by Lori | Jan 3, 2012 | CPT modifiers
Gardasil (Quadrivalent Human Papillomavirus [Types 6, 11, 16, 18] Recombinant Vaccine) CPT CODE: 90649 Human Papilloma virus (HPV) vaccine, Types 6, 11, 16, 18 (quadrivalent), 3 dose schedule, for intramuscular use Indications for use: Indicated in males and females...
by Lori | Dec 30, 2011 | CPT modifiers
CPT CODE: D1206 Topical fluoride varnish; therapeutic application for moderate to high caries risk patients CRITERIA: • Patient must be – age 6 months to 21 years • Recommend the fluoride varnish be applied at the time of a well child visit / Health Tracks screening •...
by Lori | Dec 25, 2011 | CPT modifiers
EKG – ECG CPT codes and related ICDs CPT CODES: 93000 Electrocardiogram, routine ECG with at least 12 leads: with interpretation and report 93005 tracing only, without interpretation and report 93010 interpretation and report only Fee schedule Of EKG Codes Its...
by Lori | Dec 18, 2011 | CPT modifiers
Examples of HCPCS 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. C9724 G0105 G0247 G0341 S0601 S2080 S2202 S2267 S2344 C9725...
by Lori | Dec 15, 2011 | CPT modifiers
Non covered CPT – Screening Pap Test Service CPT/ HCPCS Code Long Descriptor USPSTF Rating¹ CY 2011 Coins. / Deductible G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis,...
by Medical Billing | Dec 13, 2011 | CPT modifiers
RT and LT Modifier Requirements for Intravitreal (Eye) and Intra-Articular (Knee) Injections Effective January 1, 2012, Florida Medicaid will require either RT or LT modifiers on HCPCS drug codes related to intravitreal (eye) and intra-articular (knee)...
by Medical Billing | Dec 4, 2011 | CPT modifiers
Documentation Requirements for Billing Hospital Observation care CPT code 99234 – 99236 Observation or Inpatient Care Services (Including Admission and Discharge Services (Codes 99234–99236)) The physician should satisfy the E/M documentation guidelines for...
by Medical Billing | Nov 30, 2011 | CPT modifiers
Observation care – DEFINITIONS Observation Care: Evaluation and management services provided to patients designated as “observation status” in a hospital. This refers to the initiation of observation status, supervision of the care plan for...
by Medical Billing | Nov 28, 2011 | CPT modifiers
Documentation Requirements for 99211 CPT code 99211 is a code used to report a low-level E/M service. Code 99211 requires a face-to-face patient encounter but when billed as an “incident to” service, it may be performed by ancillary staff and billed as if the...
by Medical Billing | Nov 25, 2011 | CPT modifiers
Use the 76 modifier when billing for separate office or outpatient E/M visits that occur on the same date of service (only for codes 99211–99215) by the same physician/practitioner. Each service should be clearly documented. Use the 76 modifier to indicate a separate...
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