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Nitrazine paper test
Billing Consult or New Pt Visit with EMG Test?
I would just like to get the general consensus from anyone working with Doctor’s who perform EMG/Nerve Conduction tests.
Do you normally bill out a New Patient visit (99202/99203) or a Consultation Code (99242/99243)
along with the EMG/Nerve Conduction CPT codes?
I get conflicting information online as to whether this is allowed or not.
But according to CMS LCD guideline I found it stated,
"Usually an E&M service is included in the exam performed just prior to and during nerve conduction studies and / or electromyography.
If the E&M service is a separate and identifiable service, the medical record must document medical necessity and the CPT code must be billed with a Modifier 25"
Do most of you include an E& M code with a 25 mod and then include your EMG/Nerve Conduction codes with it? Does the Doctor perform an actual exam before he begins the test? Wouldn’t that be required if you were going to bill it out this way?
Plus, adding a 25 mod means there’s a separate identifiable issue unrelated to the services (the EMG test) and I can’t imagine the Doctor would be addressing that when the patient’s primary reason for being there is just to get the test done.
Any advice you could give would be greatly appreciated
Thank you!
Cologuard test
CPPM test
I am looking for any tips to pass the CPPM exam. I scored a 56 my first attempt and a 67 my second attempt, my boss is paying for this and I really just need any advice from those that have passed the exam.
Intraoperative Cotton Test
POSTOPERATIVE DIAGNOSIS: Right ankle trimalleolar fracture dislocation.
PROCEDURE PERFORMED: Right trimalleolar fracture, open reduction and internal fixation with syndesmotic repair.
ORTHOPEDIC IMPLANTS USED.
1. Synthes stainless steel 1/3 tubular plate.
2. Synthes stainless steel 4.0 cannulated screws.
3. Synthes stainless steel 3.5 cortical lag screw.
4. Arthrex TightRope.
DESCRIPTION OF PROCEDURE: The patient identified the right lower extremity as the operative site. Consent was verified for the procedure. The patient was brought back to operating room #24 and placed under general anesthesia. All bony prominences were subsequently padded as the patient was given 2g of Ancef IV 30 minutes prior to starting the case. The right lower extremity was prepped with sterile ChloraPrep and draped in a sterilely appropriate fashion. Surgical procedure began with evaluation and inspection of the soft tissue envelope to the right lower extremity. There was severe soft tissue swelling, ecchymosis and soft tissue compromise distally, most likely due to continued ongoing swelling to the right lower extremity. Due to the patient’s skin condition, we potentially avoided the open formal approach to help minimize soft tissue complications. Based off the amount of soft tissue swelling and ecchymosis present at this time, it would still be at least 4 to 6 weeks before the patient would qualify for an open approach and as such, the fracture would have most likely healed and displaced position, so we proceeded with minimally invasive fixation.
Surgical procedure began with reduction of the right fibula. A small 2cm incision was placed directly over the fibula fracture. Pointed reduction clamp was inserted. A small stab incision was made distally as a 3.5 lag screw was then passed up the intramedullary canal of the right fibula into the proximal fibula. Anatomic length, alignment, rotation of the distal fibula was noted. The pointed reduction clamp was subsequently removed. A small incision was made directly over the medial malleolar fracture line and interposed periosteum was removed using a rongeur. Guidewires for 4.0 cannulated screws were then percutaneously passed across the fracture, achieving lag screw fixation of the medial malleolus. Intraoperative cotton testing was performed and syndesmotic injury was apparent. A one-third tubular plate was positioned directly over the lateral comminution of the fibula and anchored to the tibia using a cancellous screw. An Arthrex TightRope was then predrilled while syndesmotic reduction was maintained. The Arthrex TightRope was cinched, tightened and postoperative cotton test was negative at this time.
Bill diagnostic test for TC alone from outside referral?
billing 59025 fetal stress test with 96372
Urine drug test reimbursement
I was wondering if anyone had any advice that can help my manager get reimbursed for a urine drug test? She is a primary family care APRN. She has used codes 80305, 80306, and 80307. Does anybody know why insurance companies are not covering these codes?
Thank you,
Maggie