by Medical Billing | Jun 11, 2020 | CPT modifiers
MEDICARE CREDIT BALANCE REPORT CERTIFICATION PAGE The Medicare Credit Balance Report is required under the authority of sections 1815(a), 1833(e), 1886(a)(1)(C) and related provisions of the Social Security Act. Failure to submit this report may result in a...
by Medical Billing | Feb 17, 2020 | CPT modifiers
POST-OPERATIVE PERIOD BILLINGUnrelated Procedure or Service or E/M Service by the Same Physician During a Post-operative PeriodTwo CPT modifiers are used to simplify billing for visits and other procedures that are furnished during the post-operative period of a...
by Medical Billing | Jan 30, 2020 | CPT modifiers
Procedure code and descriptionEffective for services furnished on or after July 1, 2001, the following codes are added for colorectal cancer screening services:• HCPCS G0121 – Colorectal cancer screening; colonoscopy on individual not meeting criteria for high...
by Medical Billing | Dec 19, 2019 | CPT modifiers
CPT Code Description99224 Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused examination; Medical decision making that is...
by Medical Billing | Nov 13, 2019 | CPT modifiers
CPT Description64450 Injection, anesthetic agent; other peripheral nerve or branch 27096 Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed G0259 Injection procedure for...
by Medical Billing | Oct 8, 2019 | CPT modifiers
Modifier DescriptionUB Medically necessary delivery prior to 39 weeks of gestationUC Delivery at 39 weeks of gestation or laterUA Nonmedically necessary delivery prior to 39 weeks of gestationEED Policy Components• GAMMIS is being configured to link...
by Medical Billing | Sep 4, 2019 | CPT modifiers
CPT Code Description99500 Home visit for prenatal monitoring and assessment to include fetal heart rate, non-stress test, uterine monitoring, and gestational diabetes monitoring99501Home visit for postnatal assessment and follow-up care99502 Home visit for newborn...
by Medical Billing | Jul 25, 2019 | CPT modifiers
CPT code and Description21100 Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure)21110 Application of interdental fixation device for conditions other than fracture or dislocation, includes removal 21120 Genioplasty;...
by Medical Billing | Jul 1, 2019 | CPT modifiers
INITIAL COMPREHENSIVE EVALUATION The Initial Comprehensive Evaluation is performed during the CSHCS client’s first visit to the CMDS clinic. The medical team integrates assessments and recommendations and works with the family/beneficiary in the development of a...
by Medical Billing | Jun 7, 2019 | CPT modifiers
Expanded Model Fact Sheet Overview of MDPP The MDPP expanded model includes an evidence-based set of services aimed to help prevent the onset of type 2 diabetes among Medicare beneficiaries with an indication of prediabetes. MDPP services will be available to eligible...
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