by Lori | Jun 28, 2012 | CPT modifiers
CPT Code Description93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (e.g. forlower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler...
by Lori | Jun 23, 2012 | CPT modifiers
CPT Code Description 96101, 96102, 96103 Psychological Testing General Coding Psychological Tests and Neuropsychological Testing Medicare Part B coverage of psychological tests and neuropsychological tests is authorized under section 1861(s)(3) of the Social Security...
by Lori | Jun 19, 2012 | CPT modifiers
40000 procedure codes that are “Nevers” for assistant surgeon The below table identified procedure codes that are not eligible for reimbursement when reported by an Assistant Surgeon. 40490 41019 42182 42961 43261 44388 45380 46285 47511 40500 41100 42280...
by Lori | Jun 13, 2012 | CPT modifiers
60000 procedure codes that are “Nevers” for assistant surgeon The below table identified procedure codes that are not eligible for reimbursement when reported by an Assistant Surgeon. 60000 62281 64479 64744 65775 66982 67800 68340 69450 60100 62282 64480...
by Medical Billing | Jun 5, 2012 | CPT modifiers
Health Professional Shortage Area Bonuses In keeping with Centers for Medicare & Medicaid Services (CMS) guidelines, effective July 1, 2012, we will no longer automatically reimburse our contracted providers for the Health Professional Shortage Areas (HPSA) bonus....
by Medical Billing | Apr 9, 2012 | CPT modifiers
Prolonged Physician Service with Direct (Face-to-Face) Patient Contact (99354-99357) Codes 99354-99357 are used when a physician provides prolonged service involving direct (face-to-face) patient contact that is beyond the usual service in either the inpatient or...
by Medical Billing | Apr 4, 2012 | CPT modifiers
Prolonged services codes can be billed only if the total duration of all physician or qualified NPP direct face-to-face service (including the visit) equals or exceeds the threshold time for the evaluation and management service the physician or qualified NPP provided...
by Medical Billing | Mar 30, 2012 | CPT modifiers
CPT-4 Code 99355 To report additional prolonged outpatient E&M services, CPT-4 code 99355 (each additional 30 minutes) must be billed in conjunction with code 99354. Billing Calculations CPT-4 codes 99354 and 99355 are subject to the least restrictive frequency...
by Medical Billing | Mar 27, 2012 | CPT modifiers
1. ACCELERATE YOUR NON FACE-TO-FACE PROLONGED SERVICES Prolonged service without direct patient Contact Prior to 2017, prolonged service without patient contact CPT codes 99358 & 99359 were not separately payable, and were included for payment under the related...
by Medical Billing | Mar 23, 2012 | CPT modifiers
Proposed meaningful use timeline changes encourage adoption of EHRs In response to significant input from multiple stakeholders, expert testimony, and countless hours of review, analysis and deliberation, the Department of Health & Human Services (HHS) announced...
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