by purush167 | May 13, 2024 | CPT modifiers
What differentiates a diagnostic from a screening mammography procedure? Medicare’s definitions of screening and diagnostic mammography, as noted in the Centers for Medicare and Medicaid’s (CMS’) National Coverage Determination database, and the American College of...
by purush167 | Dec 18, 2023 | CPT modifiers
Denial reasons CO 18 – Duplicate claim/service Corrected claim should be filed with the 4th digit of the bill type ‘7’. How to Avoid Duplicate Claim Denials Check your remittance advice for previously posted claim Verify reason initial claim was denied Don’t...
by purush167 | Sep 25, 2023 | CPT modifiers
CPT Code and Description 10009 – Fine Needle Aspiration Biopsy, Including Ct Guidance; First Lesion. 10010 – Fine Needle Aspiration Biopsy, Including Ct Guidance; Each Additional Lesion (List Separately In Addition To Code For Primary Procedure). 10021...
by purush167 | Jul 27, 2023 | CPT modifiers
CPT Code and Description 0010U – Infectious Disease (Bacterial), Strain Typing By Whole Genome Sequencing, Phylogenetic-Based Report Of Strain Relatedness, Per Submitted Isolate 0011M – Oncology, Prostate Cancer, Mrna Expression Assay Of 12 Genes (10...
by purush167 | Jun 11, 2023 | CPT modifiers
CPT code and Description 78451: Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study,...
by purush167 | Apr 11, 2023 | CPT modifiers
COVERAGE AND LIMITATIONS: Frequency is limited to once in a lifetime. BRCA1/BRCA2 gene analysis is covered for individuals meeting the following criteria: For individuals without diagnosis of breast or ovarian cancer:a. Two first-degree relatives with breast cancer,...
by purush167 | Jan 29, 2023 | CPT modifiers
CPT code and description 80050 General Health Panel80053 Comprehensive Metabolic Panel84443 Assay Thyroid Stim Hormone Policy Guidelines. Individual laboratory codes, which together make up an organ or disease-oriented laboratory Panel Code, will be combined into and...
by purush167 | Dec 27, 2022 | CPT modifiers
CPT® Code – 59400 Short Description – Obstetrical care (antepartum, delivery, and postpartum care) What does global (total) obstetrical care include? Global obstetrical (OB) care (CPT® code 59400) includes:• Routine prenatal care in any trimester•...
by purush167 | Nov 21, 2022 | CPT modifiers
Procedure code and Description • 76977: Ultrasound bone density measurement and interpretation, peripheral site(s), any method• 77078: Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (e.g., hips, pelvis, spine)• 77080: Dual-energy...
by purush167 | Oct 12, 2022 | CPT modifiers
EGD – Procedure Most used CPT code list and description 43235EGD diagnostic Fee schedule amount $ 310.843239EGD w biopsy , Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Fee schedule amount $ 395.6143244EGD w banding Fee...
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