Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page
Revisions to coverage and payment guidelines outlined in the calendar year (CY) 2022 Medicare Physician Fee Schedule (MPFS) final rule for outpatient pulmonary rehabilitation (PR) — a physician-supervised program for certain chronic respiratory diseases designed to optimize physical functioning and improve quality of life — expand eligibility and introduce two new codes for reporting these […]
The post Pulmonary Rehabilitation Policies Revamped appeared first on AAPC Knowledge Center.
PH WHO groups key to understanding I27 codes. Despite the fact that pulmonary hypertension (PH) is a “frequently identified … highly morbid condition … associated with increased mortality, hospitalizations and financial burden,” it is “rarely coded in the EHR [Electronic Health Record]” according to a recent article published in the Journal of Cardiac Failure. What, […]
The post 4 Tips for Accurate Pulmonary Hypertension Coding appeared first on AAPC Knowledge Center.
Thanks for your help/code suggestions!
PROCEDURES:
1. Right heart catheterization.
2. Pulmonary angiography.
3. EKOS catheter to the left pulmonary artery.
4. EKOS catheter to the right pulmonary artery.
APPROACH:
Right common femoral vein x2.
INDICATIONS:
Large bilateral pulmonary emboli.
The risks and benefits of right heart catheterization and EKOS catheter
placement were discussed with the patient. She is agreeable to the
procedure. Consent was obtained.
PROCEDURE IN DETAIL:
The patient was prepped and draped in the normal fashion. Ultrasound
was used to visualize the right common femoral vein. With ultrasound
guidance, the common femoral vein was accessed and a 6-French sheath
was introduced x2.
Right heart catheterization was performed using a 6-French balloon-tipped
PA catheter. The mean RA pressure 10 mmHg, RV 43/5 and PA pressure
44/14 mmHg. The mean pulmonary artery pressure is 26 mmHg. Pulmonary
angiogram showed the catheter in good placement.
The Swan-Ganz catheter was exchanged over a guidewire. An EKOS catheter
was placed in the right and left pulmonary artery. TPA infusion at
1 mg/hour was initiated while in
the cath lab. EKOS catheters were sutured in place. The patient was
transferred back to the intensive care unit in stable condition.
Thank you.
Karen Palmer
I am hoping someone can shed some light on this one.
Our doctors interprets pulmonary function tests for the hospital. Last year, the hospital sent one of our doctor’s a pulmonary function test on a patient to be interpreted, the patient was not one our patient. There was no face to face, just an interpretation. The interpretation was billed with the 26 modifier and paid. This year the patient came in to see one of our doctors for the first time. We billed a new patient visit, however the insurance company, a Medicare replacement plan, continues to deny the claim stating a "new patient code" is inappropriate.
I have sent two appeals already and they continue to advise to resubmit a corrected claim because the "new patient code" is inappropriate. Am I missing something here?
Thank you,
I
Looking for insight of how others code because we have two different though processes in our office and we are trying to come to a common ground.
Thanks is advance.
I am under the impression that I am not able to bill the office visit, but can I still bill for the PFT?
I’m a little confused and can’t seem to find any information on this.
Thanks