by Medical Billing | Jul 7, 2016 | CPT modifiers
CRNA Services AA Anesthesia services personally performed by an anesthesiologist. The -AA modifier is used for all basic procedures. P1 Normal healthy patient. P2 Patient with mild systemic disease. P3 Patient with severe systemic disease. P4 Patient with severe...
by Medical Billing | Jul 6, 2016 | CPT modifiers
LCD for Diagnostic and Therapeutic Esophagogastroduodenoscopy (L29167) Bill Type Codes: Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service.Absence of a Bill Type does not guarantee that the policy does...
by Medical Billing | Jul 2, 2016 | CPT modifiers
cpt code and description A4466 – Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, each A9270 – Non-covered item or service K0672 – Addition to lower extremity orthosis, removable soft interface, all...
by Medical Billing | Jun 30, 2016 | CPT modifiers
Denial Reason, Reason/Remark Code(s) • CO-97 – Global Surgery Denials: Services submitted for the same patient by the same doctor on the same day as or within the post-op period of a major/minor procedure are bundled into the global surgery package and are not...
by Medical Billing | Jun 25, 2016 | CPT modifiers
Modifiers A modifier provides a physician with the means to indicate that a service/procedure is altered by some specific circumstance, but not changed in its definition or code. By modifying the meaning of a service, modifiers may be used in some instances when...
by Medical Billing | Jun 22, 2016 | CPT modifiers
Ultrasound Screening for Abdominal Aortic Aneurysm (AAA) HCPCS/CPT Codes G0389 – Ultrasound exam for AAA screening ICD-10-CM Codes See https://www.cms.gov/Medicare/Coverage/CoverageGenInfo/ICD10.html for individual Change Requests (CRs) and coding translations for...
by Medical Billing | Jun 18, 2016 | CPT modifiers
• Multiple dates of service should not be grouped on one line. • Indicate “74X” or “75X”’ type of bill, which is field 4 on paper claims o First digit – Type of facility (7) o Second digit – bill classification (4 for outpatient rehabilitation facility or 5 for...
by Medical Billing | Jun 15, 2016 | CPT modifiers
• Indicate “11X” or “12X” type of bill • First digit – type of facility ( 1-Hospital) • Second digit – bill classification (1-Inpatient Hospital, including Medicare Part A or 2-Inpatient Hospital for Medicare Part B) • Third digit – frequency (e.g., admit through...
by Medical Billing | Jun 13, 2016 | CPT modifiers
Field Name Field Description Loop ID Segment HCPCS/CPT Procedure Code Enter the appropriate HCPCS/CPT Code aligned with the NDC Code billed, if applicable. 2400 SV101 HCPCS/CPT Units Enter the applicable units billed based upon the HCPCS/CPT code assigned...
by Medical Billing | Jun 10, 2016 | CPT modifiers
1. What is an NDC? “NDC” stands for National Drug Code. It is a unique, 3-segment numeric identifier assigned to each medication listed under Section 510 of the U.S. Federal Food, Drug and Cosmetic Act. The first segment of the NDC identifies the labeler (i.e., the...
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