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Clinical diagnostic laboratories that fulfilled orders for targeted genomic sequence analysis panel CPT code 81455 between March 16, 2018, and March 31, 2018, may need to resubmit these claims to Medicare. Some claims may have been denied due to non-coverage for the given diagnosis. However, since the Centers for Medicare & Medicaid Services (CMS) announced […]
The post Claims for Next Generation Sequencing May Have Been Denied in Error appeared first on AAPC Knowledge Center.
Effective March 16, 2018, Medicare will cover diagnostic laboratory tests using next generation sequencing (NGS) when ordered by a treating physician and performed in a Clinical Laboratory Improvement Amendments (CLIA) certified lab. Other specific requirements also must be met. The Centers for Medicare & Medicaid Services (CMS) revised the national coverage determination for NGS (NCD […]
The post Medicare Now Covers Next Generation Sequencing appeared first on AAPC Knowledge Center.
I am looking for a reasonable short explanations of what the conjunctive words mean in CPT coding
IE, CHF and ESRD with hypertension.
I’m trying to ascertain the direction of the words "and", "but" "with", "due to" and any other verbal linkages. I am sitting for the second time for my CPC in 2 months and I feel my ignorance of these terms may have contributed to my poor score. I understand they are directional for sequencing, but I can not seem to find a simple list and explanation for any and all conjunctive words for CPT. I code ICD10 all day long but very little of my job deals with the CPT codes or books.
Thanks in Advance.
Shari
I have a case scenario where a woman had twins. She had the first baby vaginally and the second baby was delivered by cesarean due to complications. I am wondering why the cesarean delivery is coded first with the vaginal delivery coded second. What are the guidelines regarding sequencing for this type of scenario? Is it because the cesarean-section reimburses at a higher rate? Also, if anyone could direct me to other guidelines regarding CPT sequencing I would like to review these for the exam. Thanks so much!
Rachel
Please guide me on how to sequence the below diagnoses:
1. M54.14 – Intervertebral disc disorder with radiculopathy
2. M54.5 – Low Back pain
I have followed this sequencing. Kindly inform if I am right….
Thoughts?
Thank you,
Joanne
Also, does a multiple gestation code need a O09 (Supervision of high risk pregnancy) code before it or can the O09 be excluded since multiple gestation is considered high risk on its own?
Thanks in advance,
Joyce