by Medical Billing | Nov 9, 2016 | CPT modifiers
Payment to the CAH for each outpatient visit (reassigned billing) will be the sum of the following: • For facility services, not including physician or other practitioner services, payment will be based on 101 percent of the reasonable costs of the services. List the...
by Medical Billing | Oct 25, 2016 | CPT modifiers
Procedure code and Description 99173 Screening test of visual acuity, quantitative, bilateral. 99174 Instrument-based ocular screening 99199 – Unlisted special service, procedure or report 99183 – Physician attendance and supervision of hyperbaric oxygen...
by Medical Billing | Oct 24, 2016 | CPT modifiers
Multiple E&M services on the same day • Reimbursement will be made for a preventive code with a problem focused code when modifier -25 is applied to the problem-focused code. Reimbursement for the preventive service will be made at 100% of the contracted...
by Medical Billing | Oct 21, 2016 | CPT modifiers
procedure code and description 22851 – Apply spine prosth device – average fee payment – $480 – $490 22840 Posterior non-segmental instrumentation (e.g. harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial...
by Medical Billing | Oct 19, 2016 | CPT modifiers
CODE DESCRIPTION MAXFEE 14000-2 Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less $773.91 14001-2 defect 10.1 sq cm to 30.0 sq cm $1,136.94 14020-2 Adjacent tissue transfer or rearrangement, scalp, arms, legs; defect 10 sq cm or less $764.11...
by Medical Billing | Oct 18, 2016 | CPT modifiers
The Customary Charge The customary charge is the amount that best represents the actual charges made for a given medical service or by other persons who supply other medical and health services to the general public. Therefore, obtain information on the customary...
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