Doctors practicing genetics and genomics now have their own specialty code, D3, thanks to the Centers for Medicare & Medicaid Services (CMS). Physicians identify their Medicare physician specialty on the Medicare enrollment application or the Provider Enrollment, Chain, and Ownership System (PECOS). CMS uses the information for programmatic and claims processing. How this Code Helps Medical Administrative Contractors […]
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Tag Archives: specialty
CPC-A to Specialty Certification
I have a CPC-A and want to get a specialty certification for my job. Do I need the "A" removed prior or can I test for the specialty?
Billing Retina Specialty
Good Afternoon,
I am currently working for a Retina Specialist.
I would like to know if its possible to bill the office visit an procedures on one claim, and bill OCT and Fundus photos that were done on the same day on a later date?
Is it possible to bill services rendered in one day on separate dates?
If so how long apart can we bill them separately?
Input will be greatly appreciated.
multiple specialty physicians from the same group – modifier question
i have 3 physicians who are in the same group, different specialties – ortho, hand surgery & podiatry all performed surgery on a patient during the same anesthesia session, each physician doing a different body part at different times, example: when the hand surgeon finished the ortho came in, and then the podiatrist. what modifier should each surgery be coded with? im thinking 58 but my co-worker is thinking 66.
the op note on each physician reads:
panel 1: drs name & surgery performed
panel 2: drs name & surgery performed
panel 3: drs name & surgery performed
the op note on each physician reads:
panel 1: drs name & surgery performed
panel 2: drs name & surgery performed
panel 3: drs name & surgery performed
thank you in advance for your input.
Best Specialty Coding Book for Opthalmology
Who makes the best Opthalmology Specialty Book with the best pictures, explanations, diagnosis codes, RVU’s and NCCI Edits.
Kathy
Same specialty for Observation
I have a question regarding Observation services. I understand that only the admitting provider (or other providers under the same TIN and same specialty) should bill the Observation codes. All other providers should bill using the standard E&M code set. In our large group practice, the way the Wards schedule is, a patient could be admitted to Observation status by an Internal Medicine physician, and the next day the doc of the day for that ward is Family Medicine. Both are different specialties, but both are primary care. Can the physician for day 2 bill Observation due to being primary care, or does s/he have to use E&M codes due to different specialties?
Thanks in advance, Shelly
Same Specialty for Observation
I have a question regarding Observation services. I understand that only the admitting provider (or other providers under the same TIN and same specialty) should bill the Observation codes. All other providers should bill using the standard E&M code set. In our large group practice, the way the Wards schedule is, a patient could be admitted to Observation status by an Internal Medicine physician, and the next day the doc of the day for that ward is Family Medicine. Both are different specialties, but both are primary care. Can the physician for day 2 bill Observation due to being primary care, or does s/he have to use E&M codes due to different specialties?
Thanks in advance!
Shelly
E/M Certification Specialty
I’m currently working with alot of E/M codes office visits. Thinking about taking the E/M certification test. Has anyone take it? How did it go? I got my CPC-A last year .Please share what was your experience in the test.
1997 Guidelines for Specialty Eye Exam – Is dilation required?
Hi There,
I’m trying to figure out whether dilation is required for a comprehensive eye examination to be coded. There is new technology out there that allows an optometrist to view the optic discs, retina, & vitreous bodies without having to use drops to dilate the pupil. However, according the 1997 guidelines, these areas of the eye must be "through dilated pupils (unless contraindicated)." This information can be found on the CMS website here:
https://www.cms.gov/Outreach-and-Edu…eferenceii.pdf
I have been trying to see if these guidelines have been updated, without luck. There is an AAPC article that states the dilated exam is optional (https://www.aapc.com/blog/30462-spli…ye-exam-or-em/), but to me, you cannot get a comprehensive examination if it is not done (comprehensive is defined as "perform[ing] all elements identified by a bullet; document[ing] every element in each box with a shaded border and at least one element in each box with an unshaded border".
If anyone has additional information that could pass along, or if they have experience with the new technology that I described above & how to document it, I’d really appreciate any help I can get!
Coders’ Specialty Guide 2017: Ophthalmology/Optometry
Hi has anyone used this book before? Does it have CPT and Dx codes? I just want to know if it is worth the cost and I can’t find a sneak peek of the book anywhere.
Thanks!
Thanks!