Click here for more sample CPC practice exam questions with Full Rationale Answers

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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

Billing Medicare for NP services in an outpatient rehab hospital

I have run into a situation with a NP doing Botox injections for spasticity in POS 22. First, am I right in thinking that it is not appropriate to bill Medicare incident to in POS 22 even if there is a supervising physician?

Right now we are billing using just the NP NPI and CPT code 64642 is getting paid. However, additional add on codes such as 64643 and 64644 are not being paid. Are there certain codes that Medicare will not pay when an NP is rendering the service and billing Medicare directly? We are also billing 95874-26 as the NP is using EMG needle guidance for the procedure and we are receiving denial CO-58 Treatment was deemed by the payer to have been rendered in an inappropriate or invalid place of service. Any help is much appreciated!

Medical Billing and Coding Forum

Question for Medical therapy for school rehab (kindergarten to 1st grade)

Hello!

I will be coding for a school rehab for kindergarten to 1st graders. They provide medical therapy (speech, occupational and physical). My questions is, which one is primary? Therapy diagnosis or Medical diagnosis (mild cognitive disability, muscle weakness, down syndrome)?

thank you,

Mark

Medical Billing and Coding Forum