Clinic is stating they placed an order for urinalysis ‘digitally’ so they don’t need to submit documentation for the UA. I’m unable to code it as there is no diagnosis or intent for the procedure indicated. What are the documentation requirements for a physician ordered laboratory test? Shouldn’t there be a document in the medical record that corresponds to the ‘digital’ order?
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Tag Archives: Tests
No Diagnosis for Point of Care tests in office
I am seeking some information on what others are doing or what should be done for this situation.
Physician will document for conditions that are addressed such as Neck Pain (M54.2) and Paresthesia (R20.2).
Then a Point of Care test will be done that does not have any diagnosis associated with it. For instance, note will have the two codes given then have a POC Hepatitis C Screen and POC HIV Screen done.
1. for these tests would you only put the M54.2 and R20.2 on these line items. Since this is exactly what the provider signed off on.
2. query the provider for a diagnosis for these tests.
3. coder add the screening codes for these tests.
4. other??
Flu and strep tests
Hello, Our office is billing influenza A and B with Strep Tests on one claim for hundreds of kiddos. We use CPT 87804 QW, 87804 59,QW and 87880 QW with the ICD code for Fever. Our claims were being denied for not having a valid principal diagnosis. We switched to billing with J02.9 Acute Pharyngitis and J10.1 but these are denied for the same reason. Can anyone help me with this? I read online that we can’t bill both strep and flu together? Is that correct? Any help is appreciated!!
Coding for tb tests admin and reads
Hi guys!
My company seems to have differing opinions on when and how to code for a tb test. We agree you use code 86580 but some of us think you should bill it out when the pts comes back for the reading and some think it is appropriate to bill it at the admission. Also, in researching on the internet I have seen that some say you can bill the 86580 at the admission of the test and bill a 99211 for the reading and others say the reading is included in 86580. Does anyone have a definitive answer on this?
Thanks!
Linda T.
New CLIA-waived Tests Effective April 2019
There are 13 new CLIA-waived tests effective April 1, 2019. The Center for Medicare & Medicaid Services (CMS) announced in CR11080 that these apply to facilities with a CLIA certificate of waiver. QW is Key to CLIA Waived Test Codes The modifier QW CLIA waived test must be appended to all but a handful of CPT […]
The post New CLIA-waived Tests Effective April 2019 appeared first on AAPC Knowledge Center.
CPT coding for MOCA vs MMSE screening tests
I understand that the MMSE cannot be coded separately from the E&M code for the office visit, but can we use 96125 to code separately for the MOCA since it takes a little longer to administer the test to the patient and provides more detailed information about the patient’s condition? Would the provider need to document that they spent at least 31 minutes performing the test and interpreting the results?
GAO: New payment rates for Part B lab tests may lead to billions in overpayments
Chadis Tests and new ICD 10 expanded codes
If you use Chadis in your practice or do screenings like the MChat, PSC, PHQ, ASQ, Edinburgh or Vanderbilts can you confirm which of the new ICD expanded codes are you using for billing? My thoughts are:
ASQ-CPT 96127- DX Z13.42
Edinburgh-CPT 96161- DX z13.32
MChat-CPT 96110-DX Z13.41
PSC- CPT 96127- Z13.31
PHQ-CPT 96127 Z13.31
Vanderbilt-CPT 96127-Z13.39
Score an A for Coding Psychological and Neuropsychological Tests
CPT® codes for psychological and neuropsychological tests include tests performed by technicians and computers (CPT codes 96102, 96103, 96119 and 96120) in addition to tests performed by physicians, clinical psychologists (CPs), independently practicing psychologists (IPPs), and other qualified nonphysician practitioners (NPPs). The payment amounts for tests performed by a technician or a computer are adjusted […]
AAPC Knowledge Center
screening tests
Anyone know of any CPT for dementia or cognitive screening test?
thank you
thank you