From wound repair to incision and drainage, know which CPT® codes accurately report simple to complex medical procedures. Laceration repair and abscess drainage are common in the urgent care setting. Let’s review proper medical coding and documentation for these integumentary procedures. Laceration Repairs Patients often present to the urgent care with minor injuries, including lacerations. […]
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Tag Archives: URGENT
Urgent care dx denials
Hello, I am hoping someone with UC experience can give some insight; at UC we do not have the facility to send labs for every dx. Certain dx require the cause of the dx, such as pneumonia (J12-15.X) or J06.9 "acute upper respiratory tract infection, unspec" wants the bacterial cause. We are starting to see payers refuse payment on codes with the "unspecified" designation on these. Is there any other alternative, or are we stuck with dx that will not be covered? Any insight or advise would be deeply appreciated.
Deb Upington
New to urgent care
LOOKING TO CONNECT WITH OTHERS WHO CODE FOR URGENT CARE.:o
Urgent help needed for iud coding
I have a patient who is getting an IUD and is 65 years old. She is NOT on Medicare and refuses to take it.
She had a hysteroscopy 58558 for polyp N84.0. At the time of her hscope, she had an IUD removed and a new IUD re inserted. 58301 and 58300 for hormone replacement and aub.
Our clearing house won’t let the claim bypass them due to age? Does this sound appropriate or familiar to anyone?
I was asked to handle this coding problem although my supervisor is the one who coded and billed the procedures. She also added some strange modifiers to them.
ANY suggestions/help would be greatly appreciated!
Thanks fellow coders!!!
Question about billing after urgent care visit
Our ortho docs see patient’s in urgent care and then they will follow up in our office. Billing for urgent care is under a different tax ID than our practice. Would that patient be established or new when they visit our office. I get denied if I bill new but have a physician that feels it should be billed as new. Any help would be appreciated, also if anyone has anywhere to find the documentation of this it would be greatly appreciated.
Need help on Urgent Care Facility Billing
Do we have anyone that is an expert on URGENT CARE FACILITY billing ? I need guidance on how to properly bill and when we really need to use the S9083 code? anything specific i should look at and work on for Urgent care facility when billing for such a facility?
Please help
Urgent Care Coding
Hello,
I am needing a second a opinion on whether an E/M should be billed along with a procedure code. I code for the physician portion.
Provider performed a laceration to left hand but he also performed a x-ray to make sure there was not a fracture. Only Dx code is laceration to left hand.
Would the x-ray be considered additional workup? Or does an additional Dx code need to be added in order for the provider to bill a E/M and laceration code?
I am needing a second a opinion on whether an E/M should be billed along with a procedure code. I code for the physician portion.
Provider performed a laceration to left hand but he also performed a x-ray to make sure there was not a fracture. Only Dx code is laceration to left hand.
Would the x-ray be considered additional workup? Or does an additional Dx code need to be added in order for the provider to bill a E/M and laceration code?
VERY URGENT HELP:OBS E&M with G0378
Hi Friends,
A Good Day!
Can anybody please confirm whether we can code obs E&M codes (99218 series) and G0378/G0379 together for medicare/commercial payers?Any supportive document available?
Regards
Dina
urgent care setting : number of diagnosis or treatment option
Hello!
Care to share any info regarding the point system for the number of diagnosis or treatment option in marshfield clinic tools on how to come up with points in each categories.
If you can provide links to refer to that would be much appreciated.
Thank you.
Urgent !!!!!!!!!!!!!!!!!!!!!!!! Please help!!!!!!!!!!! MDM TABLE A
Hi guys,
I need an advice as soon as,
A patient came to Dr. A (MD) for Cold sore, and Prescribed with Rx , Later he came for Refill to the same practice and examined by PA for cold sore and make a refill. I just want to how we can count the point for MDM-TABLE A, whether it is New problem or established problem….
As per the CMS guidelines, this problem should be considered as an established to Dr . A, but this is a New problem for PA, since now only he met this Patient ….
How we can code this… I need a help on this….
Thanks in advance……..