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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Need diagnosis code for labs BEFORE first psych evaluation/first visit

What is the correct diagnosis code to use when ordering screening labs to be done before the patient is seen the first time for a psychiatric evaluation? This is required at my facility. Currently my facility is using Z79.899 (Long term current drug therapy) but I believe this is wrong because the patient is not yet on medication. I have exhausted my resources so I’m hoping someone else does this and can help me.

Thank you!

Medical Billing and Coding Forum

Depression screening on annual wellness visit

I read in one of our AAPC magazines that an annual depression screening, G0444, cannot be billed on
Welcome to Medicare and Initial annual wellness visits
because it is included. However, we CAN bill it on subsequent wellness visits.

We recently had a meeting at the office I work at and we were told that we cannot bill this service at all.

Can anyone help me with this?

Medical Billing and Coding Forum

Shared Visit Documentation and Reporting

A split or shared visit occurs when both a physician and a qualified non-physician practitioner (NPP) meet face-to-face with a Medicare patient on the same date of service, and the work of the physician and the NPP are “combined” into a single E/M service. Split or shared visits may improve a physician’s productivity and positively […]

The post Shared Visit Documentation and Reporting appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Pulse ox with office visit or nebulizer treatment

Please help. Is it "proper" billing to bill 94760 with an office visit (99213/99214) or a nebulizer treatment (94640)? I know if you add modifiers you might get paid . In our situation a medical assistant will take a patients pulse ox and record it in the medical record. We use to do this (with modifier 59 on pulse ox) and got audited by BCBS and they took back payment made for 94760. Now being told to do it again??? (I’m concerned that this would just be unbundling inappropriately.)

Medical Billing and Coding Forum

New Patient Visit for Same Practice Subspecialist

Question: A referring provider and subspecialist are in the same practice and bill under the same tax ID; however, the referring provider is an obstetrician/gynecologist,and the subspecialist is a gynecologist obstetrician. Can the gynecologist obstetrician bill a new patient visit? Answer: Per the CPT® definition, a new patient is one who has not received any… professional services […]

The post New Patient Visit for Same Practice Subspecialist appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

ER visit for contractions admitted and delivered same day – Physician

I was following the practice of billing the ED visit 99283 POS 23 (ED) for a patient who presents in labor to the ED. If she delivers same day that code is under 59409 POS 21 (Inpt) and billed. I cannot find anything on this site in writing so I can verify/prove what is correct to the billing dept. They state POS should be 22 (Observation) on the ED code. I disagree.

Thanks for any help

Medical Billing and Coding Forum

Post-op ER visit

I’m drawing a blank on this, so I hope someone can shine a little light!

If a patient has surgery on one day and two days later goes to the ER for symptoms that turn out to be related to the surgery, and the consulting physician is a member of the same group as the surgeon it still gets coded as a post-op visit, right?

(Dr. A did an ESWL on a patient for kidney stones on a Monday. On Wednesday, the patient had hematuria and pain and went to the ER. Dr. B believes it was because of the ESWL two days prior. So, the consult is coded as a 99024, correct?)

Thanks!

Medical Billing and Coding Forum