared first on AAPC Knowledge Center.
From what I can tell, it’s a way to revise the fistula that is less invasive with a combination of a small incision and a catheter/balloon. So, it’s not as involved as 36832 or 37607 (fewer, smaller incisions).
If you’re coding this, are you using Unlisted code 37799?
Thanks
abdominal incision, ureters transceted,created a stapled side to side small bowel anastomosis,ileostomy was matured and appliance placed
Im thinking 50825 but not sure..
Also, having trouble with a diagnosis
Any help much appreciated
Thanks
Rebecca
CPT® includes so-called “unlisted procedure codes” to report procedures or services for which there is no more specific code. Here are three tips to apply these codes, correctly. Tip 1: Unlisted Procedure Codes Are a Last Resort You should report unlisted procedure codes only when no other Category I or Category III CPT® code accurately […]
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