by Medical Billing | Aug 11, 2011 | CPT modifiers
Initial Preventive Physical Examination (IPPE) Also known as the “Welcome to Medicare Visit” CPT code G0402 – IPPE G0403 – ECG for IPPE G0404 – ECG tracing for IPPE G0405 – ECG interpret & report Important – The screening EKG is...
by Medical Billing | Aug 10, 2011 | CPT modifiers
Circulatory System – New Codes • Other disorders of arteries and arterioles – 447.7 • Aortic Ectasia – 447.71 – 447.73 • Respiratory System – Deleted • Influenza due to identified avian influenza virus – 488.0 – Additional 5th Digit Required » Influenza...
by Medical Billing | Aug 3, 2011 | CPT modifiers
Endocrine, Nutritional & Metabolic, Immunity – Deleted • Fluid Overload 276.6 – Additional 5th Digit Required » Transfusion associated circulatory overload – 276.61 » Other fluid overload – 276.69 – New Code • Obesity hypoventilation syndrome – 278.03 Blood and...
by Medical Billing | Jul 29, 2011 | CPT modifiers
• Neoplasms – Schwannomatosis – 237.73 • One form of a genetic disorder called neurofibromatosis (NF) that has only been recently recognized – Neurofibromatosis, NEC – 237.79 • Endocrine, Nutritional & Metabolic, Immunity – Deleted • Disorders of...
by Lori | Jun 30, 2011 | CPT modifiers
Place of Service Crosswalk Type of Bill Type of Bill Position 1 (Type of Facility) Type of Bill Position 2 (Bill Classification) Place of Service* Place of Service Description 74X Clinic or Hospital Based Renal Dialysis Facility Outpatient Rehabilitation Facility...
by Lori | Jun 25, 2011 | CPT modifiers
Type of Bill Codes (Field 4) Required. This four-digit alphanumeric code gives three specific pieces of information after a leading zero. CMS will ignore the leading zero. CMS will continue to process three specific pieces of information. The second digit...
by Medical Billing | Jun 21, 2011 | CPT modifiers
Bilateral Procedures Effective for dates of adjudication October 1, 2006 and thereafter the procedure for billing bilateral procedures changed. In the past, (through September 30, 2006), providers were instructed to bill for bilateral procedures on one line with...
by Lori | Jun 15, 2011 | CPT modifiers
MODIFIER 52 Description: Reduced services Under certain circumstances a service or procedure is partially reduced or eliminated at the physician’s discretion. Under these circumstances the service provided can be identified by its usual procedure number and the...
by Lori | Jun 10, 2011 | CPT modifiers
Pre-op visits: True or False? Are the following statements true or false? • The PCP cannot be paid to do a pre-op assessment of a Medicare patient prior to surgery because of the new consult rules. • The surgeon can never be paid to do a pre-op visit if s/he is going...
by Lori | Jun 5, 2011 | CPT modifiers
Modifier 79 – Unrelated procedure by the same physician during the postoperative period The following rules apply: * Modifier 79 applies to surgical procedures performed on patients while they are in a postoperative period for a different,...
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